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HomeMy WebLinkAboutGreyhound Lines - Insurance Certificate (2020)I DATE(MM/DD/YYYY) A o CERTIFICATE OF LIABILITY INSURANCE 12/19/2019 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 Northeast, Inc. PHONE (866) 283-7122 FAX (800) 363-0105 C/o Aon Client Services (A/C. No. Ext): (A/C. No.): 4 overlook Point E-MAIL Lincolnshire IL 60069 USA ADDRESS: INSURED Greyhound Lines, Inc. 350 N Saint Paul St Dallas TX 75201 USA INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: Commerce & Industry Ins Co 19410 INSURERB: National Union Fire Ins Co of Pittsburgh 19445 INSURER C: New Hampshire insurance Company 23841 INSURER D: American Home Assurance Co. 19380 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 570079669415 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MWDD/YYY)'1 //MM/DD/YYYn LIMITS B X COMMERCIAL GENERAL LIABILITY GL3629887 72/31/201904/Ol/20 U EACH OCCURRENCE $5 000 000 CLAIMS -MADE X❑ OCCUR GGEEN'LAGGREGATE LIMITAPPLIES PER: POLICY ❑ PRO-❑ LOC JECT OTHER: B AUTOMOBILE LIABILITY B X ANYAUTO OWNED SCHEDULED B — AUTOS ONLY AUTOS HIRED AUTOS NON -OWNED — ONLY AUTOS ONLY A X UMBRELLALIAB HX OCCUR EXCESS LIAB CLAIMS -MADE DED X IRETENTION S5,000,000 C Wt�RKE S COMPENSATION AND C EMPLOYERS' LIABILITY Y / N ANY PROPRIETOR / PARTNER, EXECUTIVE D OFFICER/MEMBER EXCLUDED? N N / A C (Mandatory In NH) If yes, describe under C DESCRIPTION OF OPERATIONS below DAMAGE TO RENTED $5,000,000 PREMISES (Ea occurrence) MED EXP (Any one person) EXCI uded If this certificate is no longer required, write PERSONAL & ADV INJURY $5,000,000 "2 "Delete" across the front and return by fax to GENERAL AGGREGATE $10 , 000 , 000 CD (8D0) 363-0105 or email to acs.chicago@aon.com PRODUCTS - COMP/OPAGG $5,000,000 rn no r CA 192-17-94 12/31/2018 04/01/2020 COMBINED SINGLE LIMIT $5,000,000 AOS CA 192-17-96 12/31/2018 (Ea accident) 04/01/2020I BODILY INJURY( Per person) .. Z VA BODILY INJURY (Per accident) (D CA 192-17-95 12/31/2018 04/01/2020 PROPERTY DAMAGE v MA (Per accident) 28295050 12/31/2018 04/01/2020 EACH OCCURRENCE d $10,000,000 U AGGREGATE $10,000,000 wc014649556 12/31/2019 04/01/2020 X I PER STATUTE I IOTH- wC014649552 12/31/2019 04/01/2020 ER EACH ACCIDENT $5,000,000 WC014649553 12/31/2019 04/01/2020IE.L. wc014649554 12/31/2019 04/01/2020IE.L.DISEASE-EA EMPLOYEE $5,000,000 wcO1.4649555 12/31/2019 04/01/2020 E.L. DISEASE -POLICY LIMIT $5,000,000 — s DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space Is required)-� City of Gilroy, its officers, representatives, agents and employees are included as Additional Insured in accordance with the •�'• policy provisions of the General Liability and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in y;J accordance with the policy's provisions. A waiver of Subrogation is granted in favor of Certificate Holder in accordance with z: the policy provisions of the General Liability policy.- ry. - 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 ...r_ POLICY PROVISIONS. City of Gilroy AUTHORIZED REPRESENTATIVE • N 7351 Rosanna Street Gilroy CA CA 95020 USA QEL- ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD