HomeMy WebLinkAboutInsurance Certificate: TC Chevrolet inc.
FEDEMTED
INSURANCEv®
To Whom It May Concern,
RE: TC CHEVROLET 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: 507-446-4664
E-mail: clientcontactcenter@fedins.com
Thank you, - - -
Client Contact Center
Federated Insurance Companies
Enclosed:
Certificate of Insurance
MISC-0974 (04-13)
01/10/
018
CERTIFICATE OF LIABILITY INSURANCE DA' 01/10/2018
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 rights to the certificate holder in lieu of such endorsements .
PRODUCER CONTACT
NAME: CLIENT CONTACT CENTER
FEDERATED MUTUAL INSURANCE COMPANY
PHONE F
HOME OFFICE: P.O. BOX 328 (AC, Ext : 888-333-4949 AA/c No : 507-446-4664
OWATONNA, MN 55060 ADDRESS: CLIENTCONTACTCENTER FEDINS.COM
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: FEDERATED MUTUAL INSURANCE COMPANY 13935
INSURED 276-176-5 INSURER B:
TC CHEVROLET INC INSURER C:
PO BOX 249
ASHLAND, OR 97520-0249 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 SUBR POLICY NUMBER POLICY EFF POLICY EXP LIMITS
LTR INSR WVD MMIDD/YYYY MMIDD/YYYY
X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $500,000
DAMAGE To CLAIMS-MADE ~ OCCUR PREMISES Ea occurrrence$100,000
MED EXP (Any one person) $5,000
A N N 9918174 03/01/2018 03/01/2019 PERSONAL & ADV INJURY $500,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $1,000,000
POLICY El PRO ❑ LOC PRODUCTS -COMP/OP AGG $1,000,000
JECT
NOTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
Ea acciden
ANY AUTO BODILY INJURY (Per person)
OWNED AUTOS ONLY SCHEDULED AUTOS BODILY INJURY (Per accident)
HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE
AUTOS ONLY Per acciden
X UMBRELLA LIAO X OCCUR EACH OCCURRENCE $15,000,000
A EXCESS LIAR CLAIMS-MADE N N 9918175 03/01/2018 03101/2019 AGGREGATE.
DED RETENTION
WORKERS COMPENSATION PER STATUTE OTH-
AND EMPLOYERS' LIABILITY Y / N ER
ANY PROPRIETORIPARTNERIEXECUTIVE ❑ E.L. EACH ACCIDENT
OFFICERIMEMBER EXCLUDED? N I A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE
If yes, describe under E.L DISEASE - POLICYLIMIT
DESCRIPTION OF OPERATIONS below
AUTO DEALER LIABILITY N N 9918174 03/01/2018 03/01/2019 AUTO LIAB - EA ACCIDENT $500,000
A GENERAL LIABILITY
- EACH ACCIDENT $500,000
- AGGREGATE $1,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101• Additional Remarks Schedule, may be attached it more space is required)
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR
GENERAL LIABILITY.
CERTIFICATE HOLDER CANCELLATION
276-176-5 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 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD