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HomeMy WebLinkAboutInsurance Certificate: Star Collision Centers (2) STARCOL-01 LZHUANG ACORO CERTIFICATE OF LIABILITY INSURANCE DATD/YVYY) 5//2121/2 /2015 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 FAX 6900 College Blvd (A/C, No, Ext): (888) 240-8803 (A/C, No): (877) 235-3393 Ste 1000 E-MAIL Overland Park, KS 66211 ADDRESS: youzoom.Servicecenter@arrowheadgrp.com INSURER(S) AFFORDING COVERAGE _ NAIC # _ INSURER A : Universal Underwriters Insurance Company 41181 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: F 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 -POLICY EFF POLICY EXP TYPE OF INSURANCE INSD' WVD POLICY NUMBER MM/DD/YYYY MM/DD/YVYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 X DAMAGE TO RENTED CLAIMS-MADE OCCUR 278516 05/01/2015 05/01/2016 PREMISES (Ea occurrence) S MED EXP (Any one person) S ! ! PERSONAL & ADV INJURY I S GEN'L AGGREGATE LIMIT APPLIES PER GENERAL AGGREGATE $ PRO- POLICY JECT LOC _PRODUCTS - COMP/OP AGG S - OTHER. S AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT S 1,000,000 ANY AUTO , (Ea accident - 278516 05/0112015 05101/2016 BODILY INJURY (Per person) $ ALL I - OWNED X SCHEDULED AUTOS AUTOS BODILY INJURY (Per acc(dent) $ NON-OWNED ! I PROPERTY DAMAGE X HIRED AUTOS X AUTOS I (Per accident} X UMBRELLA LIAB X OCCUR I EACH OCCURRENCE S 4,000,000 A EXCESS - - - _ LIAB CLAIMS-MADOE 278516 'I I i 05/01/2015 05/01/2016 AGGREGATE DED X RETENTIONS I S Prod/Comp Op Ag $ 12,000,000 PER I OTH ! AND EMPLOYERS' LIABILITY CI I N / A _ E L ANYCERIMEXCLUDD STATUTE ER . ANY PROPRIETOR/PARTNER/EXECUTIVE EACH ACCIDENT I (Mandatory in NH) ! ` E .L DISEASE - EA EMPLOYEE: $ yes, describe under 'D DESCRIPTION OF OPERATIONS below E .L. DISEASE - POLICY LIMIT S A Garage Liability* 278516 11 05/01/2015 05/01/2016 :Each Acc 1,000,000 A Cust Auto-Dir Prim 278516 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 IDEA, 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. SEE ATTACHED ACORD 101 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE CITY OF ASHLAND THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 90 NORTH MOUNTAIN AVE ASHLAND, OR 97520 AUTHORIZED REPRESENTATIVE Yoc,~z v .I vt~c ~Se.~vice~, Inc/1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: STARCOL-01 LZHUANG LOC 1 - - ACORO ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED ouZoom Insurance Services, Inc STAR COLLISION CENTERS, INC.('cont'd) 509 WEST MCANDREWS ROAD Poucv NUMBER ]MEDFORD, OR 97501 EE PAGE 1 CARRIER NAIC CODE EE PAGE 1 SEE P 1 EFFECTIVE DATE: SEE PAGE 1 ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance Description of Operations/LocationsNehicles: Unicover Policy carries liability limits of $1,000,000 underlying along with a $4,000,000 Commercial Umbrella for a total liability limit of $5,000,000 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