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Home My WebLink AboutInsurance Certificate: TC Chevrolet Inc CERTIFICATE OF LIABILITY INSURANCE DA~01 X14 ) THIS CERTIFICATE IS ISSUED AS A MATTER 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 REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 CONTACT FEDERATED MUTUAL INSURANCE COMPANY NAM ' CLIENT CONTACT CENTER PHONE HOME OFFICE: P.O. BOX 328 JAI., NO Est: 888-333-4949 FAAIC No : 507-446-0664 OWATONNA, MN 55060 =ELSs: CLIENTCONTACTCENTER FEDINS.COM INSURERS) AFFORDING COVERAGE NAIC R INSURER A: FEDERATED SERVICE INSURANCE COMPANY 28304 INSURED 276-176-5 INSURER B: TC CHEVROLET INC INSURER C: PO BOX 249 ASHLAND, OR 97520 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 1 -_.L - REVISION NUMBER: 0 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 SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE DL SUBR POLICY NUMBER POLICY EFF POLICY EXP LTR INSR WVO MMI DIY YY MMIDD/YYYY LIMITS GENERAL LIABILITY EACH OCCURRENCE $500,000 PREM S CS $100,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO aENTC.D CLAIMS-MADE FxIOCCUR MED E%P (Any one pers.) 55000 A N N 9918174 03/01/2014 03/01/2015 PERSONAL 6 ADV INJURY $500,000 GENERAL AGGREGATE $1,000,000 GEN'L AGGREGATE UNIT APPLIES PER: PRODUCTS - COMPIOP AGO $1,000,000 - POLICY PRO- ECT LOC RtO OMOBILELIABILITY COMBIED SNINGLE DMIT ANY AUTO BODILY INJURY (Per pers.) OWNED SCHEDULED S AUTOS BODILY INJURY (Per accden) HIRED AUTOS NON-OWNED AUTOS PROPERTY DAMAGE r ii, e m X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $10,000,000 A EXCESS LIAR CINMS-MADE N N 9918175 03/01/2014 03/012015 AGGREGATE DED RETENTION WORKERS COMPENSATION WC STATU- OTH- ANp EMPLOYERS' LIABILITY Y I N TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT OFFICERIMEMBER E%CLUDEDT N I A (Mandatory in NH) E.L DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POUCY OMIT GARAGE UABILITY N N 9918174 03/012014 03/012015 AUTO ONLY-EA ACCIDENT $500,000 A OTHER THAN AUTO ONLY EACH ACCIDENT $500,000 -AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Amdh ACORD 101, AddlO.al Remams Schedule, it more span is required) CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR GENERAL LIABILITY. CERTIFICATE HOLDER CANCELLATION 276-176-5 1 0 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ASHLAND, OR 97520-1814 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE O 1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25 (2010f05) The ACORD name and logo are registered marks of ACORD i FEDEMTED INSURANCEqF° To Whom It May Concern, RE: TC CHEVROLET INC Enclosed is a certificate of insurance that has been renewed for a new policy term. If a copy of an additional insured or policy endorsement was requested, the document will be sent in a separate envelope. If you have any questions regarding this please contact: the Federated Insurance Client Contact Center at: Phone: 1-888-333-4949 Fax: 507-446-4664 E-mail: clientcontactcenier@fedins.com Thank you, Client Contact Center Federated Insurance Companies Enclosed: Certificate of Insurance MISC-0974 (04-13)