No preview available
HomeMy WebLinkAboutTRANSDEV NORTH AMERICA INC - INSURANCE CERTIFICATE (6)�1 ,4 o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 06/27/2017 I 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: PHON AA/C. No. Ext): (866) 283-7122 Inc No ): (800) 363-0105 E-MAIL ADDRESS: 200 East Randolph Chicago IL 60601 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Old Republic Insurance Company 24147 Transdev North America, Inc. 720 E. Butterfield Road, Suite 300 INSURERB: ACE Property & Casualty insurance Co. 20699 INSURER C: Lombard IL 60148 USA INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570067244759 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 ADD INSD U R WVD POLICY NUMBER POLICY E MMIO/DD/YYYY POLICY P MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY MwZY EACH OCCURRENCE $5,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE RENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 X POLICY ❑ PRO ❑ JECT LOC PRODUCTS - COMP/OP AGG $5,000,000 OTHER: A A AUTOMOBILE LIABILITY MWZX 26684 MWTB 21267 07/01/2017 07/01/2017 07/01/2018 07/01/2018 COMBINED SINGLE LIMIT Ea accident $5,000,000 BODILY INJURY ( Per person) ANY AUTO BODILY INJURY (Per accident) OWNED SCHEDULED AUTOS ONLY AUTOS HIRED AUTOS X NON -OWNED ONLY AUTOS ONLY I PROPERTY DAMAGE (Per accident B X UMBRELLA LIAB X OCCUR xooG28126608002 07/01/2017 07/01/2018 EACH OCCURRENCE $10,000,000 EXCESS LIAB CLAIMS -MADE AGGREGATE $10,000,000 DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER / EXECUTIVE Y❑ N / A MWC31076200 07/01/2017 07/01/2018 X STATUTE EORH E.L. EACH ACCIDENT $1 , 000 , 000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE $1, 000 , 000 If yes,Ounder N DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LliviiT $1, 000, 000 A E&O-PL-Primary MwZZ310764 07/01/2017 07/01/2018 Each Claim $10,000,000 Claims Made Aggregate $10,000:000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Re: Dial A Ride Service Contract.The City of Fort Collins, its officers, agents, and employees are included as additional insured with respect to General and Automobile Liability where required by contract. 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: James O'Neil 215 Mason Street, Floor For Fort Collins CO 80522522 USA d ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD