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HomeMy WebLinkAboutInsurance Certificate: Star Collison Centers ,,,t iY RECORDER ACOKO' CERTIFICATE OF LIABILITY INSURANCE DA E(MM D DWY L� 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 CERTICATE HOLDER 1 IMPORTANT:. If the certificate holder is an ADDITIONAL INSURED, the policy(ies) 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 certificate holder in lieu of such endorsement(s). PRODUCER CONTACT Arrowhead Automotive Aftermarket Service Center YouZoom Insurance Services Inc. NAME: 7045 College Blvd., 4th floor (A/C No. EXT): 888- 240 -8803 FAX No): 877 -835 -1833 Overland Park, KS 66221 E DSS: AMServiceCenter@arrowheadgrp.com Fax:877- 835 -1833; PH: 888 240 -8803, Option 1 INSURER(S) AFFORDING COVERAGE NAIC INSURED 0125514 -00 INSURER A: Universal Underwriters Insurance Company 41181 STAR COLLISION CENTERS, INC. INSURER Universal Underwriters of Texas Ins. Co. 40843 NAMED INSURED CONTINUES ON PAGE 3 INSURER C: 509 WEST MCANDREWS ROAD INSURER D: MEDFORD, OR 97501 INSURER E: 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. 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 ADD'LSUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS LTR NSRnyNn (MM/DDIYYYY) (MM/DD/YYYY) A GENERAL LIABILITY El EACH OCCURENCE $300,000 COMMERICAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES (Ea occurrence) CLAIMS MADE OCCUR MED EXP (My one person) 278516. 05/01/2014 05/01/2015 PERSONAL B ADV INJURY GENERAL AGGREGATE GEN'L AGGREGATE LIMIT APPLIES PER: ID LO LOC. PRODUCTS COMP /OP AGG AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT A (Ea Accident) $300,000 ANY AUTO BODILY INJURY (Per person) ALL OWNED AUTOS SCHEDULED AUTOS 278516 05/01/2014 05/01/2015 BODILY INJURY (Per accident) PROPERTY DAMAGE Z HIRED AUTOS (Per accident) I NON -OWNED AUTOS I 1 COMP /COI I DFD UMBRELLA LIAB OCCUR EACH OCCURRENCE 5,000,000 ®EXCESS LIAB CLAIMS -MADE AGGREGATE A 278516 05/01/2014 05/01/2015 El DEDUCTIBLE PRODUCTS COMP/OP AGG 15,000,000 RETENTION 0 WORKERS COMPENSATION AND WC STATU- 0TH EMPLOYERS'IJABILITV TORY LIMITS ER ANY PROPRIETOR°PARTNERIEXECUTIVE Y/ N OFFICER/MEMBER EXCLUDED? NIA E.L. EACH ACCIDENT (Mandatory in NH) E.L. DISEASE -EA EMPLOYEE If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE POLICY LIMIT S A GARAGE LIABILITY 276516 05/01/2014 05/01/2015 OTHER THAN AUTO ONLY 300,000* 1--1 EACH ACC: 1 1 ANYAIITD 278516 05/01/2014 05/01/2015 1,200,000 Limit A CUSTOMER AUTO DIRECT PRIMARY Includes On Hook Coverage DESCRIPTION OF OPERATIONS LOCATIONS VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space Is required) Reason for Certificate: GENERAL LIABILITY. See Additional Remarks Schedule Attached CERTIFICATE HOLDER CANCELLATION CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 90 NORTH MOUNTAIN AVE ACCORDANCE WITH THE POLICY PROVISIONS. ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE YouZoom Insurance Services Inc. ©1988 -2010 ACORD CORPORATION, All rights reserved ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. 1988-2010 ACORD CORPORATION, All rights reserved ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: 0125514 -00 LOC A !1' ADDITIONAL REMARKS SCHEDULE Page_3 3 AGENCY NAMED INSURED I YouZoom Insurance Services Inc. STAR COLLISION CENTERS, INC. NAMED INSURED CONTINUES ON.PAGE 3 POLICY NUMBER 509 WEST MCANDREWS ROAD 278516 MEDFORD, OR 97501 CARRIER NAIC CODE Universal Underwriters Insurance Company 41181 EFFECTIVE DATE: 05/01/2014 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE -TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: Certificate Of Liability Insurance NAMED INSURED 01: STAR COLLISION CENTERS, INC. DBA, STAR BODY WORKS DBA, STAR 24HOUR TOWING DBA, STAR COLLISION CENTER OF ASHLAND, INC. DBA STAR COLLISION CENTERS, INC. DBA STAR COLLISION CENTERSTAR COLLISION CENTER OF ROGUE RIVER, INC. `Products Completed Operations Aggregate of $900,000 applies to the Garage Liability. Unicover Policy carries liability limits of $300,000 underlying along with a $5,000,000 Commercial Umbrella for a total liability imit of $5,300,000 per occurrence. Auto Liability coverage includes Broadened Coverage Other Property (Cargo in Customers Autos and Trailers)" ACORD 101 (2008/01) 2008 ACORD CORPORATION, All rights reserved. The ACORD name and logo are registered marks of ACORD