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Opening of Bids - Spec S - One or More 2018 or Newer Emergency Medical Vehicle - Fire Service Inc - Part 1
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Opening of Bids - Spec S - One or More 2018 or Newer Emergency Medical Vehicle - Fire Service Inc - Part 1
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4/10/2025 11:51:13 AM
Creation date
8/30/2018 9:12:56 AM
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Board of Public Works
Document Type
Projects
Document Date
8/28/2018
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I a <br />A400R" CERTIFICATE OF LIABILITY INSURANCE 7/1/2019 <br />DATE (MMJDDIYYYY) <br />7/19/2018 <br />FTHIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />I ..jC:ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />'.1ELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />I <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SLIBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on <br />this certificate does not confer rights to the certificate holder in lieu of such endorsoment(s). <br />PRODUCER Lockton Companies <br />Three City Place Drive, Suite 900 <br />St. Louis MO 63141-7081 <br />(314) 432-0500 <br />CONTACT <br />-NAME: <br />PHONE FAX <br />WC, No. Ext), (A/C, No): <br />E-MAIL <br />ADDRESS: <br />INSURER(s) AFFORDING COVERAGE <br />NAIC # <br />INSURER A: Great American E & S Insurance Comp�py_ <br />37532 <br />INSURED REV Ambulance Group Orlando, Inc. <br />INSURER B : Travelers Property Casualty Co of America <br />25674 <br />1327746 2737 N. Forsyth Road <br />Winter Park FL 32792 <br />INSURER C: AMS Surplus Insurance Company <br />26620 <br />INSURER D: The Charter Oak Fire Insurance (�ornpany <br />5 15 <br />INSURER E: <br />INSURER F: <br />COVERAGES COLrN CERTIFICATE NUMBER: 15501335 REVISION NUMBER: xxxxxxx <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDINO ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />TINSR <br />L LT <br />T�R <br />TYPE OF INSURANCE <br />ADDLSUBR <br />J= <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />(MMIDDIYYYY) <br />POLIGYEXP <br />(MMIDDffYYY) <br />I LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />C[AIMS-MAOE 1XI OCCUR <br />N <br />N <br />PL 1744369-01 <br />7/l/2018 <br />7/l/2019 <br />EACH OCCURRENCE <br />$ 1,00) �000 <br />D nce) <br />s 300.000 ___ <br />MED EXP (Any one person) <br />s XXXXXXX <br />& ADV INJURY <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />D PRO. <br />POLICY JECT [—] LOC <br />OTHER: <br />_fffSONAL <br />GENFRAIAGGREGATE <br />s 4,000,000 <br />PRODUCTS - COMPIOP AGG <br />s 4,000,000 <br />$ <br />AUTOMOBILE LIABILITY <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />N <br />N <br />TC2JCAP8E08258ITILI8 <br />7/1/2018 <br />7/1/2019 <br />COMBINED SINGLE LIMIT <br />Me accident) <br />$ 11000,000 <br />BODILY INJURY JPar person) <br />$ xxxxxxx <br />BODILY INJURY (Per accident) <br />$ XXXAYAX <br />PROPERTY DAMAGE <br />aE;E;Ident)_ <br />$ xxxxxxx— <br />_LF�er <br />Como/Coll Ded <br />$ 1,000 <br />C <br />A <br />UMBRELLA LIAB <br />EXCESS LIAB <br />OCCUR <br />CLAIMS -MADE <br />N <br />11 <br />EAU781897012018 <br />XS 1744640-01 <br />7/112018 <br />7/1/2019 <br />711/2f) 19 <br />7/112019 <br />EACH OCCURRENCE <br />s 5,000,000 <br />X <br />AGGREGATE <br />s 5,000,000 <br />DED RETENTION $ <br />lExcess Li& <br />s 5,000,000 <br />D <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERIMEMBER EXCLUDED? <br />(Mandatory In NH) <br />If yes, describe under <br />OFSCRIPTION OF OPERATIONS below <br />NIA <br />N <br />TC20UB I I SD489218 <br />7/1/2018 <br />7/1/2019 <br />PER I OTH- <br />X I LTAT I ER <br />I <br />__11TE <br />E1, EACH ACCIDENT <br />$ 1,00 ).,OOQ— <br />F1, DISEASE - EA EMPLOYEE <br />_$I QQO _000 <br />EJ, DISEASE - POLICY LIMIT <br />$ 1.000�000 <br />B <br />Garage Keepers Liability <br />N <br />N <br />TC2JCAP8E08258ITILI8 <br />W 1/2018 <br />711/2019 <br />Blanket $5,000,000 per location <br />DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES (ACORD 101. Additional Remarks schedule, may be attached if more space is required� <br />CERTIFICATE HOLDER CANCELLATION See Attachment <br />15501335 <br />FOR INFORMATIONAL PURPOSES ONLY SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATI <br />'107 <br />1988-2MTACORD CORPORATIRY-N. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />
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