Opening of Bids - Spec S - One or More 2018 or Newer Emergency Medical Vehicle - Crossroads Ambulance Sales & Service LLC - Part 1

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0 ACC)PREIII CERTIFICATE OF LIABILITY INSURANCE lilh�' DATE (MMJDDIYYYY) I 8120/2018 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES 1ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED AEPRESENTATIVE 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 Scirocco Group 777 Terrace Avenue Hasbrouck Heights NJ 07604 CONTACT Diane Cimala NAME: MNEO, FAX fAIC N ExtI: 201-727-0070 x1 53 INC. Noi: 201-727-0080 A OREss: dcimala@sdroccogrou com E�MA'L I?_.fi0__ — INSURER(S) AFFORDING COVERAGE NAIC# INSURER A: Selective Fire & Casualty Ins 14377 INSURED PLCUS-1 PIL Custom Body & Equipment Co Inc Deb Thomson INSURER 13: INSURER C: 2201 Atlantic Avenue NNSUF�ERD: INSqRER E: Manasquan NJ 08736 INSURER F: COVERAGES CERTIFICATE NUMBER: 318381732 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 S HOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR LTR TYPE OF INSURANCE ADDLSUBR INSD POLICYNUMBER POLIC r'410,)MI POLICY EXP fMM1DDIYYYy) LIMITS A X COMMERCIAL GENERAL LIABILITY _'0= 51890473 51612018 51512019 EACH OCCURRENCE $ 1.000,0W —1 CLAWS -MADE E-1 OCCUR DAMAGE TURE-N—TED mmns_�gp omurrence) $ 6DO000 MED EXP Any 0�a person) $ 15000* PERSONAL & ADV INJURY $ 'I'M0,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY [_�] PRO- r JECT LOC PRODUCTS - COMPIOP AGG $ 2,000�000 $ OTHER: AUTOMOBILE LIABILITY S1890473 51512018 5/512019 MBIN - SINGLE LIMIT .c (CEO, '.,dFDn1) $1,000,000 BODILY INJURY (Per person) S ANY AUTO OWNED ASCHEIDULED AUTOS ONLY UTOS ]X BODILY INJURY (For arcident) $ PROPERTY DAMAGE (Per accident . ..... $ X HIRED x NON-OVVNED AUTOS ONLY AUTOS ONLY $ X DeaterPlates. i A X UMBRELLA LIA,B X OCCUR S1890473 51512018 516/2019 EACH OCCURRENCE $9,000,000 AGGREGATE $9,000,000 EXCESS LIAB CLAIMS -MADE DEDIX.1 RETENTION$0 $ WORKERS COMPENSATION AND EMPLOYEIRS'LIABILITY YIN T TE OTH PEART�U ER ANYFROPRIETOPJPARTNER�EXECUTIVE F1 EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? N(A I-, L DISEASE - FA EMPLOYEE $ I[Mandalory In NHJ If yes, describe under DESCRIPTION OF OPERATIONS below FL. DISEASE - POLICY LIMIT $ A Garage Keepers S1890473 615/2018 61612019 Limil 4,000.000 I I ded 500 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached It more space Is required) Spec S-One or more 2018 or newer emergency medical vehicles City of South Bend, Board of Public Works 227 West Jefferson St. Room 1316 South Bend IN 46601 United States 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 & 1988-2016 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD