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HomeMy WebLinkAboutTRANSDEV ON-DEMAND INC - INSURANCE CERTIFICATEACORO� CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/29/2019 1 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 Aon Risk Services Central, Inc. Chicago IL office CONTACT NAME: PHONE (866) 283-7122 F (A/C. No. Ext): NC No.): (800) 363-010S 200 East Randolph Chicago IL 60601 USA E-MAIL ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Old Republic Insurance Company 24147 Transdev On -Demand, Inc. 7500 East 41st Avenue INSURER B: ACE Property & Casualty Insurance Co. 20699 INSURER C: Denver CO 80216 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570077246315 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. Limits shown are as requested INSR LTR TYPE OF INSURANCE NSD WVD POLICY NUMBER MM DD/YYYY MM DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY Y MWZY 1 1 EACH OCCURRENCE $ 5 , 000 , 000 CLAIMS -MADE FTOCCUR DAMAGE TO RENTED$1,000,000 PREMISES Ea occurrence MED EXP (Any one person) $10, 000 PERSONAL& ADV INJURY $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S5,000,0 PRO - POLICY ❑ JECT LOC PRODUCTS - COMP/OP AGG $1,000,000 OTHER: A AUTOMOBILE LIABILITY MWZX 26684-19 Exc of Statutory Limits 07/01/2019 07/01/2020 COMBINED SINGLE LIMIT Ea accident $1,000,000 BODILY INJURY( Per person) A X ANYAUTO MWTB 21267-19 07/01/2019 07/01/2020 OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY Statutory Limits BODILY INJURY (Per accident) PROPERTYDAMAGE Per accident B X UMBRELLA LIAB X OCCUR xooG28126608004 07/01/2019 07/01/2020 EACH OCCURRENCE $5,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $ 5 , 000 , 000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR / PARTNER 1 EXECUTIVE OFFICER/MEMBER EXCLUDED? N / A MWC31381919 07/01/2019 07/01/2020 X PER OTH- STATUTE ER E.L. EACH ACCIDENT $1,000,000 E.L. DISEASE -EA EMPLOYEE $1,000,000 (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A E&O-PL-Primary MWZZ31382119 Claims Made 07/01/2019 07/01/2020 Each Claim Aggregate $10,000,000 $10,000,0001 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City of Fort Collins and the State of Colorado, COOT are included as additional insured with respect to General Liability and Automobile Liability policies where required by contract. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by contract, under the General Liability, Automobile Liability, and workers Compensation policies. waiver of subrogation is applicable where required by contract, under the General Liability, Automobile Liability, and workers Compensation policies. I CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. City Of Fort Collins AUTHORIZED REPRESENTATIVE Attn: Kurt Ravenschlag PO Box 580 Ft. Collins Co 80522 USA �yy �`��:dQ�c eJsbasr�s0 (�a��ift�G �Jna. m r M V 0 0 0 Ln in F "R ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD