Loading...
HomeMy WebLinkAboutFIRST TRANSIT - INSURANCE CERTIFICATEACORD„, CERTIFICATE OF LIABILITY INSURANCE DATE 12/2 M/00/YYYY) 2/20/08 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 TRANSIT INC INSURI RA INSURANCE CO OF THE STATE OF PA ---- -- ---- ---- -- 19429 --- INSURI=RR'. NATIONAL UNION FIRE INS CO OF PITTS 19445 600 Vine Street, Suite 1400 INSURI RC NEW HAMPSHIRE INS CO 23841 Cincinnati, OR 45202 INSURI PI) New Hampshire Ins Co 23841_.. INSURER I:'.: 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. INSR A00'IJ "'" ._..__. - --- - PO LICY EFFECTIVE POLICY EXPIRATION-�- LTR N Rdd T E POLICY NUMBER DATE MMIDDIVY DATE MMDWYY LIMITS A GENERAL LIABILITY GL1737923 (IOMM AGG) 12/31/08 12/31/09 FACH OCCUHRI NCI S5,000,.000 X COMMI HCIAI CI NI HAI LIABILITY DAMAGE TO RENTED PREMISES(Eaorrr retie) S 50,000 - CLAIMS MADE IX IOCCUR MID I XP(Any one person) 550, 000. PERSONAL&ADV INJURY _ $ 5,000,000 GENERALAOSHE GATE S 10,000,000 Gf N'L AGGREGATE LIMIT APPLIES PERPRODUCTS - COMP/OP AGG $5,000,000 POLICY Ro X I.00 H AUTOMOBILE LIABILITY CA5273862 (MA) 12/31/08 12/31/09 COM&NI DSINGLE IIMII $5,000, 000 H X qNY AU'f0 CA5273859 (ADS) 12/31/08 12/31/09 Qaacc tlen0 H ALLOWNEUAU08 CA5273864 (VA) 12/31/08 12/31/09 �RODIIYINJUHY SCHEDULED AUTOS (Per person) S X HIDI2DAUIOS 80DII VINJURY X NON-OWNEDAU'FOS (lPeraccdenII $ PROPER I DAMAGE S (Peracciden0 GARAGE LIABILITY AUTO ONLY -EA ACCIDENT .. $ _ ANYAUIO FAACC 011- S --- AUTO ONLY: OO ONLY. AGG S EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE S OCCUR CLAIMS MADE _ AGGREGATE S UEOUCIIBLE 5 RRIENI'ION $ $ C WORKERS COMPENSATION AND 117 85 83 (ADS) 12/31/08 12/31/09 X WCSTA'rU- J9BYLIM(TS D EMPLOYERS' LIABILITY 117 85 30 (MA)1178529 (C ) 12/31/08 12/31/09 EL EACH nCGIDENT S 5, 000, 000 ANY TOR/PARTNERIEXECUTIVE --- -- D CERINE OFFlCER/MEMBER EXCLUDED? 117 85 31 (IL, NY)123249( I) 12/31/08 12/31/09 OYE flL. DISEASE -EA EMPLOYEE ,0 $5,000, 000 D SPECbe P SPECIALIALPROVISIONS below 1178527(FL) & 1232492(TX 12/31/08 12/31/09 DISLASI POLICY IMII S5,000,000 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS Location N 5955 - NFRMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Larimer and Weld are shown as additional insureds solely with respect to the General and Auto liability as evidence herein as required by written contract. The General liability policy form evidenced herein includes a Separation CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCR18ED POLICIES BE CANCELLED BEFORE THE EXPIRATION NFRMPO Transit Service 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 Attn: Jame B. 215 North Mason O'Neill Street - 2nd. Flr IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES, AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 USA ACORD 25 (2001/08) camtroi © ACORD CORPORATION 1988 10618689 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. AUL)HU 25 (1UU1/U5J