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. '