Opening of Bids - Spec Q - Two More or Less 2018 or Newer Refurbished Medic Units - Crossroads Ambulance Sales & Service LLC

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rRnqAIWR.n1 PrIMT(Ill CERTIFICATE OF LIABILITY INSURANCE DATE (MMIODNWY) 1211212017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. TH S jCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES THIS GERTIFICAfE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT OETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PROPUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certifiote holder Is an ADDITIONAL INSURED, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION 15 WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not coder rights t the certificate holder In lieu of such andorsement(s). PRODUCER T, Charles Wilson Insurance Service 384 Inverness Parkway Suite 170 Englewood, CO 80112 92W.-CT Vicki Sullivan H lc�!NEO' FAX (PA N ExQ: (A/C, E2L_ AE'pmpAg1E$$; vsuilivan@wilsonins.com INSURER(S) AFFORDING COVERAGE NAIC # INSUIRERA:Arch Insurance Company 11150 INSURED Crossroads Ambulance Sales & Service, LLC 52886 State Roadi13 Middlebury, IN 461540 INSURER B: Travelers Insurance Company 38130 INSURER C: INSURER D: INSURER E: INSURER F: P=071cor, wrt: Fil IRAMPP. RFVI.qlnN NUMBER - THIS IS TO CERTIFY THAT THE POLI IES 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 TYPE OF INSURANCE ADDLISUHR INSO WVD POLICY NUMBER POLICY EFF iMUMDNYYYI POLICY EXP (MMIDD I LIMITS A X commr=RCIAL GENERAL LIABILITY CLAIM&MADE F;; -1 8CCUR MFPK07331305 1210112017 1210112018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED REMISES lE 50,000 MED EXP (Any one persani 5,000 $ PERSONAL & ADV INJURY 1 000,000 $ GENT AGGREGATE LIMIT APPLIE�3 PER: POLICY [:] JPERCOT- LOC OTHER: GENERAL AGGREGATE 2,000,000 $ PRODUCTS - OOMPIOP AGG $ 2,000,000 GARAGE LIABILIT $ Included AUTOMOBILE LIABILITY ANYAUTO OWNED SCHEDULED AUTO$ ONLY AUTOS X HIRED AUTOS ONLY Dealer Plates I XI Ix MFCA06034605 12101/2017 12/0112018 COME ED SINGLE LIMIT (U_._ ' d rn $ 1,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per acdclonq....$ . . .............. rnar P g gy' "� AMAGE $ A A &MBRELLA LIAO EXCESS LIAEL X 60CUR CLAIMS�MADE MFUM07982805 12/0112017 1210112018 EACH OCCURRENCr= $ 1,000,000 AGGREGATE 1,000, DED I X I RETENTION$ 0 . B WORKERS comPENSATION AND EMPLOYERS'LIABILITY Y I N ANY PROPRIETOR/PARTNEWLAEC; I VIIVL AME M MKI EXCLUDED? ,n M YE or irt "'es"erc"'N"unlde'PER DESCRIPTIO 0 0 ATIONS b�low N/A IEUB26O9P63216 01/1812017 0111812018 — —V TIPIR I �. OTH- SIATWE ER .... ................. E.L. EACH ACCIDENT 10(),000 $ E.L. DISEASE - EA EMPLOYE 1.()(),000 E.L, DISEASE - POLICY LIMIT 500,000 $ A Garagakeepers MFPK07331305 12101/2017 1210112018 Limit 1,500, DESCRIPTION OF OPERATIONS I LOCATIONS I VEKICLES JACORD 101, AddItlonal Rennarks Schedule, may be attached If mGre space Is requIred) PROPERTY provided on a Replacement Cost basis, except Actual Cash Value on Stock Autos (including Customer Autos); 80% Coinsurance, $1,000 Deductible per Occurrence; Special form Causes of Loss incl Theft Crossroads Amb�lance Sales & Service, LLC 52886 Slate Road 13 Middlebury, IN I SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD 25 (2016103) 49 1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD