ACCEPTED ANY_ALL GL,AL 06.01.24-06.01.25.pdf
PDF 180 KB Posted
- Attached to
- Master Agreement AZ|CTR069470
- Contract number
- CTR069470
- Issued by
- Arizona
About this file
The document is a Certificate of Liability Insurance and associated endorsements for an auto insurance policy issued by Federated Mutual Insurance Company to Courtesy Chevrolet, Inc. in Phoenix, Arizona. The policy includes the Arizona Department of Transportation (ADOT) as a designated insured and covers commercial auto liability with an effective date of 06/01/2024 and an expiration date of 06/01/2025. The insurance provides coverage under an Auto Dealers Coverage Form with a $10,000,000 umbrella liability limit and additional endorsements for designated insured status and waiver of subrogation.
The policy provides comprehensive auto liability coverage for Courtesy Chevrolet, specifically extending coverage to the Arizona Department of Transportation. Key coverage details include a $10,000,000 aggregate limit, auto dealer liability protection, and provisions that make this insurance primary to any other available insurance. The endorsements modify standard coverage terms to ensure ADOT is protected under the policy, with specific provisions preventing the insurance carrier from seeking contribution from other insurance sources. The policy appears to be structured to meet specific contractual requirements between Courtesy Chevrolet and the Arizona Department of Transportation, with carefully defined terms of coverage and mutual protection clauses.
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Text version
Cindy Lewis Accepted
POLICY NUMBER: 6074187 COMMERCIAL AUTO
CA 20 48 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.
This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Auto Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: Courtesy Chevrolet, Inc
Endorsement Effective: 06/01/2024
SCHEDULE
Name of Person(s) Or Organization(s):
Arizona Department of Transportation 1739 W Jackson St Ste B-Md # 100p Phoenix, AZ 85007-3218
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
POLICY NUMBER: 6074187 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: Courtesy Chevrolet, Inc
Endorsement Effective Date: 06/01/2024
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Arizona Department of Transportation
1739 W Jackson St Ste B-Md # 100p
Phoenix, AZ 85007-3218
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
COMMERCIAL AUTO
CA 04 49 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:
1. Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".
B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:
1. Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".
© Insurance Services Office, Inc., 2016 Page 1 of 1 CA 04 49 11 16 Policy Number: 6074187 Transaction Effective Date: 06/01/2024
| Commercial Package Policy 6074187 |
| Auto Dealer |
| CA 04 44 Waiver of Transfer of Rights of Recovery Against Others to Us |
| CA 04 49 Primary and Noncontributory - Other Insurance Condition |
| CA 20 48 Designated Insured for Covered Autos Liability Coverage |
| State of Arizona.PDF |
| Job 1: State of Arizona |
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