ACCEPTED CTR069472 GL,AL,CYBER LIABILITY 03.015.23-03.01.24.pdf
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- Attached to
- Master Agreement AZ|CTR069472
- Contract number
- CTR069472
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Shepherd Insurance, LLC on January 18, 2024, for VVG Holdings LLC, Freightliner of Arizona, LLC, and Los Angeles Truck Centers, LLC. The certificate covers multiple insurance carriers including Travelers Indemnity Co of Connecticut, AGCS Marine Insurance Co, Starstone National Ins Co, Travelers Property Casualty Co of America, and Houston Casualty Company. The certificate holder is the Arizona Department of Transportation, located in Phoenix, Arizona.
The insurance coverage includes Commercial General Liability with a $1,000,000 per occurrence limit, Automobile Liability with a $1,000,000 combined single limit, Garage Liability with a $1,000,000 Garagekeepers Limit, Umbrella/Excess Liability with a $10,000,000 limit, and Cyber Liability with a $5,000,000 total limit. The policies are effective from March 1, 2023 to March 1, 2024, with automatic additional insured status and waiver of subrogation when agreed in writing in a contract or agreement. The document also lists numerous affiliated businesses and doing-business-as (DBA) entities across multiple states, including locations in California, Arizona, and Nevada, primarily involving truck dealerships, fleet services, and vehicle-related businesses.
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Text version
01/18/2024
Shepherd Insurance, LLC.
111 Congressional Boulevard Suite 100 Carmel IN 46032
CERT DEPT
(317) 846-5554 (317) 846-5444 certs@shepherdins.com
VVG Holdings LLC, Freightliner of Arizona, LLC, Los Angeles Truck Centers, LLC 2429 South Peck Rd Whittier CA 90601
Travelers Indemnity Co of Connecticut 25666 AGCS Marine Insurance Co 22837 Starstone National Ins Co 44776 Travelers Property Casualty Co of America 25674 Houston Casualty Company
CL2322888745
A AD4W92732323/AD4W92474A 03/01/2023 03/01/2024
1,000,000 100,000
1,000,000 2,000,000 2,000,000
A
Garage Liab Garagekeepe
AD4W92732323/AD4W92474A 03/01/2023 03/01/2024
1,000,000
Garagekeepers Limit ACV
CD
CUP4W970835/77553L231ALI 03/01/2023 03/01/2024
10,000,000 10,000,000
E Cyber Liability
H23NGP223617 03/15/2023 03/15/2024 Total Limit $5,000,000
Automatic additional insured status when agreed in writing in a contract or agreement for auto liability on a primary & non-contributory basis per form CAT618 01/18. Automatic additional insured status when agreed in writing in a contract or agreement for general liability "your operations" (including ongoing and completed ops liability) on a primary & non-contributory basis per form CAT621 01/18. A waiver of subrogation for general/auto liability is automatic when agreed in writing in a contract or agreement per form CAT340 02/15. All in accordance with the policy terms, conditions and exclusions. Garage Comp/Coll Deds $5000 Each
Arizona Department of Transportation 1655 W. Jackson St.
Phoenix AZ 85007
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
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.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
F0950 Accepted
IM1270 03 99
IM1270 03 99 Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LOSS PAYABLE ENDORSEMENT
In addition to the policy "terms" contained within the Commercial Inland Marine Coverage(s), the following conditions apply to described property as shown on the Loss Payable Schedule:
LOSS PAYABLE
Any loss will be adjusted with "you" and will be payable to "you" and the loss payee described on the "declarations" as "your" and their interests appear.
LENDER'S LOSS PAYABLE
Any loss will be payable to "you" and the loss payee described on the "declarations" as interests appear.
If more than one loss payee is named, they will be paid in order of precedence.
The insurance for the loss payee continues in effect even when "your" insurance may be void because of "your" acts, neglect, or failure to comply with the coverage "terms". The insurance for the loss payee does not continue in effect if the loss payee is aware of changes in ownership or substantial increase in risk and does not notify "us".
If "we" cancel this policy, "we" will notify the loss payee at least ten days before the effective date of cancellation if "we" cancel for "your" nonpayment of premium, or 30 days before the effective date of cancellation if "we" cancel for any other reason.
"We" may request payment of the premium from the loss payee, if "you" fail to pay the premium.
If "we" pay the loss payee for a loss where "your" insurance may be void, the loss payee's right to collect that portion of the debt from "you" then belongs to "us". This does not affect the loss payee's right to collect the remainder of the debt from "you".
As an alternative, "we" may pay the loss payee the remaining principal and accrued interest in return for a full assignment of the loss payee's interest and any instruments given as security for the debt.
If "we" choose not to renew this policy, "we" will give written notice to the loss payee at least ten days before the expiration date of this policy.
CONTRACT OF SALE
Any loss will be adjusted with "you" and will be payable to "you" and the loss payee described on the "declarations" as "your" and their interests appear.
The loss payee described above is a person or organization "you" have entered into a contract with for the sale of covered property.
When covered property is the subject of a contract of sale, the word "you" also means the loss payee.
All terms and conditions of this policy apply unless modified by this endorsement.
Contains copyrighted material of American Association of Insurance Services.
© American Association of Insurance Services, 1998
Policy #MXI93079185
Bekki Hicks Typewriter
D o no t a tta ch th is fo rm to a p ol ic y.
I t i s f or in fo rm at io na l u se o nl y.
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET ADDITIONAL INSURED FOR COVERED AUTOS
COVERAGES – PRIMARY AND NON-CONTRIBUTORY
WITH OTHER INSURANCE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
2. The following is added to Paragraph 5., OtherPROVISIONS
Insurance, in B., General Conditions, of
1. The following is added to Paragraph c. in D.2., SECTION IV –CONDITIONS, but only for Who Is An Insured, of SECTION I – COVERED
Covered Autos Liability Coverage:
AUTOS COVERAGES:
Regardless of the provisions of paragraphs a. and This includes any person or organization who you
f. of this part 5. Other Insurance, this insurance are required under a written contract or is primary to and non- contributory with applicableagreement between you and that person or other insurance under which an additional insuredorganization, that is signed by you before the person or organization is the first named insured"bodily injury" or "property damage" occurs and when a written contract or agreement betweenthat is in effect during the policy period, to name you and that person or organization, that isas an additional insured for auto liability signed by you before the "bodily injury" orcoverage, but only for damages to which this "property damage" occurs and that is in effectinsurance applies and only to the extentof that during the policy period, requires this insurance toperson's or organization's liability for the conduct be primary and non-contributory.of another "insured".
CA T6 18 01 18 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission
Bekki Hicks Typewriter
AD4W9273323/AD4W92474A
Bekki Hicks Typewriter no t a tta ch th is fo rm to a p ol ic y.
I t i s f or in fo rm at io na l u se o nl y.
COMMERCIAL AUTO
POLICY NUMBER: ISSUE DATE:
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED FOR GENERAL LIABILITY
COVERAGES – PRIMARY AND NON-CONTRIBUTORY
WITH OTHER INSURANCE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS
PROVISIONS
b. In connection with your premises owned by or1. The following is added to Paragraph D., Who Is rented to you.An Insured, of SECTION II – GENERAL
LIABILITY COVERAGES: 2. The following is added to Paragraph 5., Other
Insurance, in B., General Conditions, ofAny person or organization designated in the SECTION IV –CONDITIONS, but only for GeneralSchedule Of Additional Insured Persons Or Liability Coverages:Organizations who you are required under a written contract or agreement between you and Regardless of the provisions of paragraphs d.
that person or organization, that is signed by you and f. of this part 5. Other Insurance, this insurance is primary to and non-contributory withbefore:
applicable other insurance under which the
a. The "bodily injury" or "property damage" person or organization designated in the occurs; or Schedule Of Additional Insured Persons Or
b. The "personal injury" or "advertising injury" Organizations is the first named insured when the offense is committed; written contract or agreement between you and that designated person or organization, that isand that is in effect during the policy period, to signed by you before:name as an additional insured for general liability
(1) The "bodily injury" or "property damage"coverage, but only for damages because of occurs; or"bodily injury", "property damage", "personal injury" or "advertising injury" caused, in whole or (2) The "personal injury" or "advertising injury" in part, by your acts or omissions or the acts or offense is committed;
omissions of those acting on your behalf:
and that is in effect during the policy period,
a. In the performance of your ongoing "auto requires this insurance to be primary and non-dealer operations"; or contributory.
CA T6 21 01 18 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Bekki Hicks Typewriter
AD4W9273323/AD4W92474A
Bekki Hicks Typewriter
Bekki Hicks Typewriter
1. "Any person or organization with whom you have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy, any any other person or organization you are required to add as an additional insured under the contract or agreement."
no t a dd th is fo rm to a p ol ic y.
It is fo r i nf or m at io na l p ur po se s o nl y.
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BLANKET WAIVER OF SUBROGATION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident" or "loss", provided that the CONDITIONS Section: "accident" or "loss" arises out of the operations
5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap-ers To Us plies only to the person or organization desig-nated in such contract.We waive any right of recovery we may have against any person or organization to the extent
CA T3 40 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.
Bekki Hicks Typewriter
AD4W9273323/AD4W92474A
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