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Home My WebLink AboutFIRST STUDENT INC - INSURANCE CERTIFICATE (6)7DATE (MM!DDiYY VY) ACOR" CERTIFICATE OF LIABILITY INSURANCE �..- 2119/2018 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 have ADDITIONAL INSURED provisions or 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 CONTACT NAME: Tanya D, Stephenson _ Arthur J. Gallagher Risk Management Services, Inc. PHONE 212-994-7085 ^ FAX No : 212-994-7047 250 Park Avenue E-MAIL 3rd Floor A : Tana Ste phenson(Majg.com New York NY 10177 _ INSURER A: National Union Fire Insurance Company of Pittsburg19445 INSURED INSURER B : New Hampshire Insurance Company an 23841 FIRST STUDENT, INC. __ 600 Vine St INSURERc: American Home Assurance Com an9380 Ste 1400 INSURER D : CINCINNATI OH 45202 INSURERE: INSURER F t:OVFRAnFS CFRTIFICATF NIIMRFR•AAAAA3A7 REVISION NIIMRFR- 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, EXCLUSION_ S AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ADDL SUAIt _ __.... _.___ "' POLICY EFF POLICY EXP ._..._._.____.,. ..._.___._— __ .___._. ILT R' TYPE OF INSURANCE so WVo POLICY NUMBER MMlD lYYYY MMtD /YYYY LIMITS LTR A X COMMERCIAL GENERAL LIABILITY GL 3629890 12/31/2018 12/31/2019 1 EACH OCCURRENCE $ 5,000,000 X �ATuiAGET5t �1TE15 CLAIMS.MADE ;OCCUR �MI$�$ (Ea oavrr@nge1_ $5.000,000 X Abuse and MED EX SAny one person) $ X Molestation Ind PERSONAL & ADV INJURY_ $ 5,000 000 GEN'L AGGREGATE LIMIT APPLI S PER: GENERAL AGGREGATE $10,000,000 POLICY ' — EK JE� X LOC PRODUCTS - COMP/OP AGG $ 5,000,000 OTHER: $ A AUTOMOBILE LIABILITY CA1921809(AOS) 12131/2018 12/31/2019 COMBINED SINGLE LIMIT i,�)�` $ 5,000,000 A A ANYAUTO CA1921810 (MA) 12/31/2018 12/31/2019 X _ — CA1921808 (VA) 12/31/2018 12/31/2019 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ OWNED ! SCHEDULED AUTOS ONLY 'AUTOS PROPERTYDAMApE X HIRED X I NON -OWNED $ AUTOS ONLY AUTOS ONLYgr $ UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS LIAR L CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION WC014649551 (AOS) 12/31/2018 12/31/2019 X PER H- STATUTE B AND EMPLOYERS' LIABILITY YIN WC014649558(MN) 12/31/2018 12/31/2019 B ANYPROPRIETOR/PARTNEREXECUTIVE B ❑ I N/ A WC014649547 ( ) 2018 1 E.L. EACH ACCIDENT ` —" $ 5.000,000 ------' -- 00 $ 5,0 000 OFFICER/MEMBER EXCLUDED? (Mandatory In NH) WC014649549(MA,WI) 12/31/2018 12/31/2019 E.L.DISEASE EA EMPLOYEE WC014649548 (CA) 12/31/2018 12/31/2019 i _.._....-_. .._.... If yes. describe under DESCRIPTION OF OPERATIONS below WC 014649559 (ME) 12/31/2018 12/31/2019 E.L. DISEASE - POLICY LIMIT $ 5,000,000 i DESCRIPTION OF OPERATIONS I LOCATIONS; VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation: Policy #: WC 014649550 (AK, AZ, IL, NC, NH, NJ, PA, UT, VA VT) Policy Term: 12/31/18to 12/31/19 Carrier Name: NEW HAMPSHIRE INS CO (NAIC #:23841) Limits: E.L. Each Accident / E.L. Disease- Ea Employee / E.L. Disease -Policy Limit - $5,000,000 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. CERTIFICATE HOLDER NFRMPO Transit Service 215 North Mason Street - 2nd. Fir Fort Collins CO 80524 USA 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 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 2 of 4 20225