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HomeMy WebLinkAboutInsurance Certificate: Star Collission Centers DBA Star Body Works (MM/DD/YYYY) '4~CO~RO® CERTIFICATE OF LIABILITY INSURANCE /2/2018 75 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 endorsement(s). PRODUCER CONTACT NAME: YouZoom Insurance Services, Inc PHONE I FAX 6900 College Blvd ((A//C, No Ext)~. 888-240-8803 LAIC-No): 877-835-1833 E-MAIL DDRESS: AMServiceCenter@arrowheadgrp.com - Ste 1000 A Overland Park KS 66211 INSURER(S) AFFORDING COVERAGE NAIC # INSURER A: American Guarantee and Liability Insurance 26247 INSURED STARCOL-01 INSURER B : Zurich American Insurance Company 16535 Star Collision Centers Inc, DBA Star Body Works, - DBA Star 24Hour Towing INSURER C : Great American Alliance Insurance Compan 26832 PO Box 8300 INSURER D : Medford OR 97501 INSURER E : INSURER F : COVERAGES CERTIFICATE NUMBER: 1777972137 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. INSR TYPE OF INSURANCE ADDL SUER LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CP01638679-02 5/1/2018 5/1/2019 EACH OCCURRENCE $ 1_,000,000 DAMAGE TO RENTED CLAIMS-MADE [X71 OCCUR PREMISES (Ea occurrence) $ 100_,000 MED EXP (Any one person) $ 5,000 - PERSONAL & ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER, GENERAL AGGREGATE $ 2,000,000 POLICY F PRO JECT ❑ LOC PRODUCTS - COMP/OP AGG $ 2,000,000 OTHER: $ B AUTOMOBILE LIABILITY CP01638679-02 5/1/2018 5/1/2019 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) _ J ANY AUTO ~ BODILY INJURY (Per person) $ X1 OWNED I SCHEDULED BODILY INJURY (Per accident) $ - - X1 AUTOS ONLY AUTOS HIRED X NON-OWNED PROPERTY DAMAGE XAUTOS ONLY AUTOS ONLY Per accident) $ C X UMBRELLA LIAB X OCCUR UME187316-00 5/1/2018 5/1/2019 EACH OCCURRENCE $ 4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 DED I X RETENTION $ Prod/Comp Op Ag $ 4,000,000 WORKERS COMPENSATION I PER OTH- AND EMPLOYERS' LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $ - - - - - OFFICER/MEMBER EXCLUDED? ❑ N/A (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ _ If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ B Garage Keepers CP01638679-02 5/1/2018 5/1/2019 Limit See Descrip of Ops Motor Truck Cargo Limit/Deductible $200,000/$1000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Named Insured Continued: Star Collision Center of Ashland Inc dba Star Body Works- Ashland Star collision Center of Rogue River dba Star Body Works- Rogue River Star Collision Center of Grants Pass LLC dba Star Body Works-Grants Pass Garage Keepers Limit (Per location) Loc 01: 609 West McAndrews Rd., Medford, OR 97501 - Limit $200,000 Loc 03: 930 Summit Ave., Medford, OR 97501 - Limit $500,000 See Attached... 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. 90 NORTH MOUNTAIN AVE ASHLAND OR 97520 AUTHORIZED REPRESENTATIVE USA ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: STARCOL-01 LOC AC "RO® ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED YouZoom Insurance Services, Inc Star Collision Centers Inc, DBA Star Body Works, DBA Star 241-lour Towing POLICY NUMBER PO Box 8300 Medford OR 97501 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE Loc 04: 1355 Sage Rd., Medford, OR 97501 - Limit $200,000 Loc 07: 715 Union Ave., Grants Pass, OR 97501 - Limit $200,000 Loc 08: 1000-B Summit Ave., Medford, OR 97501 - Limit $100,000 Loc 09: 1325 Sage Rd (Adj to Loc 04), Medford, OR 97501 - Limit $250,000 Loc 10: 208 Gilmore St (Adj to Loc 05), Rogue River, OR 97537 - Limit $200,000 Garage Keepers includes On Hook coverage. I ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD YouZoom Insurance Services, Inc. 6900 College Blvd., Suite 1000 Overland Park, KS 66211 CITY OF ASHLAND 90 NORTH MOUNTAIN AVE ASHLAND OR 97520 USA