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HomeMy WebLinkAboutStarline TransportationACC o® CERTIFICATE 4F LIABILITY INSURANCE DATE �(15M2� fYYYY) 24 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 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 TIB Transportation Insurance Brokers LLC 425 W. Broadway Suite 300 Glendale CA 91204-1269 CONTACT Jessica Landeros PHONE FAX • 818-246-2800 AIc Noy 818-246 4690 EftRes r ilanderos@tibinsurance.com INSURERS AFFORDING COVERAGE NAIL / INSURER A: Lancer Insurance Company 26077 INSURED STARL-1 Transportation Demand Management, LLC DBA: Starline Luxury Coaches, Starline Transportation; Wheatland Express; A & A Motorcoach INSURER B : INSURERC: INSURER D : 9801 Martin Luther King Jr Way S Seattle WA 98118-5633 INSURER E : INSURER F COVERAGES CERTIFICATE NUMBER: 15n7sQQA RIPVICICTN NIlMRFo. 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 INSR MINK POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER h om 0.MMIDD LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE OCCUR Y %I5621WI9 82DI2-724 BrAM 425 EACH OCCURRENCE TwFlTE"6 IFS Ea $ 5,000.000 $ 100 90J MED EXP [Anyone personj $ 5.000 PERSONAL & ADV INJURY $ 5,000.000 AGGREGATE LIMIT APPLIES PER: PRO- POLICY 0 JECT LOC GEN'L X GENERAL AGGREGATE PRODUCTS -COMPIOPAGG $ 5.000.000 $ Deductible: OTHER: $ $25.ODD A . AUTOMOBILE LIABILITY Y BA157920NIS 8120=4 anotms COMBINED SINGLE L _ Ea icci k $ ANY AUTO $ BODILY INJURY (Per person) SULED ALL AUTOS X I AUTOS $ BODILY INJURY (Per accident) X NON -OWNED HIRED AUTOS X AV7pS PROPERTY DAMAGE $ Deductible: $ S2552O UMBRELLA LIAR OCCUR HCLAIMS-MADE EACH OCCURRENCE $ EXCESS LIAR AGGREGATE $ DED RETENTION $ .WORKERS COMPENSATION ANJPFR D EMPLOYERS' LIABILITY YIN 'ANY PROPRIETOPJPARTNERIEXECUfNE OFFICERIMEMBER EXCLUDED? NIA $TATUtE EL- EACH ACCIDENT $ (Mandatory In 11H) ' If Yes, describe under DESCRIPTION OF OPERATIONS below IE.L. DISEASE - EA EMPLOY €.L. DISEASE - POLICY LIMIT $ $ DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101. Additional Remarks Schedule, may be attached If more space Is required) SEINED UY The City of Caldwell is included as Additional Insured, per written contract. :LLI,TY CLERK sip , , 20 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. The City of Caldwell PO Box 1179 AUTHORIZED REPRESENTATIVE Caldwell ID 83606 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD