HomeMy WebLinkAbout531790 LDV - INSURANCE CERTIFICATELYNCMO1 OP ID: AB
44CoR0' CERTIFICATE OF LIABILITY INSURANCE
O05/12/201ATE 14
OS112/2014
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 endorsements .
PRODUCER
Hausmann -Johnson Insurance Inc
700 Regent St, PO Box 259408
CONTACT
NAME:
(MC, PHONE a E: FAX No
Madison, W153725-9408
Phil Procter/Existing
E-MAIL
ADDRESS:
INSURERIBI AFFORDING COVERAGE
NAICA
INSURERA: Travelers Casualty 81 Surety
19038
INSURED Lynch Motor Vehicle Group Inc
LDV, Inc.
180 Industrial Drive
INSURERS:
INSURERC:
INSURERD:
Burlington, W153105
NSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 2014 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.
INS"
LTR
TYPE OF
ADDL
SUBR
POLICY NUMBER
POLICY EFF
MMIDDIYYYY
POUCYEXP
MMIDDIYYYY
LIMITS
A
A
GENERAL LIABILITY
X COMMERCIAL GENERAL LIABILITY
CLAIMS -MADE OCCUR
X GARAGEKEEPERS
6303E821958
GA3E85747D
04/11/2014
04/11/2014
04/11/2015
04/17/2015
EACH OCCURRENCE
$ 1,000,00
DAMAGETORENTED
PREMISES Ea occurrence
$
MED ENT (Any one person)
$
PERSONAL SADv wduav
$
GENERAL AGGREGATE
$ 3,000,00
GEN'L AGGREGATE
POLICY
LIMIT APPLIES PER:
PRO- LOC
FCT
PRODUCTS - OOMPIOP AGO
$
$
AUTOMOBILE
LIABILITY
ANYAUTO
ALLOWNEO SCHEDULED
AUTOS AUTOS
HIREDAUTOS NON -OWNED
AUTOS
COMBINED SINGLE LIMIT
Ea amident
BODILY INJURY (Per reocn)
$
BODILY INJURY (Per accident)
$
PROPERTY DAMAGE
PERACCIDENT
$
A
4X
UMBRELUILIAB
EXCESS UPS
X
OCCUR
CLAIMS -MADE
ZUP15S3202A14NF
04/11/2014
04/11/2015
EACH OCCURRENCE
$ 25,000,00
AGGREGATE
$ 25,000,00
DEO I X I RETENTIONS 0
$
A
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY PROPRIETORPARTNER(EXECUTNE YIN
OFFICERIMEMBER EXCLUDED' ❑
(Mandatory in NH)
If yes, describe under
DE SCRIPTION OF OPERATIONS below
NIA
UB3E835686-WI
04/11/2014
04/11/2015
X I WCSTATU- OTH-
E.L. EACH ACCIDENT
$ 500,00
EL. DISEASE -EA EMPLOYEE
$ SOO,OO
EL. DISEASE - POLICY LIMIT
$ 500,000
A
BLNKT DEALERS
PHYSICAL DAMAGE
GA3E857470
04/11/2014
04/11/2015
LIMIT 12,000,000
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, B more..... I. required)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
91988.2010 ACORD CORPORATION. All rights reserved
ACORD 26 (2010/05) The ACORD name and logo are registered marks of ACORD