Loading...
HomeMy WebLinkAboutInsurance Certificate: Phoenix Automotive Center Inc '4DATE(AM/El CERTIFICATE OF LIABILITY INSURANCE 05!1512021 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 FEDERATED MUTUAL INSURANCE COMPANY NAME: CLIENT CONTACT CENTER NE FAX HOME OFFICE:P.O.BOX 328 (A/C,No,Extl:888-333-4949 (A/C,No):507-446-4664 OWATONNA,MN 55060 E-MAILDRESS:CLIENTCONTACTCENTER(a,FEDINS.COM INSURER(S)AFFORDING COVERAGE NAIC 4 INSURER A:FEDERATED MUTUAL INSURANCE COMPANY 13935 INSURED 339-395-6 INSURER B:FEDERATED RESERVE INSURANCE COMPANY 16024 PHOENIX AUTOMOTIVE CENTER INC INSURER C: PO BOX 519 PHOENIX,OR 97535-0519 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 LTR TYPE OF INSURANCE MR Sw ri POLICY NUMBER POLICY EFF POLICY EXP LIMITS (MMIDCIYEFF I (MOLIC YEXP COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $1,000,000 DAMAGE TO RENTED $100,000 CLAIMS-MADE n OCCUR PREMISES(Ea occurrence) X BUSINESS OWNER'S LIABILITY MED EXP(Arty one person) A N N 9365712 07/01/2021 07/01/2022 PERSONAL&ADV INJURY $1,000,000 GEN'L AGGREGATE LIMIT APPUES PER: GENERAL AGGREGATE $2,000,000 POLICY JECT LOC PRODUCTS-COMPIOP AGO $2,000,000 OTHER: AUTOMOBILE LIABILITY COMBINED SINGLE OMIT $1,000,000 X ANY AUTO (Ea accident) _ BODILY INJURY(Per person) OWNED AUTOS ONLY SCHEDULED B ,_ —AUTOS N N 9365713 07/01/2021 07/01/2022 BODILY INJURY(Per amidant) HIRED AUTOS ONLY NON-OWNED PROPERTY DAMAGE AUTOS ONLY (Per accident) X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $2,000,000 — A EXCESS LIAB CLAIMS-MADE N N 9365716 07/01/2021 07/01/2022 AGGREGATE $2,000,000 DED I RETENTION WORKERS COMPENSATION OTH- AND EMPLOYERS'LIABILITY Y/N PER STATUTE ER ANY PROPRIETORIPARTNERIEXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? N I A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE II yes,describe under DESCRIPTION OF OPERATIONS below E.L DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached it more space is required) I CERTIFICATE HOLDER CANCELLATION 339-395-6 1 0 CITY OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE 20 E MAIN ST THE EXPIRATION DATE THEREOF, NOTICE WILL BE DEUVERED IN ASHLAND,OR 97520-1814 ACCORDANCE WITH THE POUCY PROVISIONS. AUTHORIZED REPRESENTATIVE 6 Z © 1988-2015 ACORD CORPORATION.All rights reserved. ACORD 25(2018/03) The ACORD name and logo are registered marks of ACORD