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HomeMy WebLinkAbout423216 NORTH AMERICAN BUS INDUSTRIES NABI - INSURANCE CERTIFICATE` Producer Phone: 404/264-3400 Fax: 404/264-3002 ,xnACORDTM x 08/08/2007 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Aon Risk Services, Inc. of Georgia One Piedmont Center ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3565 Piedmont Road, Suite 700 Atlanta, GA 30305 COMPANIES AFFORDING COVERAGE COMPANY A Nautilus Insurance Company INSURED North American Bus Industries, Inc. COMPANY B Federal Insurance Company 106 National Drive COMPANY Anniston, AL 36207 C Great American Insurance Company COMPANY ALSIWC Fund/Midwest Employers/Sentry Ins Co COVERAGESD THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MM/DD/YY) POLICY EXPIRATION LIMITS DATE MWDD/YY A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY i CLAIMS MADE X OCCUR BKO010387-2 01/01/07 01/01/08 EACH OCCURRENCE $1,000,000 X DAMAGED TO RENTED PREMISES Ea. Occurrence $ 50,000 MED EXP (Any One Person) X General Aaaregate Aoolies Per Subject to $250,000 SIR Including ALAE and PERSONAL & ADV. INJURY $1,000,000 P°Ilcy Defense Cost X GENERAL AGGREGATE $2,000,000 Contractual X PRODUCTS-COMP/OP AGG $2,000,000 Broad Form PD B AUTOMOBILE LIABILITY ANY AUTO 35373277 01/01/07 01/01/08 Combined Single Limits Bodily Injury & Property Damage $1,000,000 X X BODILY INJURY ALL OWNED AUTOS SCHEDULED AUTOS (Per person) X BODILY INJURY HIRED AUTOS X NON -OWNED AUTOS (Per person) Comp/Coll Ded $1,000 except buses X I X Comp/Coll Ded $5,000 buses PROPERTY DAMAGE B GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ EACH ACCIDENT $ AGGREGATE $ C EXCESS LIABILITY X Umbrella Form I TSU218404007 01/01/07 01/01/08 EACH OCCURRENCE $25,000,000 AGGREGATE $25,000,000 X Retention $10,000 D WORKERS COMPENSATION AND EMPLOYERS LIABILITY THE PROPRIETARY/ PARTNERS/EXECUTIVE X INCL 1-5129-106/PCAL129001 State of Alabama 90-52512-0400061 01/01/07 01/01/07 01/01/08 01/01/08 X wc TORYLIMITS OTH- ER 'EL EACH ACCIDENT .. $1,000,000 EL DISEASE - POLICY LIMIT $1,000,000 OFFICERS ARE: EXCL All Other States EL DISEASE - EA EMPLOYEE $1,000,000 OTHER: DESCRIPTION OF OPERATIONS/LOATIONSNEHICLES/SPECIAL ITEMS: I ` ;CA SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATIONDATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 2Q DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE City of Fort Collins/Transport COMPANY, ITS AGENTS OR REPRESENTATIVES. Attn: James R. Hume, CPPO, Senior Buyer 215 North Mason Street, 2nd Floor Fort Collins, CO 80522-0580 Aon Risk Services Inc.. of Georgia Authorized Representative " i 0 ACORD CQRADf t'ION 110. '