Bid Opening - Crossroads Ambulance Sales & Service - Two (2) More or Less 2016 or Newer Refurbished Medic Units - Medic 11

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CROSAMB-01 DATE(MMAW YYY) ACORO CERTIFICATE OF LIABILITY INSURANCE 1 12/2312015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATEFISjIDER. THIS r.ERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES }OW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED .r4RESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ise) must be endorsed. If SUBROGATION IS WANED, 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 certfcate holder in lieu of such endorsemem(s).. PRODUCER T. Charles Wilson Insurance Service 384 Inverness Parkway Suite 170 Englewood, CO 80112 INSURED Crossroads Ambulance Sales 8. Service, LLC 21912 Protecta Drive Elkhart, IN 46516 NAME: P" ONE .b f. (303)_3685757 _ in c ft) I303) 3685863 E-MAIL ADDRESS: Nn@ infO�,..Ilsoninm s.co INSURERIS)AFFORDING COVERAGE _ NAICM INSURER A: Arch Insurance Company _ 11150 INSURER B:Travelers Insurance Company _ - 38130 INSURER[: -- -. I INSURER D :- INSURERE:--r-- INSURER F : _ 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 OTHER DOCUMENT WITH RESPECT TO WHICH THIS INDICATED NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACTOR BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. EXCLUSIONS AND CONDITIONS ADDDBUW _- VDUtYEFF Pi1l.1dY EXP UNI S INER LTR TYPE OF INSURANCE I POLICY NUYBER YIDDIYYYY MYIBB(YYYY 1,�g,� A X COMMERCALGENERALUABILITY EACH OCCURRENCE __ $_ X MFPK07331303 DAIU.'GETORERTEif— 50,0 00 12/01/2015 12/01/2016, pREMISEs (Ea DcwlraKel_ $ - c LAIMS-MADE OCCUR 5100 X Additional insured MED EXP (Am av, PKaaD)_ ,$ _ X Requied by contract PERSONAL a ADV INJURY $ _ 1,000,06 GENERAL AGGREGATE $ 2,000,00 GEN'L AGGREGATE LIMIT APPLIES PER rPRODUCTS-COMP/OPAGG 2,000,00 PRO LOG X $_ _ "—' - -- POLICY JECT !Gan a Liabilft s Include( 01HER. ----- - - - - - - -- COMBWED NUM LMI'. $ 1,000>O }AUTOMOSILE LIABILITY (E cdeMJ _�--'-- —"-"— A MFCA06034603 12O112015 12/01/2016 BODILY INJURY(Pa Pawn) $ - ANY AUTO ALLOWNED SCHEDULED BODILY INJURY(Peraaaden) $ - AUTOS AUTOS PROPER1Y5AMAGE - --- $ X X NON -OWNED (pj I. ]-_ _ . _. HIRED AUTOS AUTOS $ UMBRELLA LIAR X OCCUR A X EXCESSUAB CLAIMS -MADE MFUM07982803 DED X RETENTION$ .-- WORKERS COMPENSATION AND EMPLOYERS LIABILITY YIN WUB2609P63216 - B ANYPROPRIETORIPXCLUDE/EXECUTVE N/A OFFICEt I 1. NH) EXCLUDED'+ (Mandatory in NH) P SS dCSG'JJlM DESCNRIPTION OF?I OPERATIONS Uelow A Stock Autos EACH OCCURRENCE E 12/01/2015 12101/2016 AGGREGATE $ __ X STATUTE, ERA ._.. --- 01/18/2016 01/18/2017 EL EACH ACCIDENT $ E L. DISEASE - EA EMPLOYEE' $ MFPK07331303 12/01/2015 12/01 /2016 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101, AddMIM0 Rmurk- SctIWNla, may a AftM NInOI'a Wap Y rgWM) 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 Ambulance Sales & Service, LLC 21912 Protecta Drive Elkhart, IN 46516 1 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 I ACORD 25 (2014101) 01968-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD