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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