HomeMy WebLinkAboutInsurance Certificate: Town & Country Chevrolet ............... ..........
. ............... ............
. .. ... DATE(MMIDDNY
A CORD ]:'t.ERTlFlCATE,...0f. LIABILITY.-INSURANCE'
01/16/12
XN o
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
FEDERATED MUTUAL INSURANCE COMPANY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
Home Office: P.O. Box 328 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Owatonna, MN 55060 COMPANIES AFFORDING COVERAGE
Phone: 1-888-333-4949 COMPANY FEDERATED MUTUAL INSURANCE COMPANY OR
A FEDERATED SERVICE INSURANCE COMPANY
INSURED 276-176-5 COMPANY
TOWN & COUNTRY CHEVROLET B
OLDSMOBILE INC
PO BOX 249 - COMPANY
ASHLAND OR 97520 C
COMPANY
D
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.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POUCY EXPIRATION LIMITS
LTR I DATE(MMIDDNY) DATE(MMIDDNY)
GENERAL LIABILITY GENERAL AGGREGATE s 1,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $
A I .
I CLAIMS MADE 1XI OCCUR 9918174 03/01/12 03/01/13 PERSONAL&ADV INJURY s 500,000
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE 11 500,000
FIRE DAMAGE(Any one fire) 4; 100,000
MED EXP(Any one person) II _510-0-0
AUTOMOBILE LIABILITY :,: , .
COMBINED SINGLE LIMIT e
ANY AUTO
ALL OWNED AUTOS
BODILY INJURY
SCHEDULED AUTOS (Per person)
HIRED AUTOS rr" 'BODILY INJURY 7 41 fr;C
NON-OWNED AUTOS (Pefaccident)
PROPERTY DAMAGE II
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ 500,000
ANY AUTO OTHER THAN AUTO ONLY
A 9918174 03/01/12 03/01/13 EACH ACCIDENT $ 500,000
AGGREGATE $ 1,000,000
EXCESS LIABILITY EACH OCCURRENCE $10,000,000
A X UMBRELLA FORM 9918175 03/01/12 03/01/13 AGGREGATE $10,000,000
OTHER THAN UMBRELLA FORM 1;
WC STATU- OTH
WORKERS COMPENSATION AND TOR,LIMITS ER
EMPLOYERS'UABIUTY EL EACH ACCIDENT $
THE PROPRIETOR/ INCL EL DISEASE POLICY LIMIT $
PARTNERS/EXECUTIVE
OFFICERS ARE: EXCL R 5,� (a f 9 11 v 19 rn EL DISEASE-EA EMPLOYEE II
OTHER
u
JAN 2 3 2012
DESCRIPTION OF OPERATIONSILOCATIONSM ICLESISPECIAL I S"
CERTIFICATEHOLDER IS AN ADDITIONAL INSURED FOR
GENERAL LIABILITY.
Ck7iTIFkCATE HOLDER .. XIOX": C:
:.::CANCELLATION
.................................. ....... ........................
2761765. CITY-OF ASHLAND SHOULD ANY OF THE ABOVE DESCRIBED I POLICIES BE CANCELLED BEFORE THE
20 E MAIN ST EXPIRATION DATE THEREOF, THE.ISSUING COMPANY WILL ENDEAVOR TO MAIL
ASHLAND OR 97520 10 DAYS WRITTEN NOTICE TO:THE.CERTIFICATE HOLDER NAMED TO THE LEFT.
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
OF MY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVE
PRESIDUG_.,
ACOIip 255 E11951 ............
vACORD,CORP
CORPORATION 19$B