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Opening of Bids - One (1) or More, 2020 or Newer, Emergency Medical Vehicle – Spec P - American Response Vehicles
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Opening of Bids - One (1) or More, 2020 or Newer, Emergency Medical Vehicle – Spec P - American Response Vehicles
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4/9/2025 1:40:53 PM
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11/12/2020 11:10:06 AM
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Board of Public Works
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Contracts
Document Date
11/10/2020
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CERTIFICATE OF LIABILITY INSURANCE <br />07/17M/2020 ' <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <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 SUBROGATION 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 endorsement(s). <br />PRODUCER 1-414-443-0000 <br />CONTACT <br />NAME: <br />Hays Companies <br />PHONE FAX <br />A/C No Ext : A/C No), <br />E-MAIL <br />1200 North Mayfair Road, Suite 100 <br />ADDRESS: <br />INSURER(S) AFFORDING COVERAGE <br />NAIC # <br />INSURERA:GREAT AMER E&S INS CO <br />37532 <br />Milwaukee, WI 53226 <br />INSURED <br />INSURERB: TRAVELERS PROP CAS CO OF AMER <br />25674 <br />American Emergency Vehicles <br />INSURER CAXIS SURPLUS INS CO <br />26620 <br />INSURERD:GREAT AMERICAN E&S <br />165 American Way <br />INSURER E : <br />INSURERF: <br />Jefferson, NC 28640 <br />COVERAGES CERTIFICATE NUMBER: 59814589 REVISION NUMBER: <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. NOTWITHSTANDING 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 />INSR <br />LTR <br />TYPE OF INSURANCE <br />ADDL <br />INSD <br />SUBR <br />WVD <br />POLICY NUMBER <br />POLICY EFF <br />MM/DD/YYYY <br />POLICY EXP <br />MM/DD/YYYY <br />LIMITS <br />A <br />X <br />COMMERCIAL GENERAL LIABILITY <br />PL 3403401 <br />07/01/20 <br />07/01/21 <br />EACH OCCURRENCE <br />$ 1,000,000 <br />CLAIMS -MADE OCCUR <br />PREMISES(Ea oNTEcur ence)$ <br />300,000 <br />MED EXP (Any one person) <br />$ <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />GEML <br />AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE <br />$ 4,000,000 <br />POLICY PRO- <br />JECT LOC <br />X <br />PRODUCTS - COMP/OP AGG <br />$ 4,000,000 <br />$ <br />OTHER: <br />B <br />AUTOMOBILE <br />LIABILITY <br />TC2J-CAP-9P529106-TIL-20 <br />07/01/20 <br />07/01/21 <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ 2 000,000 <br />X <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />OWNED SCHEDULED <br />AUTOS ONLY AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />HIRED NON -OWNED <br />AUTOS ONLY AUTOS ONLY <br />L <br />$ <br />C <br />X <br />UMBRELLA LIAB <br />X <br />OCCUR <br />P-001-000123735-02 <br />07/01/20 <br />07/01/21 <br />EACH OCCURRENCE <br />$ 5,000,000 <br />AGGREGATE <br />$ 5,000,000 <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED RETENTION $ <br />$ <br />B <br />B <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY YIN <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />UB-5P807980-20-51R AZ,MA,917/01/20 <br />UB-6P677889-20-51-K (AOS)07/01/20 <br />07/01/21 <br />07/01/21 <br />PER <br />X STATUTE ERH <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />(Mandatory in NH) <br />N/A <br />E.L. DISEASE - EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />B <br />Garage Keepers Liability <br />TJ-BAP-9P529118-TIL-20 <br />07/01/20 <br />07/01/21 <br />Limit <br />D <br />Excess Liability <br />XS 3403394 <br />07/01/20 <br />07/01/21 <br />Limit <br />75,00000"000000 <br />DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />Evidence of Insurance <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />ACORD 25 (2016/03) <br />npielmeier <br />59814589 <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />The ACORD name and logo are registered marks of ACORD <br />
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