HomeMy WebLinkAboutFIRST TRANSIT INC - INSURANCE CERTIFICATE (3)� o" CERTIFICATE OF LIABILITY INSURANCE
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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
Arthur J. Gallagher Risk NHnagenent Services, Inc.
CONTACT
NAME:
PHONE
N ,EaO: 212-994-7100_—�.iac, Nul: zlz-994-7047
-
250 Park Avenue
3rd Floor
EMAIL
ADDRESS:_ -
_
-New York, NY 10177
_ _ INSURERIS) AFFORDING COVERAGE
NAIC R
INSURER A: INSURANCE CO OF THE STATE OF PA
_
19429
INSURED
FIRST TRANSIT INC
INSURER B: NATIONAL UNION FIRE INS CO OF PIWS
- —'
19445
--- —
INSURERC: NEW HAMPSHIRE INS CO
— '—
23841
INSURER D:
600 Vine Street, Suite 1400
INSURER E:
Cincinnati, ON 45202
INSURER F
GUVCHAUCJ ChHIIFICAIENUMHER• 24h495U1 OPLIMIN MIIMIRPD.
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.
INSR7 IADDLSUBR MMIDOITYYYyTMMIOOY2E
LTR TYPE OF INSURANCE POLICY NUMBER LIMITS
A
I GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
xI %
_ CLAIMS -MADE OCCUR
— __—
GL1737923 (10101 AGG)
12/31/1112/31/12
EACHOCCURRENCE
_ PREMISES IT. DAMAGE TO 600:u,�nco)$
MED EXP_(A_ny one person)
PERSONAL B ADV INJURY
I 5,000,000
_—
5, 000,000
$ 50,000
I$ 51 0001000
_
GENERAL AGGREGATE
I$ 10, 000, 000
GENIE AGGREGATE
POLICY
LIMIT APPLIES PER:
f l PRO, X LOC
COMPIOP AGG
$ 5, 000, 000
_PRODUCTS
I E
B
e
B
AUTOMOBILE
X
X
LIABILITY
ANY AUTO
AU OS AUTOS
AUTOS _ AUTOS
HIREDAUTOS % AMOS OWNED
— AUTOS
CAS273859 (ADS)
CA52]3862 (MA)
CA5273864 (VA)
/
I 12/31/11' 12/31/12
12/31/11 12/31/12-----------I---
COMBINED SINGLE LIMIT
IEa acci0en0____ _
BODILY INJURY (Per person)
$5, 000, 000
Is
BODILY INJURY (Per amoonl)NON
$
PROPERTYOAMAGE
(Per accrenO__.
{
[4
Is
PIDEDEXCEISL
UMBRELLA LIAB
RETENTO� CMS -MADE
I
EACH
AGGREGATE
$
--__
C
C
C
C
WO RN ER COM PEN BAT ION
AND EMPLOYERS' LIABILITY YIN
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICERPUEMBER EXCLUDED? N❑
(Mandamryor NH)
If ens nion over
DESCRIPTION OF OPERATIONS below
NIA
117:530 (NA), 1178529(CA)
1178527 (PW 1232492 (TX)
1178531(IL,NY),1232493(WI)
1178583(AOS),442161171 MN)
12/31/11' 12/31/12
12/31/11 12/31/12
I
12/31/11 12/31/12
12/31/11' 12/31/12
XI OC STATU I LOTH -I
_ TORYUMITS ER_
ELEACH ACCIDENT
$5, 000, 000
E.L. DISEASE=EAEA EMPLOYEE
$ 5, 000, 000
EL.DISEASE - POLICY LIMIT I
_
5, 000, 000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES IAnach ACORD 101, ACdlhonal Remeds Schedule, If more apace Is ne oron
Location If 5955 - NPRMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Lerineer and
Weld are ahown as additional insureds solely with respect to the General and Auto liability as evidence herein
an required by written contract. The General liability policy form evidenced herein includes a Separation
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
NPRMPO 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. Plr AUTHORIZED REPRESENTATIVE
Port C011inC, CO 80524 I
i USA
(E) 1988-2610
All dnhle mn—A
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ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD
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