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HomeMy WebLinkAboutTown & Country Chevrolet Olds CERTIFICATE OF INSURANCE The American Hardware Mutual Insurance Company Issue Date 02/20/06 PRODUCER SOLTIS KEVIN 937 PO BOX 435 MINNEAPOLIS, MN 55440-0435 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW INSURED TOWN & COUNTRY CHEVROLET OLDS INC AS PER ATTACHED PO BOX 249 ASHLAND, OR 97520 COMPANIES AFFORDING COVERAGE A. American Hardware Mutual Insurance Company B. C. ACCOUNT NO.: 0283812 COVERAGES: THIS IS TO CERTIFY THAT 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 Vl/1TH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL TERMS, CO TYPE OF INSURANCE POLICY NUMBER EFF EXP LIMITS DATE DATE A GENERAL LIABILITY 2322332 03/01/06 03/01/07 GENERAL AGGREGATE $ 1,000,000 [Xl COMMERCIAL GENERAL LIABILITY PRODUCTS - COMP/OP AGG. $ [ 1 CLAIMS MADE [Xl OCCURRENCE PERSONAL & ADVERTISING INJURY $ 500,000 [ 1 OWNERS & CONTRACTORS PROT. EACH OCCURRENCE $ 500,000 FIRE DAMAGE $ 100,000 MEDICAL EXPENSE (Anyone person) $ 5,000 A AUTOMOBILE LIABILITY 2322332 03/01/06 03/01/07 COMBINED SINGLE LIMIT $ [ 1 ANY AUTO [Xl ALL OWNED AUTO BODILY INJURY (Per person) $ [Xl SCHEDULED AUTOS [Xl HIRED AUTOS BODILY INJURY (Per accident) $ [Xl NON-OWNED AUTOS PROPERTY DAMAGE $ [Xl GARAGE LIABILITY COMBINED SINGLE LIMIT-EACH ACC. $ 500,000 [Xl GARAGE LIABILITY OTHER THAN AUTO AGGREGATE $ 1,500,000 [Xl GARAGE KEEPERS GARAGE KEEPERS LIMIT $ 1,800,000 A EXCESS LIABILITY 2322333 03/01/06 03/01/07 EACH OCCURENCE $ 10,000,000 [Xl UMBRELLA FORM AGGREGATE $ 10,000,000 [ 1 OTHER THAN UMBRELLA FORM WORKERS COMPENSATION & STATUTORY LIMITS EMPLOYERS LIABILITY EACH ACCIDENT $ DISEASE - POLICY LIMIT $ DISEASE - EACH EMPLOYEE $ OTHER DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLES RESTRICTIONS/SPECIAL ITEMS: CERTIFICATE HOLDER IS ADDITIONAL INSURED PER FORM CG 2024 CITY RECORDER'S CC)PV CANCELLATION: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR CITY OF ASHLAND REPRESENTATIVES. 20 E MAIN ST AUTHORIZED REPRESENTATIVE ASHLAND, OR 97520 ~~ 511-7411 (1-02) - T ACCOUNT NUMBER: 0283812 SALES REP: SOLTIS KEVIN 937 IT IS HEREBY UNDERSTOOD THAT THE INSURED'S NAME READ AS FOLLOWS: TOWN & COUNTRY CHEVROLET OLDS INC COURTESY INC DBA COURTESY LEASING & RENT-A-CAR DBA SOUTHERN OREGON SUBARU-VOLVO- MITSUBISHI AIRPORT CHEVROLET INC DBA DOLLAR GMC OLDSMOBILE DBA AIRPORT CHEVROLET VALLEY INVESTMENTS PROMOTIONS COURTESY COMMERCIAL PROPERTY & DEVELOPMENT INC ALAN & REBECCA DEBOER AS PARTNERS ALAN DEBOER AS INDIVIDUAL JAMES DAVID MILLS AS INDIVIDUAL DUANE WALLACE AS INDIVIDUAL DBA DENTS PLUS ~ T POLICY NUMBER: 6-2322332 COMMERCIAL GENERAL LIABILITY THIS ENDORSEMENT CHANGES THE POUCY. PLEASE READ IT CARI:FULL Y. ADDITIONAL INSURED - OWNERS OR OTHER INTERESTS FROM WHOM LAND HAS BEEN LEASED This endorsement modifies insurance provided under the following: COMMERCIAL GENERAL LIABILITY COVERAGE PART. SCHEDULE Designation of Premises (Part Leased to You): 403 DEAD INDIAN ROAD ASHLAND OREGON Name of Person or Organization: CITY OF ASHLAND 20 E MAIN STREET ASHLAND OR 97520 (If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.) WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule but only with respect to liability arising out of the ownership, maintenance or use of that part of the land leased to you and shown in the Schedule and subject to the following additional ex- clusions: This insurance does not apply to: 1. Any "occurrence" which takes place after you cease to lease that land; 2. Structural alterations, new construction or demoli- tion operations performed by or on behalf of the person or organization shown in the Schedule. CG 20 24 11 85 Copyright, Insurance Services Office, Inc., 1984 Page 1 of 1 o Loss Payee