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HomeMy WebLinkAboutFIRST STUDENT INC - INSURANCE CERTIFICATE (9)/1 as �` fl CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDNYYY) D8/zsxDZD 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 poliey(les)-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. Aon Risk Services Northeast, Inc. c/o Aon client services PHONE (A/C;Np,EtI: (866).283-7122 .. (800) 363-0105 E-MAIL ADDRESS: 4 overlook Point Lincolnshire IL 60069 USA INSURER(S) AFFORDING COVERAGE NAIC R IN _. INSURER A. Notions U01On Flre If15 CO of Pittsburgh 19445 First Student, Inc. 600 vine Street Suite 1400 agyRERB; New Hampshire Insurance Company 23841 INSURER C: American Home Assurance Co. 19380 _ INS UREIRD: AIG specialty Insurance Company 26883 Cincinnati OH 45202 USA INSURER E: INSURER F: [IKe1'/a:fAcl 1112IOf-A la2to] WA h7P1�EUN1LE-1 - 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 WHICHTHIS 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 INSD W VD POLICY NUMBER EFIF- . apyyp _ _ -__ LIMITS X_ COMMERCIAL GENERAL LIABILITY GL ._ EACH OCCURRENCE $10,000,000 CLAIMS -MADE M OCCUR PREMISES(Ea occunence)$5,000,000 MED EXP(Any one person) Excluded PERSONAL& ADV INJURY $10'1000'i000 GEN'LAGGRE_dat LiNtTAPPLIES PER: GENERAL AGGREGATE $10, 000,000 POLICY ❑X JECT ❑X LOC PRODUCTS -COMP/OPAGG '$10,000,000 OTHER: A AUroMOBILELIABILITY CA1921809 04/01/2020 04/01/2021 COMBINED SINGLE LIMIT Me accident) $10,000,000 ADS BODILY INJURY (Per person) A ANY AUTO eA1921808 04/01/2020 04/Ol/2021 BODILY INJURY (Per accident) A OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY I VA CA1921810 MA 04/01/2020 04/01/2021 PROPERTY DAMAGE Per accident UMBRELLA LUIB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION B B O 6 B WORKERS COMPENSATION MID EMPLOYERS'LUIBILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? (Mandatory In NH) Ii yyes, describe under . DESCRIPTION OF OPERATIONS below. _ N/A WC014649551 WC014649550 WC014649548 wc014649547 WC014649549 04/01/2020 04/01/2020 04/01/2020 04/01/262004/61/2021 04/01/2020 01 021 04/01/2021 04/01/2021 04/01/2021 X PER STATUTE OTH ER E.L. EACH ACCIDENT $5,000,000 E.L. DISEASE -EA EMPLOYEE $5,0000000 E.L. DISEASE -POLICY LIMIT $5,000,000 A Excess WC XWC6583124 04/01/2020 04/01/2021 EL Each Accident $5,000,000 SIR applies per policy terns & condi ions -- EL Disease - Policy $5,000,000 EL Disease - Ea Emp $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If mom spece Is required) NFRMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Larimer and weld are included as Additional Insured in accordance with the policy provisions of the General Liability policy and Automobile Liability policy. 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. NFRMPO Transit Service 215 North Mason Street - 2nd. Flr Fort Collins CO 80524 USA 7t.a ©1988-2016 ACORD CORPORATION. All rights reserved. ACORD 26 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 100000000112 LOC #: ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY Aon_ Risk Services Northeast, Inc. NAMED INSURED First student, Inc. POLICY NUMBER - - -- - -- - See certificate Number: 570081106255 CARRIER- see certificate Number: 570081106255 EFFECTNE DATE: THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S) AFFORDING COVERAGE NAIC # INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits. RVSR LTR TYPE OFINSURANCE ADDL INSD SIiBR WVD - U _ POLICYNUMBER -PouCY EFFECTIVE DATE (MM/DDNYYY) POLICY EXPIRATION DATE (MM/DDNYYY) LIMTTS OTHER p EXCeSS Auto pia 6631262 $15M x S10M 04/01/2020 04/01/2021 Each occurrence S15,000,000 - Aggregate $15,000,000 ACORD 101 rinhfe maw .d The ACORD name and logo are registered marks of ACORD