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HomeMy WebLinkAboutFIRST STUDENT INC - INSURANCE CERTIFICATE (7)7DATE(MM;DDiYYYY) ACORO®CERTIFICATE OF LIABILITY INSURANCE `...��'/19/2018 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 0. Stephenson Arthur J. Gallagher Risk Management Services, Inc. PHONE FAX 250 Park Avenue � 212-994-7085 A'c No): 212-994-7047 3rd Floor AD'onEss: Tana Ste henson a' .com Naw Ynrk NY 10177 INSURED FIRST STUDENT, INC. 600 Vine St Ste 1400 CINCINNATI OH 45202 INSURER E : INSURERS) AFFORDING COVERAGE lal Union Fire Insurance Comr Home Assurance I NAIC # of Pittsburg19445 23841 COVERAGES CFRTIFICATE NIJMRFR-ARA7nsdaa RFVIRIr)N NIIMIRFA- 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. __.`.... _......-_. _.. .__.____._T�__ _____T_T._._ INSR - .— ADM U POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER M DD/YYYY MMIDD/YYYY uurrs A X I COMMERCIAL GENERAL LIABILITY GL3629890 12/31/2018 1 12/31/2019 EACH OCCURRENCE $5,000,000 PR MILaoc4ungnyyj CLAIMS -MADE L_X_ OCCUR $5,000,000 Abuse and X 1 MED EXP (Any one rson) $ Molestation Ind PERSONAL 8 ADV INJURY $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $10,000,000 POLICY [XI I PE 0 a LOC ' PRODUCTS - COMP/OP AGG $ 5,000,000 OTHER: $ A AUTOMOBILE LIABILITY CA1921809(AOS) 12/31/2018 12/31/2019 COMBINED INGLELIMIT $5,000,000 A A X ANY AUTO CA1921810 (MA) 12/31/2018 CA1921808 (VA) 12/31/2018 12/31/2019 12/31/2019 BODILY INJURY (Per person) $ OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY (Per accident) $ X AUTOS ONLY X AUTOS ONIREDED ' (RLYP Oi cd@n➢AMAZE ---- $ UMBRELLALIAS OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE i ! AGGREGATE DED RETENTION $ $ B WORKERS COMPENSATION WC014649551 (AOS) 12/31/2018 12/31/2019 ;X STAT(J OTTH- iR 8 AND EMPLOYERS' LIABILITY YIN WC014649558(MN) 12/31/2018 12/31/2019 -- e ANYPROPRIETOR/PARTNER,'EXECUTIVE C 'OFFICERlMEMBEREXCLUDED? "INIA WC01 4649547 (FL) 12/31/2018 12/31/2019 i E.L. EACH ACCIDENT--- �— $5,000,000 In NH) WC014649549(MA,WI) 12/31/2018 12/31/2019 i (Mandatory s Ifyes. describe WC014649548 (CA) 12l31/2018 I 12/31/2019 E.L. DISEASE -_EA EMPLOYEE $ 5,000,000 under DESCRIPTION OF OPERATIONS below WC 014649559 (ME) 12/31/2018 12/31/2019 E.L. DISEASE -POLICY LIMIT I $ 5,000,000 I i i DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached it more space Is required) Workers Compensation: Policy #: WC 014649550 (AK, AZ, IL, NC, NH, NJ, PA, UT, VA VT) Policy Term: 12/31/18 to 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 NFRMPO, the cities of Greeley. Loveland, and Johnstown and the Counties of Larimer arid 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. CERTIFICATE HOLDER CANCELLATION NFRMPO Transit Service 215 North Mason Street - 2nd. Flr 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 ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD 3 of 4 20225