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HomeMy WebLinkAboutTRANSDEV ON-DEMAND INC - INSURANCE CERTIFICATE (2)iA ® DAT (06/ 5/YY) /22018 CERTIFICATE OF LIABILITY INSURANCE 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 CONTACT NAME: Aon Risk Services Central, Inc. PHONE (866) 283-7122 FAx (800) 363-0105 Chicago IL office (A/C. No. Ext): (A/C. No.): 200 East Randolph E-MAIL Chicago IL 60601 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURER A: Old Republic Insurance Company 24147 Transdev On -Demand. Inc. INSURER B: ACE Property & Casualty Insurance Co. 20699 7500 East 41st Avenue Denver Co 80216 USA INSURER C: INSURER D: INSURER E: INSURER F: _ rnvronr-Gc rF=PTIPIrATF NIIMRFR• ri7nn717g7gn7 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 INSD WVD POLICY NUMBER POLICY MOLICY YYY MM/DD/ tAF LIMITS A X COMMERCIAL GENERAL LIABILITY Y MwZY 1 EACH OCCURRENCE $5,000,000 CLAIMS -MADE X❑ OCCUR DAMAGE TRENTED PREMISES Ea occurrence $1,000,000 MED EXP (Any one person) $10 , 000 PERSONAL &ADV INJURY $2,000,000 GENIAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $5,000,000 PRODUCTS - COMP/OP AGG $1,000,000 X POLICY ❑ PRO ❑ LOC JECT OTHER: A AUTOMOBILE LIABILITY MWZX 26684 EXC of Statutory Limits 07/01/2018 07/01/2019 COMBINED SINGLE LIMIT Ea accident $1,000,000 A X ANYAUTO MWTB 21267 07/01/2018 07/01/2019 BODILY INJURY (Per person) BODILY INJURY (Per accident) OWNED SCHEDULED Statutory Limits AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY PROPERTY DAMAGE Per accident B X UMBRELLA LIAB OCCUR XOOG28126608003 07/01/2018 07/01/2019 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 EXCESS LIAR H CLAIMS -MADE DED RETENTION A WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER, Y❑ MWC31381900 07/01/2018 07/01/2019 X STATUTE OTH ER E.L. EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? (Mandatory in NH) N / A E.L. DISEASE -EA EMPLOYEE $1,000,000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE -POLICY LIMIT $1,000,000 A E&O-PL-Primary MWZZ 313821 Claims Made 07/01/2018 07/01/2019 Each Claim Aggregate $10,000,000 $10,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) City Of Fort Collins and the state of Colorado, CDoT 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. 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 d c m iv 0 r` 0 rn r 0 0 O Z d N C) t= d U ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD