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HomeMy WebLinkAboutInsurance Certificate: TC Chevrolet Inc (2) ® DATE(MMIDDIYYYY) A o CERTIFICATE OF LIABILITY INSURANCE 10/22/2020 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 CCONTACT Ryan, J.Birr (A/c,No,,Ext): 503-640=6060 la No): 503-640-6202 Northwest Insurance Group,Inc. E-MAIL an nwinsurance,net P ADDRESS: ry 3301 NE Cornell Road,Suite.R INSURER(S)AFFORDING COVERAGE NAIC# Hillsboro OR 97124 INSURER A: ACE American Insurance Company /INSURED INSURER B INSURER C Sky,LLC INSURER D PO Box 1014INSURER E Medford OR:97501 INSURER F COVERAGES CERTIFICATE NUMBER: 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 ADDS SUUM. POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER (MMIDDIYYYY) (MMIDDIYYYY) LIMITS J COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE 1-;,71 OCCUR PREMISES(Ea occurrence) $ MED EXP(Any one person) $ 5,000 A Y SVRD42210584 11/22/2020 11/22/2021 PERSONAL BADV INJURY $ GEN'LAGGREGATE LIMITAPPLIES PER: GENERAL AGGREGATE $ 1,000,000 ✓ POLICY L 1 PROT- , LOC PRODUCTS-COMP/OPAGG $ JEC OTHER: $ COMBINED SINGLE LIMIT AUTOMOBILE LIABILITY (Ea accident)— $ BODILY INJURY(Per person) $ ANY AUTO _ — ALL OWNED — SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS —HIRED AUTOS NON-OWNED PROPERIYDAMAGE $ — AUTOS (Per accident) UMBRELLA LIAB L OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED RETENTION$ $ ' WORKERS COMPENSATION PLR Ol H- AND EMPLOYERS'LIABILITYY/N STATUTE ER • ANY PROPRIETOR/PARTNER/EXECUTIVEE.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? n N/A (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT. $ DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Premises Liability limited to designated premises only-445 Dead Indian Memorial Road,Ashland,OR 97520-Ashland Municipal Airport CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION.DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH . POLICY PROVISIONS. City of Ashland AUTHORIZ .REPRES • ATIVE-----------_-_. < 20 E.Main Street Ashland OR 97520 ��� Ryan J.Birr 1-ird�I Ate _ ! - ©1'::-.114 ACORD CO'PO r7-,Y,. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks , ACOR