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HomeMy WebLinkAboutFIRST STUDENT INC - INSURANCE CERTIFICATEACORD „. CERTIFICATE OF LIABILITY INSURANCE D 12/20 /DDNYYV) /20/08 PRODUCER 1-212-994-7100 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. of New York ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 444 Madison Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 20th Floor New York, NY 10022 INSURERS AFFORDING COVERAGE _ NAIC# INSURED INSURERA: INSURANCE CO OF THE STATE OF PA 19429 FIRST STUDENT INC INSURERS: NATIONAL UNION FIRE INS CO OF PITTS 19445 Vine St Ste 1400 INSURERC:NEW HAMPSHIRE INS CO 23841 Ste CINCINNATI, OR 45202 INSURERD:New Hampshire Ins Co 23841 COVFRAnFS 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 SUBJECTTO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTA ADUL POLICYNUMBER POLICY EFFECTIVE 12/31/08 POLICY EXPIflAT10N LIMITS A LIABILITY GL1737923 (10MM AGG) 12/31/09 EACH OCCURRENCE $5,000,000 _GENERAL X COMMERCIAL GENERAL LIABILITY PREMISES Ea occumace $ 50,000 CLAIMS MADE OCCUR MED EXP(Any one person) $50,000 PERSONAL &ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10, 000, 000 GENT AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OPAGG $5,000,000 17 POLICY PRO' X LOC __-- B B AUTOMOBILE X LIABILITY ANY AUTO CA5273862 (MA) CA5273859 (AOS) 12/31/08 12/31/08 12/31/09 12/31/09 COMBINEDSINGLE LIMIT (Ea accident) $5,000,000 BODILY INJURY (Per person) $ B ALLOWNEDAUTOS SCHEDULED AUTOS CA5273864 (VA) 12/31/08 12/31/09 X BODILY accident) (Per accident) 8 HIREDAUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Peraccidenl) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EAACC $ ANY AUTO $ AUTO ONLY: AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ C D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANV PROPRIETOR/PARTNER/EXECUTIVE 117 85 83 (ADS) 117 85 30 (MA)1178529 (C 12/31/08 ) 12/31/08 12/31/09 12 /31/09 X WRSLATU OTH E.L.ELEACH ACCIDENT $5,000,000 -- E.L. DISEASE - EA EMPLOYEE $5, 000, 000 D OFFICER/MEMBER EXCLUDED? 117 85 31 (IL,NY)123249( I) 12/31/08 12/31/09 D IlyE Cdescribe IAL PROVISIONS below SPE 1178527(FL) & 1232492(TX 12 / 31/08 12/31/09 E.L. DISEASE- POLICY LIMIT $5,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS NFRMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Latimer and Weld are shown as additional insureds solely with respect to the General and Auto liability coverages as evidenced herein as required by written contract with respect to work performed by the named insured. Transit Service Attn: Jame B. O'Neill 215 North Mason Street - 2nd. Flr Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE USA ACORD 9, t9001/OH1 camtroi 10618690 (.a _PQ IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 ACORD,M CERTIFICATE OF LIABILITY INSURANCE DaTE(MLvoonvvv) 12/20/08 PRODUCER 1-212-994-7100 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Arthur J. Gallagher & Co. of New York ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 444 Madison Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 20th Floor New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC# INSURED FIRST STUDENT INC INSURERA: INSURANCE CO OF THE STATE OF PA 19429 INSURER B: NATIONAL UNION FIRE INS CO OF PITTS 19445 600 Vine St Ste 1400 INSURERC:NEW HAMPSHIRE INS CO 23841 INSURERD:New Hampshire Ina Cc 23841 CINCINNATI, ON 45202 INSURER E COVERAGES 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TIN —SR ADD' NSR TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATIONTR LIMITS A GENERAL LIABILITY CL1737923 (10MM AGO) 12/31/08 12/31/09 EACH OCCURRENCE $5,000,000 X COMMERCIAL GENERAL LIABILITY CLAIMSMADE 111 OCCUR PREMISES Ea occurence $ 50,000 MED EXP(Any one person) $50,000 PERSONAL&ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 G EN'L AGGREGATE U MIT APPLI ES PER: PRODUCTS-COMP/OPAGG $5,000,000 POLICY PRO X LOC H H AUTOMOBILE LIABILITY ANYAUTO CA5273862 (NA) CAS273859 (ADS) 12/31/08 12/31/08 12/31/09 12 /31/09 COMBINED SINGLE LIMIT (Eaaccident) $5,000,000 X BODILY INJURY (Per person) $ H ALLOWNEDAUTOS SCHEDULED AUTOS CA5273864 (VA) 12/31/08 12/31/09 X BODI LY INJURY (Peraccitlent) $ HIREDAUTOS NON OWNED AUTOS X PROPERTY DAMAGE (Peraccitlent) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLV: AGO EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION S C D WORKERS COMPENSATION AND EMPLOYERS'LIABIUTY ANY PROPRIETOR/ PARTNER/EXECUTIVE 117 85 83 (ADS) 117 85 30 (MA)1178529 (CA) 12/31/08 12/31/08 12/31/09 12/31/09 X TWO STATU- OT H- E.L. EACH ACCIDENT $5,000,000 -- E.L. DISEASE - EA EMPLOYEE $5,000,000 D OFFICER/MEMBER EXCLUDED? 117 85 31 (IL, NY)123249( 2) 12/31/08 12/31/09 D If S E describe under SPECIAL PROVISIONS below TX 1178527(FL) & 1232492( 12/31/08 12/31/09 E.L. DISEASE - POLICY LIMIT $5,000,000 OTHER DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Location # 5955 - NFRMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Lorimer and Weld are shown as additional insureds solely with respect to the General and Auto liability as evidence herein as required by written contract with respect to work performed by the named insured. NFRMPO Transit Service Attn: Jame B. O'Neill 215 North Mason Street - 2nd. Flr Fort Collins, CO 80524 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED REPRESENTATIVE ACORD 25 (2001/08) l Ublbbyl USA GC'wC�Q f PT:T.] IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACORD 25 (2001/08)