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HomeMy WebLinkAboutFIRST STUDENT; FIRST TRANSIT - INSURANCE CERTIFICATEcneueauuz Arthur.l. Gallagher Risk Management Services, Inc. 250 Park Avenue 3rd Floor New York. NY 10177 1011131Ji139 � Electronic Service Requested EBIX BPO 4 0 3-DIGIT 805 14973 1.1752 AT 0.371 Illrtllr�l�llll��l�llrr�'�Ill�l��rrlrrlrl��l�'�I�'Il���rrllrifIII NFRNPO Transit Service 52 '— 215 NORTH MASON - 2ND• FLR > FORT COLLINSSCOSTREET , C80524-4402 Z This document was brought to you by Ebix/CertificateeNow and Arthur Jr. Gallagher & Co. of New York in New York, NY. - Any documents forwarded with the certificate request were reviewed for the sole purpose of completing -the- certificate. If you have questions regarding the content of this document, please contact the Producer/Agent listed on the certificate of insurance. - The data included in this notice and in the attached document is confidential to - Ebix/CertificateeNow and Arthur J. Gallagher a Co. of New York. - cc: The data included in this notice and in the attached document is confidential to Ebix BPO and the party responsible for bringing you this information. Certificate Delivery by CertificatesNow - www.ConfirmNet.com - 877.669.8600 psztirrr.rt --:b A� a CERTIFICATE OF LIABILITY INSURANCE 12/11/2012 D12/11ATE (ODI12 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 pollcy(ies) must be endorsed. N 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 endorsemenl(s). PRODUCER 1-212-994-7100 CONTACT NAME: Tanya D. Stephenson 212-994-7085 IAA jp(c Arthur J. Gallagher Risk Management Services, Inc. PEnt. C. NR1:212-994-7047 E-MAIL Tan om a_Ste hereon@ajg.c ADDRESS: Y H 250 Park Avenue INSURERIS)AFFORDINGCOVERAGE NAICd 3[d Floor New York, NY 10177 INSURERA: INSURANCE CO OF THE STATE OF PA 19429 INSURED INSURERS: ILLINOIS NATL INS CO 23817 FIRST STUDENT INC INSURER C: NATIONAL UNION FIRE IN9 CO OF PITTS 19445 INSURERO: NEW HAMPSHIRE INS CO 23841 600 Vine St INSURER E: Ste 1400 CINCINNATI, ON 45202 INSURER F: once. PFDTI[IPATF MIIUQPD- 10600130 RFVISIOI4 NIIMRFR THIS IS TO CERTIFY THAT THE POLICIES OF- INSURANCE -LISTED 'BELOW HAVE SEENHSSUED TO THE INSURED NAMED ABOVE FORTHEPOLICY 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 TYPE OF INSURANCE ADOl SUBR POLICY NUMBER POLICY EFF' MNDNYYY N POLICY EXP IM NDNYYY LIMITS A GENERAL LIABILITY GL1737923 (10MM AGO) 12/31/1 12/31/13 EACH OCCURRENCE $ 5,000,000 X DAMAGE TO RENTED 5,000,000 COMMERCIAL GENERAL LIABILITY PREMISES IEaoccund.) $ CLAIMS -MADE I X OCCUR MED EXP(Any one parser) $ 50,000 PERSONAL B ADV INJURY $ 5,000,000 GENERAL AGGREGATE S 10,000,000 PRODUCTS - COMPIOP AGO E 5,000,000 GENL AGGREGATE LIMIT APPLIES PER POLICY I PRO- I X LOG $ B AUTOMOBILE LIABILITY CA5456007 (TX) 1 /31/1 2/31/13 COMBINED SINGLE LIMIT 5,000,000 C X CA5273859 (ADS) 12/31/1 BODILY URY (Per pawn) BODILY ODILYdeINJURY $ $ C MY AUTO — CA5273862 (MA) 12/31/1 12/31/13 BODILY INJURY (Per accitlenl) $ AOSCHEDULED C AUTOS AUTOS G5273866 (VA) 12/31/1 12/31/13 PROPERTY DAMAGEX Pcv awdrnl)$ NON-0WNED X HIRED AUTOS AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LIAR CLAIMSLMADE AGGREGATE S BED I RETENTION$ $ D WORKERS COMPENSATION 1178583(AOS),44216117(MN 12/31/1 12/31/13 % WC STATD OUT OSY LIMBS ER AND EMPLOYERS' LIABILITY YIN EL EACH ACCIDENT S 5,000,000 D ANY PROPRIETORNARTNEREXECUTIVE 1178531 (IL, NY), 1232493(W ) 12/31/1 12/31/13 OFFICERIMEME N NIA E.L. DISEASE - EA EMPLOYEE S 5,000,000 D (Mardmory in NH) 1178527(FL) , 1232492(TX 12/31/1 12/31/13 D DESCRIPTION under DESCRIPTION rn OPERATIONS below 1178530 (MA), 117B529(CA) 12/31/1 12/31/13 E. L. DISEASE -POLICY LIMIT E 5,000,000 DESCRIPTION OF OPERATIONS [LOCATIONS (VEHICLE$ (Aae[h AOORD1d1,Addhi MRemnks Sdwdule,llmpra NPaai..,.ind) 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 coverages as evidenced herein as required by written contract with respect to work performed by the named insured. NFTUPO Transit Service Attn: Jame B. O'Neill 215 North Mason Street - 2nd. Flr Fort Collins, CO 80524 ACORD 25 (2010105) anuDny 30600330 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE USA ©198&2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD PSEdUENUE ® CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODIYYYY( ACORO lz/u/zolz 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. N 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 CNONTACT AME: Tanya D. Stephenson Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX _ 212-994-7085 1.11 uirI 212-994-7047 250 Park Avenue �ooRE&S: Tanya_Stephenson@ajg.com INSURER(S) AFFORDING COVERAGE NAICk 3rd Floor New York, NY 10177 INSURER A: INSURANCE CO OF THE STATE OF PA 19429 INSURED INSURER B: I"'NOI8 NATL INS CO 23817 FIRST STUDENT INC INSURER C: NATIONAL UNION FIRE INS CO OF PITTS 19445 INSURER O: NEW HAMPSHIRE INS CO 23841 600 Vine St INSURER E : Ste 1400 CINCINNATI, ON 45202 INSURER F r•nwcpacce - r`FRTIFIr ATF r4DMRFR- 30598616 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 TYPE OF INSURANCE AOOL BURR Poll LTR POLICY NUMBER MMIDO- POLICY EFF MMM`DYf YY LIMITS A GENERAL LIABILITY GL1737923 (IBM AGO) 12/31/1 12/31/13 EACH OCCURRENCE $ 5,000,000 X DAMAGE TO RENTED Oo0, 000 COMMERCIAL GENERAL LIABILITY PREMISES (Ed occunema) S5, CLAUJI ADE I X OCCUR MED EXP(My we pelspn) $ 50,000 PERSONAL S ADV INJURY § 5,000,000 GENERAL AGGREGATE E 10,000,000 PRODUCTS -COMPIOP ADS S5,000,000 USTI AGGREGATE LIMIT "PLIES PER: POLICY PNO X LOC E R AUTOMOBILE LIABILITY CA5456007 (TX) 12/ 1/1 12/31/13 COMBINED SINGLE LIMIT (Eaacadent) $ 5,000,000 C - X CA5273859 (ADS) 12/31/1 12/31/13 BODILY INJURY (Per portion) $ C ANY AUTO — CA5273862 (IAA) 12/31/1 12/31/13 BODILY INJURY(Peraccdmd) $ AUL OWNED SCHEDULED C AUTOS AUTOS CA5273864 (VA) 12/31/1 12/31/13 PROPERTY DAMAGE Per acodmt $ X X NON-DWNED HIRED AUTOS AUTOS E UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UPS CLAIMSMADE AGGREGATE $ DED I RETENTION$ 1 $ D WORKERS COMPENSATION 1178583(AOS),44216117(NN 12/31/1 12/31/13 X WCSTATU OTH- DRY IMIT R AND EMPLOYERS' LIABILITY YIN EL EACH ACCIDENT § 5, 000, 000 D ANY PROPRIETORIPARTNEREXECUIVE 1178531 (1L, NY), 1232493 IN )12/31/1 12/31/13 OFFICERIMEMBER EXCLUOED4 N❑ NIA ELDISEASE- EAEMPLOYE $ 5,000,000 D (Mandatory in NH) 1178527 (FL) , 1232492 (TX 12/31/1 12/31/13 O Use Ober SCRIPTION OF OPERATIONS below DE 1178530(t4A), 1178529(CA) 12/31/1 12/31/13 ELDISEASE-POUCYLIMIT $5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101. Additional Remarks Schedule, If more space is n9uimd) Locat n M 5955 - RMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Larimer and Weld are 1rhoest additional insureds Solely with respect to the General and Auto liability as evidence herein as required by writLen contract with respect to work performed by the named insured. CFRTIFIr:ATF NOI nFR CANCFI I ATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NFRRPO 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 AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 USA ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD anupny 30598616 Punu:wux ACORO® D"11112017 Y) CERTIFICATE OF LIABILITY INSURANCE 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: Tanya D. Stephenson Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 412-994-7nR5 .,... 212-994-7047 250 Park Avenue gooaESS: Tanya_StephensonPajg.com 3rd Floor INSURER(S) AFFORDING COVERAGE NAN:p New York, BY 10177 INSURER A: INSURANCE CO OF THE STATE OF PA 19429 INSURED INSURER B: ILLINOIS NATI, INS CO 23817 FIRST TRANSIT INC INSURER C: NATIONAL UNION FIRE INS CO OF PITTS 19445 600 Vine Street, Suite 1400 INSURER D: NEW HAMPSHIRB INS CO 23841 Cincinnati, OR 45202 INSURER F rnvccarcc rFRTIFICATF NIJMRFR- 30599158 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUP.ED.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. INSR1 ADDLSUSR POLICYEFF POLICVEXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDMYYYY MMIDDIYYYY LIMITS A GENERAL UMIUTY GL1737923 (IOmd AGG) 12/31/1 12/31/13 EACH OCCURRENCE $ 5,000,000 X DAMAGE TO RENTED 000, 000 COMMERCIAL GENERAL LIABILITY PREMISES (Ea =uoeom) $5, CLAIMS -MADE I X OCCUR MED EXP(My one person) $ 50,000 PERSONAL& ADV INJURY $ 5,000,000 GENERAL AGGREGATE $ 10,000,000 PRODUCTS-COMPIOP AGO 55,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PHO X LOC POLICY I $ 6 AUTOMOBILE UABIUTY CA5456007 (TX) 12/31/1 12/31/13 COMBINED SINGLE LIMIT $5,000,000 C X CA5273859 (ADS) 12/31/1 12/31/13 BODILY INJURY (Per person) BODILY $ C MY AUTO ALL OWNED SCHEDULED CA5273862 (NA) 12/31/1 12/31/13 BODILY INJURY IPer acridenq $ C _AUTOS AUTOS CA5273864 (VA) 12/31/1 12/31/13 PROPERTY DAMAGE er $ X X NON -OWNED HIRED AUTOS AUTOS S UMBRELLA LIAR OCCUR EACH OCCURRENCE S EXCESS LmB CLAIMS MADE AGGREGATE s DIED I RETENTION$ S D WORKERS COMPENSATION 1178583(AOS),44716117(MN 12/31/1 12/31/13 X WC STATU- OTH- T R ANDEMPLOYERS'UABILITT YIN E. L. EACH ACCIDENT $ 5,000,000 D ANY PROPRIETORJPARTNERLEXECUTIVE 117853I(IL,NY),I232493(W ) 12/31/1 12/31/13 D DFPICERI6 in INER EXCLUDED? NIA OFFICERNE NH) 1178527(FL) , 1232492(TX 12/31/1 12/31/13 E, L. DISEASE - EA EMPLOYE $ 5,000,000 D 0yes, tlIPTIONe�ino under DESCRIPTION under OPERATIONS hebw 1178530(HA), 1178529(CA) 12/31/1 12/31/13 E. L. DISEASE - POLICY LIMIT $ 5,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS IVEHICLES (Mach ACORD 101, AddWoml RamaAs Schedule, it mom space is required) Location If 5955 - NFRHPO, 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 CFRTIFICATF HOI OFF? CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NFRNPO 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. Fit AUTHORIZED REPRESENTATIVE Fort Collins, CO 80524 USA ©1988.2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD anupny 30599158