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HomeMy WebLinkAboutGREYHOUND LINES INC - INSURANCE CERTIFICATEDATE (MM/DD/YYYY) ACORDrM CERTIFICATE OF LIABILITY INSURANCE 1/1/2010 8/19/2008 PRODUCER LOCKTON COMPANIES, LLC-N DALLAS THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 717 N. HARWOOD, LB#27 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE DALLAS TX 75201 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 214-969-6700 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURED Greyhound Lines, Inc. 1061 123 350 N. St. Paul St. Dallas TX 75201 UVr—Mm%J CJ vier -+Live �v INSURERS AFFORDING COVERAGE NAIC # INSURER A: ACE American Insurance Company 22667 INSURER B : ACE Fire Underwriters Insurance Company 20702 INSURER C : INSURER D : INSURER E : IIS CFRTIFICATF nF IN.RIIRANCF nnFA NOT r:r)NSTITIITF A rnNTRACT RFTWFFN' IN RERaL AUTHOR ZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. 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 ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 2 000 000 A X COMMERCIAL GENERAL LIABILITY CLAIMS MADE a OCCUR XSLG23740503 9/1/2008 1/1/2010 DAMAGE REMSESOEaoccurence $ XXXXXXX MED EXP (Any one person) $ XXXXXXX PERSONAL & ADV INJURY $ 21000,000 X EXCESS OF SELF-INS�D RETENTION $3,000,000 GENERAL AGGREGATE $ 5 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 5,000,000 PRO - POLICY JECT LOC A AUTOMOBILE LIABILITY ANY AUTO ISAH08247365 9/1/2008 I/l/2010 COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 X BODILY INJURY (Per person) $ XXXXXXX ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ XXXXXXX HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGEI (Per accident) $ XXXXXXX H GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ XXXXXXX OCCUR CLAIMS MADE AGGREGATE $ XXXXXXX $ XXXXXXX UMBRELLA El NOT APPLICABLE $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ A WORKERS COMPENSATION AND WLRC44366150 - 4/I/2009 _. 11112110 WC STATU- O�H_ X TCRY LIMITS B A EMPLOYERS' LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED? WLRC44366071 SCFC44366162 4/1/2009 4/1/2009 1/l/2010 I/I/2010 E.L. EACH ACCIDENT $ 2,000,000 E.L. DISEASE - EA EMPLOYEE $ 2,000,000 If yes, describe under *' O SPECIAL PROVISIONS below lv E.L. DISEASE - POLICY LIMIT $ 2,000,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS City of Fort Collins is included as Additional Insured as reqquired by written contract subject to policy terms, conditions and exclusions with Greyhound Lines, Inc. for leased location at: 250 Mason Street, Ft. Collins, CO. L,tK I If —ILA I t MULUtK GANGtLL.A 1 IUN 2238619 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION City of Fort Collins DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN PO Box 580 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL 117 North Mason Street Fort Collins CO 80522 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Arr)pn 96 (9nr imm Fes.--tio.. m—din rnlc cedmcaro_ ennfacitne n„mne, rc:od h me •P. d„.Pe Donlon ann,o and --if, me .ro,e r.ndp 'r.RFI Inr. © AroRn rr1RPr)RATIr1N 1 QRR