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HomeMy WebLinkAboutFIRST STUDENT INC - INSURANCE CERTIFICATE (3)ACORD,, CERTIFICATE OF LIABILITY INSURANCE 1 D/DD/YYYY) 12/15/15/09 PRODUCER 1-212-994-7100 THIS CERTIFICATE IS ISSUED AS AMATTER 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 Laura Kelly INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:INSURANCE CO OF THE STATE OF PA 19429 FIRST STUDENT INC INSURER B: NATIONAL UNION FIRE INS CO OF PITTS 19445 600 Vine St INSURER C:NEW HAMPSHIRE INS CO 23841 Ste 1400 CINCINNATI, OH 45202 INSURERD: INSURER E: CAVFROGFA 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 LTR D' INSR TYPEOFINSURANCE POLICYNUMBER POLICYEFFECTIVE DATE MMDD POLICY EXPIRATION DATE MM D LIMITS A GENERAL LIABILITY GL1737923 (10MM AGG) 12/31/09 12/31/10 EACH OCCURRENCE $5,000,000 DAMAGE TO RENTE15- PREMISES Eaoccurence $ 50,000 X COMMERCIAL GENERAL LIABILITY CLAIMS MADE 7 OCCUR MED EXP (Any one person) $50,000 PERSONAL&ADV INJURY $5,000,000 GENERALAGGREGATE $10,000, 000 GEWLAGGREGATELIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $5,000,000 POLICY PRO X LOC jEC B B AUTOMOBILE X LIABILITY ANYAUTO CA5273862 (MA) CA5273859 (AOS) 12/31/09 12/31/09 12/31/10 12/31/10 COMBINED SINGLE LIMIT (Ea accident) $5,000,000 BODILY INJURY (Per person) $ B ALLOWNEDAUTOS SCHEDULED AUTOS CA5273864 (VA) 12/31/09 12/31/10 BODILY INJURY (Per accident) $ X X HIREDAUTOS NON-OWNEDAUTOS PROPERTY DAMAGE (Peraccident) $ GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ OTHERTHAN EAACC $ ANYAUTO $ AUTOONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ AGGREGATE $ OCCUR CLAIMS MADE $ DEDUCTIBLE $ RETENTION $ C C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBEREXCLUDED? 117 85 83 (AOS) 1178527(FL) & 1232492(TX 117 85 30(MA), 1178529( 12/31/09 12/31/09 ) 12/31/09 12/31/10 12/31/10 12/31/10 X WCSTAUTI OTH- T R IMIT ER E1.EACH ACCIDENT $5,000,000 E.L. DISEASE - EA EMPLOYEE $5,000,000 C ribe SPEIfyesCIAL descPROVISIONS below PROVISIONS 1178531(IL,NY),1232493(W ) 12/31/09 12/31/10 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 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 with respect to work performed by the named insured. L,cm t irFwA i e nULueK GANGtLLA I IUN SHOULD ANY OF THE ABOVE DESCRIBED 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. O'Neill 215 North Mason Street - 2nd. Flr - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE USA Q,V ACORD 25 (2001108) tanstep ©ACORD CORPORATION 1988 13844099 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 (2001108) 3:4