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HomeMy WebLinkAboutInsurance Certificate: Star Collision Centers STARCOL-01 LZHUANG ,acoRL7 CERTIFICATE OF LIABILITY INSURANCE DATE (M YYYY) 5/21/20 15 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 NAME: YouZoom Insurance Services, Inc PHONE T ac, No 877 235-3393 Ext). (ggg_ _ ) 240-8803 ( ' - 6900 College Blvd E-MAIL Ste 1000 -ADDRESS: youzoom.servicecenter@arrowheadgrp.com Overland Park, KS 66211 INSURER(S) AFFORDING COVERAGE NAIC n - - - - INSURER A Universal Underwriters Insurance Company _ 411.81 INSURED INSURER B : STAR COLLISION CENTERS, INC.(*cont'd) INSURER C 509 WEST MCANDREWS ROAD INSURER D : MEDFORD, OR 97501 INSURER E : 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 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. 'ADDLISUBR, - POLICY EFF POLICY EXP INSR LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS . A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE S 1,000,000 - DAMAGE TO RENTED - _ CLAIMS-MADE _X OCCUR X 278516 05/01/2015 05/01/2016 PREMISES (Ea occurrence) S MED EXP (Any one person; S - PERSONAL 8 ADV INJURY S GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S POLICY PRO JECT LOC PRODUCTS - COMP/OP AGO S - - OTHER COMBINED SINGLE LIMIT Ea acc dent) S 1,000,,000 AUTOMOBILE LIABILITY _0 A ANY AUTO X 278516 05/01/2015 I' 05/01/2016 BODILY INJURY (Per person) S ALL OWNED X SCHEDULED BODILY INJURY Per accident)': S _ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE S X HIRED AUTOS X AUTOS _APer accident I S X UMBRELLA LIAB X OCCUR EACH OCCURRENCE S - 4,000,000 - - - EXCESS LIAR CLAIMS-MADE DED X RETENTIONS 278516 05/01/2015',05/01/2016 AGGREGATE S 0'', :Prod/Comp Op Ag S 12,000,00 WORKERS COMPENSATION PER 0TH- AND EMPLOYERS' LIABILITY _ _S_TATUTE ER Y/N1 ANY PROPRIETOR/PARTNER/EXECUTIVE E L EACH ACCIDENT S OFFICER/MEMBER EXCLUDED? N / A ' - - j E.L. DISEASE - EA S (Mandatory in NH) EMPLOYEE F, i If yes, describe under DESCRIPTION OF OPERATIONS below E.L DISEASE -POLICY LIMIT S A 'Garage Liability' X 1278516 05/01/2015 05/01/2016 Each ACO 1,000,000 A 'Cust Auto-Dir Prim 1278516 05/01/2015', 05/01/2016 Limit*' 1,250,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) (*cont'd)DBA STAR BODY WORKS DBA, STAR 24HOUR TOWING DBA, STAR COLLISION CENTER OF ASHLAND, INC. DBA STAR COLLISION CENTERS, INC. DBA STAR COLLISION CENTER STAR COLLISION CENTER OF ROGUE RIVER, INC. *Products - Completed Operations Aggregate of $3,000,000 applies to the Garage Liability. " Customer Auto Includes On-Hook Coverage. Endorsement 0532 Applies: Certificate Holder is named as an Additional Insured - Garage Operations. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN CITY OF ASHLAND ACCORDANCE WITH THE POLICY PROVISIONS. 20 EAST MAIN STREET ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE YowZo m 1 wi,ra Se rvI wc~ @ 1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD