HomeMy WebLinkAboutInsurance Certificate: Genuine Parts Co & Subsidiaries A+L DATE(M/D SYYY)
CERTIFICATE OF LIABILITY INSURANCE I
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 -p
Aon Risk Services South, Inc. N ONE FAX (D
Atlanta GA office (A/C.No.Ext): 866-283-7122 800-363-0105(A/C.No.):
Three Ravina Drive ADDRESS: -6
22nd Floor
Atlanta GA 30346 USA
INSURERS)AFFORDING COVERAGE NAIL#
INSURED INSURER A: Old Republic Insurance Company 24147
GENUINE PARTS CO & SUBSIDIARIES INSURERB: ACE Property & Casualty Insurance Co. 20699
2999 wildwood Parkway
Atlanta GA 30339 USA INSURER C: safety National Casualty Corp 15105
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER:570117227451 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. Limits shown are as requested
LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MMlDDiYYYY MMIDDIYYY LIMITS
X COMMERCIAL GENERAL LIABILITY MWZY 4 EACH OCCURRENCE $2,000,000
CLAIMS-MADE -OCCUR DAMAGE TO "'NTED $2,000,000
PREMISES Ea occurrence
MED EXP(Any one person) $5,000
PERSONAL&ADV INJURY $2,000,000 L
GEN'LAGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $4,000,000 N
X POLICY PRO-
JECT LOG PRODUCTS-COMP/OP AGG $6,000,000 n
OTHER: o
n
A AUTOMOBILE LIABILITY MWTB 314047 25 09/01/2025 09/01/2026 COMBINED SINGLE LIMIT $5,000,000
Ea accident ..
X ANYAUTO BODILY INJURY(Per person) Z
OWNED SCHEDULED BODILY INJURY(Per accident) d
AUTOS ONLY AUTOS
HIREDAUTOS NON-OWNED PROPERTY DAMAGE ra
ONLY AUTOS ONLY Per accident)
i
61
09/O1j2026
X uMBRELLaUAB OCCUR EACH ,000,000
EXCESS LIAB CLAIMS-MADE AGGREGATE $5,000,000
DED I X RETENTION$2 5,000
C WORKERS COMPENSATION AND LDs4049768 51 57 2026 01 01 2627 X I PER STATUTE I OTTH-
EMPLOYERS'LIABILITYER
ANY PROPRIETOR/PARTNER/EXECUTIVE Y i N A05 E.L.EACH ACCIDENT $1,000,000
C OFFICER/ME MBEREXCLUDED? � N/A PS4049769 01/01/2026 01/01/2027 ..-
(Mandatory in NH) wi E.L.DISEASE-EA EMPLOYEE $1,000,000
If yyes,describe under —
DESORIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000—
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required)
City of Ashland Public worl(s/Engineering is included as Additional Insured in accordance with the policy provisions of the
General Liability and Automobile Liability policies.
c-
CERTIFICATE HOLDER CANCELLATION ® N
0
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE . m
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
0
,:• City of Ashland Public works/Engineering AUTHORIZED REPRESENTATIVE
20 East Main St. �` o
Ashland OR 97520 USA r d
o
ion
01988-2015 ACORD CORPORATION.All rights reserved.
CORD 25(2016/03) The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 10638915
LOC#:
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMEDINSURED
ADO Risk Services South, Inc. GENUINE PARTS CO & SUBSIDIARIES
POLICY NUMBER
see certificate Number: 570117227451
CARRIER NAIL CODE
See Certificate Number: 570117227451 1 EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
INSURER(S)AFFORDING COVERAGE NAIC#
INSURER
INSURER
INSURER
INSURER
AI3Ji:BI�'IOl®IAI, T�OL,IOIE� If a policy below does not include limit information,refer to the corresponding policy on the A�ORf3
certificate form for policy limits.
INSR POLICY POLICY
ADDL J11BR POLICY NIJIMIBFP EFFECTIVE EXPIRATION LINUTS
EFIR TYPE OF INSURANCE INSD WVD DATE DATE
(MMIDDIYYYY) (MM/DD[YYYY)
WORKERS COMPENSATION
C N/A SP4067845 01/01/2026 1/01/2027
Excess WC - OR
SIR applies per policy teams & condit-ons
ACORD 101(2008/01) @ 2008 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID: 10638915
LOC#:
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMEDINSURED
Aon Risk Services south, Inc. GENUINE PARTS CO & SUBSIDIARIES
POLICY NUMBER
See Certificate Number: 570117227451
CARRIER NAIL GCDE
See certificate Number: 570117227451 EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
Additional Named Insureds:
NAPA Auto Parts
Motion Industries, Inc
Motion AI
National Automotive Parts ASsociation,LLC
Balkamp
Rayloc
AST Bearings, et al
Motor Parts & Equipment corporation
Walker Automotive supplies
AutoPartsPros, LLC
ALS AUTOMOTIVE SUPPLY INC
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ACORD 101(2008/01) 0 2008 ACORD CORPORATION.All rights reserved.
The ACORD name and logo are registered marks of ACORD