HomeMy WebLinkAboutInsurance Certificate: Phoenix Automotive Center
CERTIFICATE OF LIABILITY INSURANCE FATE14
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 colder rights to the certificate holder
In lieu of such endorsements .
PRODUCER CONTACT
FEDERATED MUTUAL INSURANCE COMPANY AM ~ CLIENT CONTACT
HOME OFFICE: P.O. BOX 328 n/cNNp Ext : 888-333-4949 FAAic Ne : 507446-4664
OWATONNA, MN 55060 nooness: CLIENTCONTACTCENTER FEDINS.COM
INSURER(S) AFFORDING COVERAGE HAIL #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 339-395-6 INSURER B: FEDERATED SERVICE INSURANCE COMPANY 28304
PHOENIX AUTOMOTIVE CENTER INC INSURER C:
PO BOX 519
PHOENIX, OR 97535 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 EFF POLICY EXP
T INSR WVD POLICY NUMBER MMIDDIYYYY MMI DIYYYY LIMITS
GENERAL LIABILITY EACH OCCURRENCE $1,000,000
COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMIS $100,000
Eaoca
CLAIMS-MADE Fx-1OCCUR MED EXP (Any one person)
A X BUSINESS OWNER'S LIABILITY N N 9365712 07/01/2014 07/01/2015 PERSONAL a ADV INJURY $1,000,000
GENERAL AGGREGATE $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMPIOP AGO $2,000,000
X POLICY JE~tr LOC
AUTOMOBILE LIABILITY COMBIadNe ED SINGLE LIMIT
e $1,000,000
X ANY AUTO BODILY INJURY (Per person)
ALLOWNED SCHEDULED
B AUTOS AUTOS N N 9365713 07/01/2014 07/01/2015 BODILY INJURY (Per accident)
HIRED AUTOS NON-OWNED PROPERTY DAMAGE
AUTOS (Per acciden
X UMBRELLA LIAR X OCCUR EACH OCCURRENCE $2,000,000
A EXCESS LIAR CLAIMS-MADE N N 9365716 07/01/2014 07/01/2015 AGGREGATE $2,000,000
LIED RETENTION
WORKERS COMPENSATION WC STATU- OTH-
AND EMPLOYERS' LIABILITY Y / N TORY LIMITS ER
ANY PROPRIETORIPARTNERIEXECUTIVE E.L. EACH ACCIDENT
OFBCERIMEMBER EXCLUDED? NIA
(Mandatory in NH) E.L DISEASE - EA EMPLOYEE
11 yes, Eescrilw under
DESCRIPTION OF OPERATIONS below El DISEASE-POLICY LIMIT
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlstl ACORD 101. Additional Remarks Shcedule, if mare space is required)
CERTIFICATE HOLDER CANCELLATION
339-395-6 10
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
FEDEMTED
INSURANCEqF®
To Whom It May Concern,
RE: PHOENIX AUTOMOTIVE CENTER 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: 507-446-1664
E-mail: clientcontactcenter@fedins.com
-Thank you;- - -
Client Contact Center
Federated Insurance Companies
Enclosed:
Certificate of Insurance
MISC-0974 (04-13)
I