HomeMy WebLinkAboutGreyhound Lines Inc - Insurance Certificate 2025 002058
AcoRo CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
12/13/2024
FREPRESENTATIVE
CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER,THIS
IFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
W. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
ESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
RTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed.
ROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on
ertificate does not confer ri hts to the certificate holder in lieu of such endorsements.
Rsurance Services,LLC NAME: Vilay Vongsoury
Meadows Road,Suite 240 PHONE503-943-6621 FAx
ego,OR 97035 A/C No Ext: A/C No:503-943-6622
E-MAIL V
ADDRESS:Vila y ongsoury@mcgriff.com
INSURER(S)AFFORDING COVERAGE NAIC#
INSURED — INSURER A:BUS Risk Retention Group
Greyhound Lines,Inc. INSURER B AIU insurance 17324
PO Box 660632 ance Company
19399
Dallas,TX 75266-0362 INSURER C:National Union Fire Insurance Company of Pittsburgh,PA
INSURER D: 19445
INSURER E:
COVERAGES INSURER F
CERTIFICATE NUMBER:J000R85Y
THIS IS TO CERT TH
IFY AT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE—INSURED NAMED ABOVE FOR OR THE POLICY PER
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TIODHIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIO
INSR NS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
--LTR TYPE OF INSURANCE A UIN D WVD POLICY NUMBER POLICY EFF POLICY EXP
A X COMMERCIAL GENERAL LIABILITY GL-RRG-001023 MM/DD/YYYY MM/DD/YYYY LIMITS
01/01/2025 01/01/2026
CLAIMS-MADE OCCUR EACH OCCURRENCE $ 10,000,000
PREMISES Ea occurrence $ 5,000,000
MED EXP(Any one person) $
GENT AGGREGATE LIMIT APPLIES PER: PERSONAL&ADV INJURY $ 10,000,000
X POLICY❑PECTRO- LOC GENERALAGGREGATE $ 10,000,000
OTHER: PRODUCTS-COMP/OPAGG $ 10,000,000
A AUTOMOBILE LIABILITY L-RRG-001023 $
01/01/2025 01/01/2026 COMBINED SINGLE LIMIT
X ANY AUTO Ea accident $ 10,000,000
OWNED SCHEDULED BODILY INJURY(Per person) $
AUTOS ONLY AUTOS
HIRED NON-OWNED BODILY INJURY(Per accident) $
AUTOS ONLY AUTOS ONLY PROPERTY DAMAGE
Per accident $
UMBRELLA LIAB $
OCCUR
EXCESS LIAR CLAIMS-MADE EACH OCCURRENCE $
DIED RETENTION$ AGGREGATE $
B WORKERS COMPENSATION 62790879 AOS) $
AND EMPLOYERS'LIABILITY Y/N 62790880 f CA) 04/01/2024 04/01/2025 X PER OTH-
ANY PROPRIETOR/PARTNER/EXECUTIVE STATUTE ER
OFFICER/MEMBER EXCLUDED? N/A(Mandatory In NH) E.L.EACH ACCIDENT $ 3,000,000
If yes,describe under EA EMPLOYEE $ 3,000,000 DISEASE E.L.
EASE-
DESCRIPTION OF OPERATIONS below _
C Auto Liability L7281073 VA/NY) E.L.DISEASE-POLICY LIMIT $ 31000,000
L7281072(MA) 04/01/2024 04/01/2025 Combined Single Limit $ 10,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Sch
Liability policy. edule,may be attached If more space Is required) $
RE:leased location at:250 Mason Street,Ft.Collins,CO.City of Fort Collins is included as Additional Insured in accordance with the policy provisions of the General
CERTIFICATE HOLDER
CANCELLATION
SHO
LD ANY OF THE
RE
PAUTHORIZED
ON DATE VTHE EOF,ENOTICE I WILL ES BE C ENC DELIVERED ELLED OIN
City of Fort Collins ITH THE POLICY PROVISIONS.
117 North Mason Street
PO Box 580
Fort Collins,CO 80522 ENTATIVE
USA
ACORD 25(2016/03) The Page 1 of 1 @ 1988-2015 ACORD CORPORATION. All rights reserved.
e ACORD name and Innn am