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
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