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HomeMy WebLinkAboutFIRST TRANSIT INC - INSURANCE CERTIFICATE (2)11C40R�® `�.."..I CERTIFICATE OF LIABILITY INSURANCE DATE(MYYYY) 12/16/206/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR "NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. 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). PRODUCER 1-212-994-7100 CONTACT - NAME: Arthur J. Gallagher Risk Management Services, Inc. PHONE 212-994-7100 FAX A/C No 212-994-7047 E-MAIL ADDRESS: 444 Madison Avenue PRODUCER MERID : 20th Floor New York, NY 10022 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: INSURANCE CO OF THE STATE OF PA 19429 INSURERB: NATIONAL UNION FIRE INS CO OF PITTS 19445 FIRST TRANSIT INC INSURERC: NEW HAMPSHIRE INS CO 23841 600 Vine Street, Suite 1400 INSURERD: Cincinnati, OR 45202 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 18736545 REVISION NUMBER: 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. INSR LTR OF INSURANCE ADDLSUBRTYPE INSR WVn POLICY NUMBER POLICY EXP MM/DDPOLICY EFF MM/DD LIMITS A GENERAL LIABILITY X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE � OCCUR GL1737923 (10MM AGG) 12/31/1 12/31/11 EACH OCCURRENCE $ 5,000,000 DAMAGE TO RENTED PREMISES Ea occurrence $ 5,000,000 MED EXP (Any one person) $ 50,000 PERSONAL & ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO X LOC JECT PRODUCTS - COMP/OP AGG $ 5,000,000 $ B B B AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIREDAUTOS NON -OWNED AUTOS CA5273862 (MA) CA52738( ) (VA) CA5273664 64 (VA) 12/31/1 12/31/1 12/31/1 12/31/11 12/31/11 12/31/11 COMBINED SINGLE LIMIT (Ea accident) $ 5,000,000 X BODILY INJURY (Per person) $ X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ $ $ UMBRELLA LIAR EXCESS LIAB HCLAIMS-MADE OCCUR EACH OCCURRENCE $ AGGREGATE $ DEDUCTIBLE RETENTION $ $ $ C C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITYLMiS ANY PROPRIETOR/PARTNER/EXECUTIVE YIN OFFICEC (Mandatory in NH) R/MEnIBEREXCLUDED? N❑ (Mandatory If es,descdbeunder DESCRIPTION OF OPERATIONS below N/A 1178527(FL) & 1232492(TX 1178583(AOS) 1178531(IL,NY),1232493(W 117 85 30(MA), 1178529( 12/31/1 12/31/1 ) 12/31/1 ) 12/31/1 12/31/11 12/31/11 12/31/11 12/31/11 X WCSTATU- OR E.L. EACH ACCIDENT $ 5,000,000 E.L. DISEASE - EA EMPLOYE $ 5,000,000 E.L. DISEASE - POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) 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. The General liability policy form evidenced herein includes a Separation CERTIFICATE HOLDER CANCELLATION I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NFRMPO Transit Service THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Attn: Jame B. O'Neill 215 North Mason Street - 2nd. Flr Fort Collins, CO 80524 AUTHORIZED REPRESENTATIVE USA I �i v tanstep ACORD 25 (2009/09) 18736545 ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD