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Home My WebLink AboutFIRST TRANSIT INC - INSURANCE CERTIFICATE (8)DATE (MM/DD/YYYY) ,a`coorza►® CERTIFICATE OF LIABILITY INSURANCE 12/19/2017 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 endorsements . PRODUCER CONTACT NAME- Tana D. Stephenson Arthur J. Gallagher Risk Management Services, Inc. PHONE 212 994 7085 FAx 212 994 7047 250 Park Avenue WC, No,1411, 3rd Floor E-MA'E : Tanya_Stephenson@ajg.com New York NY 10177 INSURER(S)AFFORDING COVERAGE NAIC# INSURED FIRST TRANSIT, INC. 600 Vine Street, Suite 1400 Cincinnati, OH 45202 INSURERA:National Union Fire Insurance Company of 19445 INSURERB:NeW Ham shire Insurance Company 23841 INSURERc:American Home Assurance Company 19380 INSURER E : r11VFRAr;FS r`FRTIFICATF NIIMRFR• 343363328 RFVISIOPJ NIIMRFR- 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. — ------ ___-- _--- - ---T-- _--- SUBR POLICY EFF POLICY EXP INS TYPE OF INSURANCE LIMITS LTR ' INSD WVD POLICY NUMBER ' MM/DD/YYYY ! MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY GL 3629890 12/31/2017 12/31/2018 EACH OCCURRENCE $5,000,000 CLAIMS -MADE X❑ OCCUR - TO RENTED PREMISES Ea occurrence E5,000,000 X MED EXP (Any one person) E Abuse and X Molestation Ind PERSONAL & ADV INJURY $5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE $10,000,000 POLICY PRO X] LOC PRODUCTS - COMP/OP AGG $5,000,000 E OTHER: A A A AUTOMOBILE LIABILITY X ANY AUTO CA1921809 CA1921810 (MA) CA1921808 (VA) 12/31/2017 12/31/2017 12/31/2017 12/31/2018 12/31/2016 1 2/3 1/2018 COMBINED SJNGLE LIMIT Ea accident $5,000,000 BODILY INJURY (Per person) E BODILY INJURY (Per accident) E OWNED SCHEDULED AUTOS ONLY AUTOS HIRED NON -OWNED X AUTOS ONLY IxAUTOS ONLY 7ERT"AMA Per accident) E E UMBRELLA LIAB OCCUR EACH OCCURRENCE E AGGREGATE E EXCESS LIAB CLAIMS -MADE DED RETENTION E E B B B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE WC 014649551 (AOS,GA,OR) WC014649558(MN) WC014649547 (FL) 12/31/2017 12/31/2017 12/31/2017 12/31/2018 12/31/2018 12/31/2018 X STATUTE OE E.L. EACH ACCIDENT $5,000,000 B C B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) IF yes, describe under DESCRIPTION OF OPERATIONS below N/A WC014649549(MA,WI) WC014649548 (CA) WC 014649559 (ME) 12/31/2017 12/31/2017 12/31/2017 12/31/2018 12/31/2018 12/31/2018 E.L. DISEASE- EA EMPLOYE • $5,000,000 E.L. DISEASE - POLICY LIMIT $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Workers Compensation: Policy #: WC 014649550 (AK, AZ, IL, KY,NC, NH, NJ, PA, UT, VA, VT) Policy Term: 12/31/17 to 12/31/18 Carrier Name: NEW HAMPSHIRE INS CO (NAIC #:23841) Limits: E.L. Each Accident / E.L. Disease- Ea Employee / E.L. Disease -Policy Limit - $5,000,000 Location # 5955 - NFRMPO, the cities of Greeley, Loveland, and Johnstown and the Counties of Larimer and See Attached... CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE NFRMPO Transit Service THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 215 North Mason Street - 2nd. Flr ACCORDANCE WITH THE POLICY PROVISIONS. Fort Collins CO 80524 USA AUTHORIZED REPRESENTATIVE C 1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: LOC #: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY Arthur J. Gallagher Risk Management Services, Inc. NAMED INSURED FIRST TRANSIT, INC. 600 Vine Street, Suite 1400 Cincinnati, OH 45202 POLICY NUMBER CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORMTITLE: CERTIFICATE OF LIABILITY INSURANCE Weld are shown as additional insureds solely with respect to the General and Auto liability as evidence herein as required by written contract. The General liability policy form evidenced herein includes a Separation ACORD 101 (2008/01) C 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD