GREYHOUND LINES, INC.-2016 - Laserfiche WebLink

Home Browse Search

Francine R. Villareal Digitally signed by Francine R. Villareal Date: 2021.02.12 11:25:02-08'00' '`` o CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) OZ10/2021 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 Northeast, Inc. C/o Aon client Services CONTACT NAME: PHONE (A/CC.No. Ext): (866) 283-7122 A/X No.): (800) 363-0105 E-MAIL 4 Overlook Point Lincolnshire IL 60069 USA ADDRESS: INSURER(S) AFFORDING COVERAGE NAIC # INSURED INSURERA: National Union Fire Ins Co of Pittsburgh 19445 Greyhound Lines, Inc. 350 N Saint Paul St Dallas TX 75201 USA INSURER B: New Hampshire Insurance Company 23841 INSURER C: American Home Assurance Co. 19380 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570086037629 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 ADDL INSD SUBR WVD POLICY NUMBER POLICY EFF MM/DDNYYY POLICY EXP MM/ODNYYY LIMITS A X COMMERCIAL GENERAL LIABILITY GL3629887 04/01/2020 04 01 2021 EACH OCCURRENCE $10,000,000 CLAIMS -MADE X❑OCCUR DAMAGE TO RENTED PREMISES Ea occurrence $5,000,000 MED EXP (Any one person) Excluded PERSONAL &ADV INJURY $10,000,000 GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $10,000,000 X POLICY ❑ PRO- ECT LOC ❑ PRODUCTS - COMPlOPAGG $10,000,000 OTHER: A AUTOMOBILE LIABILITY CA1921794 04/01/2020 04/01/2021 COMBINED SINGLE LIMIT Ea accident $10,000,000 ADS BODILY INJURY( Per person) A X ANYAUTO CA1921796 04/01/2020 04/01/2021 BODILY INJURY (Per accident) OWNED SCHEDULED VA A AUTOS ONLY AUTOS CA1921795 04/01/2020 04/01/2021 PROPERTY DAMAGE HIREDAUTOS NON -OWNED MA Per accident ONLY AUTOS ONLY UMBRELLA LIAB OCCUR EACH OCCURRENCE AGGREGATE EXCESS LIAB CLAIMS -MADE DED RETENTION B WORKERS COMPENSATION AND WC014649556 04/01/2020 04/01/2021 X PER STATUTE I LOTH B EMPLOYERS' LIABILITY YIN WC014649552 04/01/2020 04/01/2021 E.L. EACH ACCIDENT $5,000,000 C ANY PROPRIETOR/ PARTNER EXECUTIVE N wc014649553 04/01/2020 04/01/2021 B OFFICER/MEMBEREXCLUDED' (Mandatory in NH) N/A Wc014649554 04/01/2020 04/01/2021 E.L.DISEASE-EAEMPLOYEE $5,000,000 B If yes, describe DES CRIPTION O DESCRIPTIONNOOFF OPERATIONS below wc014649555 04/01/2020 04/01/2021 E.L. DISEASE -POLICY LIMIT $5,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, maybe attached if more space is required) contractual Liability coverage is included under the General Liability policy. RE: Leased Location: The Depot at Santa Ana; 1000 East Santa Ana Boulevard, Santa Ana, CA. City of Santa Ana, its agents, officers, employees and volunteers are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non -Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of certificate Holder in accordance with the policy provisions of the Workers' Compensation policy. Should General Liability policy be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance 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 Santa Ana AUTHORIZED REPRESENTATIVE Risk Management Division 20 Civic center Plaza, 4th Floor Santa Ana CA 92701 USA Ire,//g ©1988-2015 ACORD C ACORD 25 (2016/03) The ACORD name and logo are registered marks ofACORD `w - iF cF RiskManagmentDivision REVIEWED & APPROVED BY.- v ` --� R(504anagementAnalyst