My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
GREYHOUND LINES, INC. (6)
Clerk
>
Contracts / Agreements
>
G
>
GREYHOUND LINES, INC. (6)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
3/11/2022 11:39:10 AM
Creation date
3/11/2022 11:38:19 AM
Metadata
Fields
Template:
Contracts
Company Name
GREYHOUND LINES, INC.
Contract #
A-2022-002
Agency
Public Works
Council Approval Date
1/18/2022
Expiration Date
1/31/2023
Insurance Exp Date
4/1/2022
Destruction Year
2028
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
18
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Francine R. Digitally signed by <br />Francine R. Villareal <br />Villareal Date: 2022.02.02 <br />09:48:27 -01 <br />"�� CERTIFICATE OF LIABILITY <br />OATE(MMD <br />INSURANCE <br />zro]=no21s, <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsemends). <br />PRODUCER <br />Aon Risk Services Northeast, Inc. <br />OH Office <br />CONTACT <br />NAME <br />HONCincinnati <br />lac rie. EXD: (666) 283-7122 jaC. xo.): (800) 363-0105 <br />8044 Montgomery Road <br />Suite 405 <br />EMAIL <br />ADDRESS: <br />Cincinnati OH 45236-2919 USA <br />INSURERISI AFFORDING COVERAGE <br />NAIC9 <br />INSURED <br />Greyhound Lines, Inc. <br />350 N St Paul Street <br />INSURERA: AGE Property & Casualty Insurance Co. <br />20699 <br />INSURER B: National union Fire Ins Co of Pittsburgh <br />19445 <br />INSUNENC: AID Insurance Company <br />19399 <br />Dallas TX 75201 USA <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />CERTIFICATE <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREDV NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS <br />ILimits shown are as requested <br />IN SUBft <br />LTR ABDL TYPE OF INSURANCE INSD WVO POLICY NUMBER MXUDOryErr <br />YYY POLICYEXP) <br />1 I IMMNDYYYY LIMITS <br />a <br />% <br />I COMMERCIALOENERALLWOILIb <br />CLAIMSMADE <br />E1OOOUR <br />Y <br />6547201 <br />10 21120 1 <br />4 01 2022 <br />EACHOCGURRENCE <br />$10,000,00 <br />PREMISES (Ea occurrence) <br />$5,000,000 <br />MED E%P (My one person) <br />PERSONAL B AM INJURY <br />$10,000,00 <br />GEN'L AGGREGATE UMF APPLIES PER <br />RO <br />PR-- <br />% POUCV JECT LOC <br />EI <br />GENERALAGGREGATE <br />$10,000,00 <br />PRODUCTS-COMP*P AGO <br />$10,000,0Q <br />OTHER: <br />B <br />AUTO MOBILE LNBIUTY <br />Y <br />7031017 <br />ADS <br />10/21/202104/01/2022 <br />COMBINED SINGLE LIMIT <br />(Eaameenn <br />$10,000,00 <br />BODILY DouW(Per nelwn) <br />e <br />x ANY AUTO <br />7031018 <br />10/21/2021 <br />04/01/2022 <br />B <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />MININONAWNEO <br />ONLY AUTOS ONLY <br />VA <br />7031019 <br />MA <br />10/21/2021 <br />04/01/2022 <br />BODILY IWURY/Per xcenn, <br />PROPERTYDAMAGE <br />(Peracidenn <br />L <br />% <br />UMBRELLA L148 <br />EXCESS UAB <br />X <br />OCCUR <br />CLAIMSMADE <br />IXEUG72512832001 <br />SIR applies per policy terns <br />04/01/202 <br />& condl <br />04/OI/2022 <br />ions <br />EACHOCCURRENCE <br />$5,000,00 <br />AGGREGATE <br />$5, 000, 00 <br />OEO I ) RETENTION <br />C <br />WORHERSCOMPENSATIONAND <br />EMPLOYERS' LIABILITY <br />YIN <br />E ECUTIIVEANY I0"CLAMEMBER NN/A <br />WC65885824 <br />C65885825 <br />10/21/2021 <br />10/21/2021 <br />04/01/2022 <br />04/01/2022 <br />X <br />PER STATUTE <br />oiH- <br />ERC <br />EL EACH ACCIDENT <br />$3,000.000 <br />(Mmtlabry In NH) <br />/ryes aescn0e unaer <br />DESCRIPTION OF OPERATIONS no— <br />IWAOSIDARTHERI <br />NY <br />E.L. DISEASE£A EMPLOYEE <br />$3,000,005 <br />EL MSEASEFOLICY UMR <br />$3,000,00Q <br />DESCRIPTION OF OPERATIONS LOCATIONS I VEHICLES(ACORO 101, AtltlXlonal R.PrI ANJVU.le. may be aaechaI it more sPN a la req.I., <br />RE: RFP No. 15-089- Bus Passenger services- Santa Ana Regional Transportation Center. City of Santa Ana, officers, agents, <br />employees, and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability <br />and Automobile Liability policies. General Liability and Automobile Liability policies evidenced herein are Primary and <br />Non -Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. <br />Should General Liability policy be cancelled before the expiration date thereof, the policy provisions of each policy will <br />govern how notice of cancellation may be delivered to certificate holders in accordance with the policy. <br />CERTIFICATE HOLDER <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Be CANCELLED BEFORE THE EXPIRATION <br />DATE THEREOF. NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLI6Y PROVISIONS. <br />City of Santa Ana <br />Risk Management Division <br />20 Civic Center Plaza <br />Santa Ana CA 92702 USA <br />©1988-2016 ACORD CORPO 4A*404 <br />ACORD 26 (2016103) The ACORD name and logo are registered marks ofACORD ' <br />Risk Management Analyst <br />
The URL can be used to link to this page
Your browser does not support the video tag.