HomeMy WebLinkAboutFIRST STUDENT INC - INSURANCE CERTIFICATE (10)�`� CERTIFICATE OF LIABILITY INSURANCE
DATE(MM12020 1)
03/26/2U2U
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(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 din this
Certificate does not confer rights to the certificate holder In lieu of such endorseme_nt(s).
PRODUCER
Aon Risk Services Northeast, Inc.
C/O Aon client Services
CONTACT
NAME.
PHONE
(AJC. No. Em: (866) 283-7122 AC. No.): (800) 363-0105
E-MAIL.
ADDRESS:
4 Overlook Point
Lincolnshire IL 60069 USA
INSURER(S) AFFORDING COVERAGE
NAIC #
INSURED
INSURER A: National Union Fire Ins CO Of Pittsburgh
19445-
First student, Inc.
600 vine street
suite 1400
INSURERB; New Hampshire Insurance Company
23941
imulmid: American Home Assurance Co.
19380
Cincinnati OH 45202 USA
INSURER0: AIG Specialty Insurance company
26883
INSURER E:
INSURER F:.
GUVrt7AUrb lam itnum E_ NUMCCH: D/UUD 1106253 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
_.. AN
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 POLICIESDESCRIBEDHEREIN 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 uested
INSR .LTR
TYPE OF INSURANCE_
__ _
MD
WVD
POLICY NUMBER
D
MDNDD-
LIMITS
_.
X
COMMERCIAL GENERAL LIABILITY
GL
EACH OCCURRENCE
$10, 000,000
CLAIMS -MADE �X OCCUR
PREMISES Ea occurrence
$5,000,000
MED EXP (Any one person)
Excluded
PERSONAL & ADV INJURY
$10,0001000
GEN'LAGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$10,000,000
POLICY [E PRO- �X LOC
JECT
PRODUCTS -COMP/OPAGG
$10,000,000
OTHER:
A
AUTOMOBILE LIABILITY
cA1921809
04/01/2020
04/01/2021
COMBINED SINGLE LIMIT
(Ea fmcident)
$10,000,000
ADS
BODILY INJURY (Per person)
A
X ANY AUTO
CA1921808
04/ol/2020
04/01/2021
BODILY INJURY (Per accident)
A
OWNED SCHEDULED
AUTOS ONLY AUTOS
HIRED AUTOS NON -OWNED
ONLY AUTOS ONLY
VA
cA1921810
MA
04/01/2020
04/01/2021
PROPERTY DAMAGE
Per accident
IWBRELLA LIAR
OCCUR
EACH OCCURRENCE
AGGREGATE
EXCESS LUIB
CLAIMS -MADE
DIED RETENTION
B
B
C
B
a
WORKERS COMPENSATION AND
EMPl.OYEHS'UAeILRY YIN
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory In NM
If yes.describe under
DESCRIPTION under
OPERATIONS below
N/A
WC014649551
wc014649550
WC014649548
WC014649547
WC014649549
04/01/2020
04/01/2020
04/Ol/2020
04/01/2020
04/01/2020
04 0l'2021
04/01/2021
04/Ol/2021
04/01/2021
04/01/2021
X
PER STATUTE
OTH-
ER
- --
E.L. EACH ACCIDENT
- $5,000,000
E.L. DISEASE -EA EMPLOYEE
$5,000,000
E.L. DISEASE -POLICY LIMIT
$5 , 000, 006
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
IS 00.0,00.0
EL Disease - Ea Emp
$5,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached N more apace Is required)
Location a 5955 - 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
NFRNPO Transit service
215 North Mason street - 2nd. Flr
Fort Collins co 80524 USA
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.
i A
019.88-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 100000000112
LOC #:
"4 ADDITIONAL REMARKS SCHEDULE
Page _ of _
AGENCY - ---— ----- - - -
Aon Risk Services Northeast, Inc. __
NAMEDINSURED
First Student, Inc.
POLICY NUMBER - - -
see Certificate Number: 570081106253
CARRIER - -
See certificate Number: 570081106253
NAIC CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
INSURERS) 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.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSD
SUBR
WVD
POLICY NUMBER
"POLICY. ..
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY..
EXPIRATION
DATE
(MM/DD/YYYY)
LIMITS
OTHER
D
excess Auto Lia
6631262
fism x SIOM
04/01/2020
04/01/2021
Each
occurrence
$15,000,000
Aggregate
$15,000,000
I - I
ACORD 101 (2008/01) ® 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD