HomeMy WebLinkAboutNORTH AMERICAN BUS INDUSTRIES NABI - INSURANCE CERTIFICATEACORDTM CERTIFICATE OF INSURANCE 12-27-07
Producer Phone 404/261-3400 Fax 404/264-3002
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
ADD Risk Services, Inc Of Georgia
HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
One Piedmont Center
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
COMPANY
NOrttLArn-erlcan Bus Industries, Inc
B American Home Assurance AIG
- 106 National Drive
COMPANY
Anniston, AL 36207
C Great American Insurance Company
COMPANY
D ALSIWC Fund / Sentry Ins Co
COVERAGES
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
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
POLICY
LIMITS
ITR
DATE'MM'DD-1)
EXPIRATION
DATE MM/DD'YY
GENERAL
LIABILITY
EACH OCCURRENCE
$1,000 000
A
X
COMMERCIAL GENERAL LIABILITY
BK0010387-3
01/01/08
01/01/09
DAMAGED TO RENTED
$ 50000
PREMISES Ea Occurrence
CLAIMS MADE X❑ OCCUR
MED EXP (Any One Person)
X
PERSONAL&ADV INJURY
$1,000000
General Aggregate Adobes Per
Subject to$250000
P°Ilcv
SIR Including ALAE and
Defense Cost
X
GENERAL AGGREGATE
$2000000-
Contractual
X
PRODUCTS COMP/OP AGG
$2 000,000
Broad Form PD
AUTOMOBILE
LIABILITY -,r
Combined Single Limits
$1000000
B
X
ANY AUTO
9793129
10/31/07
10/31/08
Bodily Injury & Property
Dam, e
X
BODILY INJURY
ALL OWNED AUTOS
SCHEDULED AUTOS
(Per person)
X
BODILY INJURY
HIRED AUTOS
X
NON OWNED AUTOS
(Per person)
X
Garagekeepers Included
PROPERTY DAMAGE
GARAGE LIABILITY
AUTO ONLY - EA ACCIDENT
$
EACH ACCIDENT
$
AGGREGATE
$
EXCESS LIABILITY
TSU218404008
01101/08
01101,09
EACH OCCURRENCE
$25000000
C
X Umbrella Form
AGGREGATE
$25,000 000
x Retention $10 000
WORKERS COMPENSATION AND
1-5129-108
01/01/08
01/01/09
X
TORrum,r
OR
R
D
EMPLOYERS LIABILITY
Slate of Alabama
EL EACH ACCIDENT
$1000000
THE PROPRIETARY' X INCL
PARTN E RSIEXECUTIVEFI
90-52512-0400081
01/01/O8
01/01/09
EL DISEASE -POLICY LIMIT
$1,000000
OFFICERS ARE EXCL
All Other States
FL DISEASE - EA EMPLOYEE
$1 000 000
OTHER
DESCRIPTION OF OPERATIONSILOATIONSNEHICLESISPECIAL ITEMS
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
City of Fort Collins/Transport
EXPIRATIONDATE THEREOF THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 3D DAYS
WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO
Attn James R Hume, CPPO, Senior Buyer
Y
For 805 N Mason St, Floor
Fort Collins, CO 80522-0580
MAIL SU NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE
OMPA V RSAGENTS RREPRESENT TIVES
Authorized Representative
ACCORD 25-5 (7197) C41i CORPORATION 1988