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HomeMy WebLinkAboutInsurance Certificate: TC Chevrolet Inc AC DATE IMM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 0129=14 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(les) 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 endorsements . PRODUCER CoxrwCT CLIENT CO A CENTER FEDERATED MUTUAL INSURANCE COMPANY HOME OFFICE: P.O. BOX 328 A CNNO Ex1 : 888-3334949 a/c No): 507-4464664 OWATONNA, MN 55060 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM INSURERS AFFORDING COVERAGE NAIC N 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 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 SUER POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR INSR WVD MMI IVYYV MMI I V GENERAL LIABILITY EACH OCCtE $500,000 X COMMERCIAL GENERAL LIABILITY PREMISES $100,000 CLAIMS-MADE ~ OCCUR MED EXP ()$5,000 A N N 9918174 03/01/2014 03/01/2015 PERSONAL Y $500,000 GENERAL A$1,000,000 GEN'L AGGREGATE LIMIT APPLIES PERPRODUCTS GO $1,000,000 X POLICY j Co- LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea a fddwO ANY AUTO BODILY INJURY (Per person) ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY (Per accident) NON-OW HIRED AUTOS AUTOS NED PROPERTY DAMAGE AUTOS e I H ,.W ii X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $10,000,000 A EXCESS LIAR CLAIMS-MADE N N 9918175 03/0112014 03/01/2015 AGGREGATE DED RETENTION WORKERS COMPENSATION WC STATU- OTH- AND EMPLOYERS' LIABILITY y y N TORY LIMITS ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N I A (Merrsetory in NH) E.L. DISEASE - EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below EL DISEASE - POLICY LIMIT GARAGE UASILITY N N 9918174 03/01/2014 03/01/2015 AUTO ONLY-EA ACCIDENT $500,000 A OTHER THAN AUTO ONLY - EACH ACCIDENT $500,000 - AGGREGATE $1,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS 1 VEHICLES (Mbn:h ACORD 101, Additional Remarks Schedule, If mare span ie 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 (2010105) The ACORD name and logo are registered marks of ACORD i EEDEMTED INSURANCEqFTo 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: clientcontactcenter@fedins.com Thank you,- Client Contact Center Federated Insurance Companies Enclosed: I Certificate of Insurance MISC-0974 (04-13)