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HomeMy WebLinkAboutInsurance Certificate: Star Collision Centers DBA Star Body Works (2) ~ DATE IMMlDDlYYYY) CERTIFICATE 0►F LIABILITY INSURANCE 4/28/2017 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 have ADDITIONAL INSURED provisions or 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 ri hts to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME.-- - - - - - YOUZoom Insurance Services, Inc PHONE 1 FAX 6900 College Blvd E-MAIL 888-240 8803 i~lc~N~i 877-835-1833 Ste 1000 ADDRE~s_AMServiceCenter@ arrowheadgrp.com Overland Park KS 66211 INSURER(S) AFFORDING COVERAGE ~ NAIC # INSURER A :Zurich American Insurance Company 2624 _ INSURED STARCOL-01 INSURER B - - - Star Collision Centers, Inc. DBA Star Body INSURER c Works, Star 24Haur Towing, Star Collision _ ~ _ _ _ _ _ _ _ _ _ _ _ _ - Center of Ashland, Inc. INSURER D : 1024 Summit Ave INSURER E_ _ - Medford OR 97501 INSURER F COVERAGES CERTIFICATE NUMBER:124663296 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 TH{S 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 60C ~ POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CP01638679-01 5/1/2017 5/1/2018 EACH OCCURRENCE _ _ _ $1,000,000 DAMAGE TO RENTED 1 CLAIMS-MADE C X OCCUR PREMISES ~Ea occurrences $100,000 MED EXP (Any one person) $5,000 PERSONAL & ADV INJURY $1,000,000 _ _ _ ~I { - - _ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,600,004 _ POLICY ~ ECT LOC PRODUCTS -COMP/OP AGG $2,000,000 OTHER: - - $ COMBINED SINGLE LIMIT 1,000,000 A AUTOMOBILE LIABILITY CP01638679-01 511/2017 5/1/2018 Ea accident $ t _ _ - ANYAUTO BODILY INJURY (Per person} $ X OWNED SCHEDULED .BODILY INJURY (Per accident) $ AUTOS ONLY AUTOS HIRED - NON-OWNED PROPERTY DAMAGE X AUTOS ONLY X AUTOS ONLY (Per accident) $ - - - $ A X UMBRELLA LIAB X UMB1638680-01 5/1/2017 5/1/2018 EACH OCCURRENCE $4,000,000 OCCUR EXCESS LIAB ! CLAIMS-MADE AGGREGATE $4,000,000 DED X RETENTION$0 Prad/Comp 0p A $4,000,000 WORKERS COMPENSATION PER OTH- - _ ANDEMPLOYERS' LIABILITY STATUTE ER_-_ ANY PROPRIETORIPARTNER/EXECUTIVE Y 1 N E.L. EACH ACCIDENT $ OFFICERIMEMBER EXCLUDED? ~ N ! A _ - _ _ - _ _ _ _ _ (Mandatory in NH) E.L. DISEASE - EA EMPLOYE $ If yes, describe under _ - - - _ - DESCRIPTION OF OPERATIONS below I E.L. DISEASE -POLICY LIMIT $ A Garage Keepers-Direct Primary CP01638679-01 5/112017 51112018 Limit See Below DESCRIPTION OF OPERATIONS !LOCATIONS /VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Garage Keepers Limits: (per location} Loc 01:609 West McAndrews Rd., Medford, OR 97501 -Limit $150,000 Loc 03: 930 Summite Ave., Medford, OR 97501 -Limit $500,000 Loc 04;1355 Sage Rd., Medford, OR 97501 -Limit $200,000 Loc 07: 715 Union Ave., Grants Pass, OR 97501 -Limit $100,000 Loc OS:1000-B Summit Ave., Medford, OR 97501 -Limit $100,000 See Attached... 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 90 NORTH MOUNTAIN AVE ACCORDANCE WITH THE POLICY PROVISIONS. ASHLAND OR 97520 USA AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: STARCOL-01 LOC d ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED YouZoom Insurance Services, Inc Star Collision Centers, Inc. DBA Star Body Works, Star 24Haur Towing, Star Collision POLICY NUMBER Genter of Ashland, Inc. 1024 Summit Ave CARRIER NAIC CODE Medford OR 97501 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER; 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Loc 09.1325 Sage Rd.,(Adj to Loc 04) Medford, OR 97501 -Limit $250,000 Loc 10.208 Gilmore St., Rogue River, OR 97537 -Limit $200,000 Garage Liability is afforded under General Liability coverage part of the ZSpire Policy. Garage Keepers includes On-Hoak coverage. ACORD 101 (2008101 ~ n 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD