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Home My WebLink AboutGreyhound Lines, Inc - Certificate of Liability Insurance— o ® Q� �' CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD(YYYY) D4/D3/2D23 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 Southwest, Inc. Dallas TX Office CONTACT NAME; (A/C N o. Ext): (866) 283-7122 No.): (800) 363-0105 E-MAIL , ADDRESS: 5005 Lyndon B Johnson Freeway suite 1500 INSURER(S) AFFORDING COVERAGE NAIC # Dallas TX 75244 USA INSURED INSURER A: ironshore"Specialty insurance Company. 25445 Greyhound Lines, Inc. PO Box 660362 Dallas Tx 75266-0362 USA INSURER B: ACE Property & Casualty Insurance Co. 20699 INSURER C: AIU Insurance Company 19399 INSURER D: National union Fire ins Co of Pittsburgh 19445 INSURERS: Bus Risk Retention Group, Inc. 0318AL INSURER F: - COVERAGES CERTIFICATE NUMBER: 570098859792 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 LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MMI /YYYY LIMITS X COMMERCIAL GENERAL LIABILITY [X OCCUR GLRRG EACH OCCURRENCE $10,000,000 DAMAG ToCLAIMS-MADE PREMISES Ea =npw $ 5 , 000,000 MED EXP (Any one person) $ 5 , 000 PERSONAL & ADV INJURY $10,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY ❑ PRO- LOC JECT OTHER: GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OP AGG $10,000,000 D C E AUTOMOBILE LIABILITY X ANYAUTO OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY AL 7281073 LA,MI,NM,NY,OR,TX,WA AL 7281072 MA - AL-RRG-001022-01 ADS 04/01/2023 04/61/2023 10/31/2022 04/01/2024 04/01/2024 10/31/2023 COMBINED SINGLE LIMIT (Ea accident) $10,000,000 BODILY INJURY (Per person) BODILY INJURY (Per accident) PROPERTY DAMAGE Per accident B X UMBRELLA LIAB EXCESS LIAR X OCCUR CLAIMS -MADE XEUG72512832003 SIR applies per policy terns 04 61/2023 & conditions 04/01/2024 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 DED X RETENTION C C WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR / PARTNER/ EXECUTIVE Y / N OFFICERIMEMBEREXCLUDED? F9 (MandatoryinNH) Ii yes, describe under DESCRIPTION OF OPERATIONS below N/A wC015824967 ADS wCO15824968 CA 04101 2023 04/01/2023 04/01/2024 04/01/2024 X PER STATUTE ETRH- E.L. EACH ACCIDENT $3 , 000, 000 - I E.L. DISEASE -EA EMPLOYEE $3,000,000 E.L. DISEASE -POLICY LIMIT $ 3 , 000, 000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached it more space Is required) Certificate Holder is included as Additional insured in accordance with the policy provisions of the General Liability policy. 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 Pasco AUTHORIZED REPRESENTATIVE Administrative and Community Services Dept. I 'VOW c`%i!101� e/i�6 S10 elLif61�iE6ld74 9?d 525 North Third Avenue Pasco wA 99301 USA a� C d V 0 rn ui 0 n u7 01988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD DATE(MM/DD/YYYY) CERTIFICATE'OF LIABILITY INSURANCE 04103/2023> 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(iss) 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 m Certificate does not confer rights to the certificate holder in. lieu of such endorsement(s). ' PRODUCER Aon, Risk Services Southwest;.inc Dallas TX'. Offi Ce 5005 Lyndon Johnson Free wdy Suite.1500 CONTACT_ - NAME: •p. B. 0. o _ (866) 283 7123 FAX (800) 363 Oi05 (A C. No Ext). A/C. No.): EMAIL "� DRESS: IN$URER(S) AFFORDING COVERAGE NAIC # Dallas :TX 752.44 USA INSURED - INSURER A: ICOnshore.Specialty Insurance -Company. -- 25445 ... Greyhound Lines,.Inc: PO Box 660362. Dallas TX 75266.-0362 USA tNsuReRed ACE Property &-Casualty, Insurance Co. 20699. INSURERc: AIU insurance Company 19399 INSURER.D: Natonal.:.unon Fire Ins Co of Pittsburgh: 19445 INSURERE:. BUS:.. Risk Retention' Group, Inc. 0318AL: INSURERF;. COVERAGES CERTIFICATE NUMBER: 570098859792 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 OFINSURANCE INSD WVD POLICY NUMBER MMJDD/YYY MMIDD! YY LIMITS X COMMERCIAL GENERALLIABILITY GLRRG EACHOCCURRENCE .- $10,000,000 CLAIMS MADE, 7X OCCUR PREMISES Ma occurrence $5 , 000,000 MEDEXP (Any,one person).:.'-- ;-,. $5,.000. - LO ,. g n PERSONAL& ADV INJURY $10000,000 GEN'LAGGREGATELIMITAPPLIESPER : X POLICY PRO- JECT .LOCEl OTHER: ` GENERAL AGGREGATE $10,000,000 PRODUCTS - COMP/OP AGG $10,000,000 0 C AUTOMOBILE LIABILITY.: ,ANYAUTX AL 7281073 LA, MI,NM,NY,OR,TX,WA 04/01/2023 04/01/2024 EOMBINEDSINGLE. LIMIT l denO $10,000,000 z INJURY (Per n BODILY INJURY (Per aocident) E OWNED SCHEDULED AUTOS ONLY AUTOS HIREDAUTOS NON -OWNED ONLY AUTOS ONLY. MA AL-RRG-001022701 ADS : 10/31/2,022 10/31/2023 W 4 _ t:_ N PROPERTY DAMAGE Per acciden g 1X UMBRELLALIAB ,r-. EXCESSLIAB X. OCCUR CLAIMS -MADE XEUG7 51283 00 5IR'appl7es per policy terms 04 01 0 3 & conditions.....AGGREGATE, 04 0120 4 EACH OCCURRENCE: $5;000;000 U $5,000,000 DED X RETENTION C_ - WORKER S COMPENSATION AND EMPLOYERS• LIABILITYER ANY PROPRIETQR/PARTNERlEXECUTIVE Y/N - OFFICER/MEMBEREXCLUDED� N- (mandatory In NM : yy DESCR PTION OF OPERATIONS below' N/A WC AOS WC015824968.' CA 04/01/2023 1 4 04/01/2024 X PER STATUTE OTH- -- E.L:EACHACCIDENT : -' $3,000,000 E.L. DISEASE -EA EMPLOYEE $,000, 000 E:L: DISEASE -POLICY LIMIT $ 3, 000 , 000