Opening of Bids - One (1) or More, 2020 or Newer, Emergency Medical Vehicle – Spec P - Crossroads Ambulance Sales & Service, LLC

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·ACORCI CERTIFICATE OF LIABILITY INSURANCE I DATE IMM/DOIYYYY) ~ Aw.#: 2737587 11/212020 THIS CERTIFICATE IS ISSUED AS A MATIER 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 'PRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. '-•••• PORTANT: 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 tenns and conditions of the policy, certain pollcles may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONTACT 888-828-8365 NAME: Lockton Companies, LLC PHONE I FAX 3657 Briarpark Dr., Suite 700 ..{_~J:lltl' IA/C Nol: E·MAIL Houston, TX 77042 ADDRESS: INSURERISl AFFORDING COVERAGE NAIC# INSURER A: Indemnity Insurance Co. ot North America 43575 INSURED PL CUSTOM BODY & EQUIPMENT COMPANY INSURERS: 2201 ATLANTIC AVE INSURERC: MANASQUAN, NJ 08736-1010 INSURERO: INSURERE: INSURERF: COVERAGES CERTIFICATE NUMBER: 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. NOTV\/ITHSTANOING 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 SEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AOOL .SUBR POLICYEFF POLICY EXP LIMITS LTR 1 .... ., .. lw\ln. POLICY NUMBER IMMIODIYYYYI IMM/DOIYYYYI COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ -D ClAIMS·MAOE D OCCUR 1?il<CNICIJ PREMISES Eaocwmince\ s - MED EXP (Any one Derson) $ - PERSONAL & ADV INJURY $ - GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ =i DPRO-D PRODUCTS· COMP/OP AGG $ POLICY JECT LOC OTHER: s ... fE~~~~~t~INGLE LIMIT ~UTOMOBILE LIABILITY $ -......... ANYAVTO BODILY INJURY (Per person) s -ALLOWNEO -SCHEDULED BOOIL y INJURY (Per accident) s -AUTOS -AUTOS NON-OWNED ~ROPERTY DAMAGE $ HIRED AUTOS AUTOS Per ecciden11 --$ UMBRELLA LIAS HOCCUR EACH OCCURRENCE s -EXCESS LIAS CLAIMS·MAOE AGGREGATE $ OED I I RETENTION$ $ WORKERS COMPENSATION XI ~i~nne I I OTH· ER ANO EMPLOYERS' LIABILITY YIN AfN PROPRIETOR/PARTNER/EXECUTIVE D EL EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBER EXCLUDED? NIA CS8784980 10/1/2020 10/112021 (Mandatory In NH) E.L DISEASE· EA EMPLOYEE $ 1.000.000 If ~es. d&SQ'ib$ under D SCRl?TION OF OPERATIONS below E.L DISEASE· POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS t VEHICLES {ACORD 101, Addltloncl Romarl<s Schedule, may b• altllched If more a~co I• required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY O!O THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATI: lliEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ·-·· AUTHORIZED REPRESENTATIVE CITY OF SOUTH BENO 227 WEST JEFFERSON BLVD, 13TH FLOOR, ROOM 1308 ~-~~ SOUTH BEND, IN 46601 ACORD 25 (2016/03) © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD