ACCEPTED CTR069479 GL,AL,WC 10.01.23-04.28.24.pdf

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

E-MAIL

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

1/24/2024

JD Fulwiler & Co Ins 5727 S Macadam Ave Portland OR 97239

Megan McGlohn 503-977-5659 503-977-5859 mmcglohn@jdfulwiler.com

Saif Corporation 36196 SCHENOR-01 Zurich American Insurance Co 16535

Schetky NorthWest Sales Inc 8430 NE Lombard Street Portland OR 97220

EMC Insurance Company 25186

392443780

C X 1,000,000 X 300,000

X WA Stop Gap 5,000

1,000,000

3,000,000 X X

Y Y 4X92281 4/28/2023 4/28/2024

3,000,000

WA Stop Gap 1,000,000 C 1,000,000

X

X X X Garage

Y Y 4X92281 4/28/2023 4/28/2024

C X X 5,000,0004X92281 4/28/2023 4/28/2024

5,000,000 X 10,000

A B

520632 (Oregon)

0189481 (AZ/KS/MO)

10/1/2023 10/1/2023

10/1/2024 10/1/2024

1,000,000

1,000,000

1,000,000

C DEALERS OPEN LOT *

GKLL *

4X92281 4/28/2023 4/28/2024 Limit

Limit Deductible

16,600,000 3,500,000

DEALERS OPEN LOT LIMITS – Total Limit $16,600,000

8430 NE Killingsworth St, Portland, OR 97220 – Limit $3,500,000 1408 Courtesy Rd, High Point, NC 27260 – Limit $4,000,000 2300 W 4th St, Oswego, KS 67356 – Limit $500,000 407 South 107th Ave, S#16, Tolleson, AZ 85353 – Limit $600,000 19843 US 6, New Paris IN 46553 – Limit $1,500,000 2367 Century Drive, Goshen IN 46528 – Limit $1,500,000 See Attached...

Arizona Dept of Transportation 1324 N 22nd Ave MD 128A Phoenix AZ 85009

F0950 Accepted

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

SCHENOR-01

1 1

JD Fulwiler & Co Ins Schetky NorthWest Sales Inc 8430 NE Lombard Street Portland OR 97220

25 CERTIFICATE OF LIABILITY INSURANCE

2624 S 112 St., Unit A2, Lakewood WA 98499 – Limit $1,000,000 4111 E “B” St, Pasco, WA 99301 – Limit $1,500,000 4025 E “B” St, Pasco, WA 99301 – Limit $2,500,000

UNNAMED LOCATIONS:

$1,000,000 Total Limit $250,000 In Transit

OWNED VEHICLES INCLUDED IN DEALERS OPEN LOT LIMITS

**Deductible:

$ 1,000 Comprehensive – Unlimited Maximum deductible for all such loss in any one event $ 1,000 Collision – For each covered auto $ 2,500 Wind & Hail / Unlimited (Kansas & North Carolina Locations)

Dealer Plates – 9 (OR) Dealer Plates – 13 (WA)

GARAGEKEEPERS LEGAL LIABILITY LIMITS

8430 NE Killingsworth St, Portland, OR 97220 - Limit $1,000,000 407 South 107th Ave, S#16, Tolleson AZ 85353 - Limit $500,000 2624 S 112 St., Unit A2, Lakewood WA 98499 - Limit $500,000 4111 E “B” ST. Pasco WA 99301 - Limit $1,000,000 4025 E “B” ST. Pasco WA 99301 - Limit $500,000

Coverage Basis: Direct Primary

**Deductible: Oregon $ 2,000 Comprehensive - $10,000 Maximum in Any One Loss $ 2,000 Collision- for each customer’s auto

**Deductible: Washington & Arizona $ 500 Comprehensive - $2,500 Maximum in Any One Loss $ 500 Collision- for each customer’s auto

RE: Contract Number - CTR069479

AZ Motor Vehicle Dealer Bond #106711996 - Limit $100,000.00 - Term: 5/11/2023 to 5/11/2024; Insurance Carrier: Travelers Casualty & Surety Co.

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insured as respects operations of the named insured subject to policy terms, conditions & exclusions as required by written contract. The umbrella policy extends over the primary General Liability, Automobile, & Employers Liability policies. 30 days notice of cancellation applies.

COMMERCIAL GENERAL LIABILITY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – PERSONS OR ORGANIZATIONS – AUTOMATIC

STATUS WHEN REQUIRED IN WRITTEN CONTRACT OR AGREEMENT –

PRIMARY AND NONCONTRIBUTORY

CG7411(10-13) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1

This endorsement modifies the insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

A. Section II – Who Is An Insured is amended to include as an additional insured:

1. Any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy; and

2. Any other person or organization you are required to add as an additional insured under the contract or agreement described in Paragraph 1. above.

Such person(s) or organization(s) is an additional insured only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations;

or

2. In connection with your premises owned or rented to you.

However, the insurance afforded to such additional insured described above:

1. Only applies to the extent permitted by law; and

2. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

The most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement described in Paragraph A.1.; or

2. Available under the applicable Limits of Insurance shown in the Declarations;

whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

C. The following is added to the Other Insurance

Condition and supersedes any provision to the contrary:

Primary and Noncontributory Insurance

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

(1) The additional 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 the additional insured.

D. All other terms and conditions of this policy remain unchanged.

COMMERCIAL GENERAL LIABILITY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET WAIVER OF SUBROGATION WHEN REQUIRED IN A WRITTEN

CONTRACT OR AGREEMENT

CG7555(2-19) Includes copyrighted material of ISO Properties, Inc. with its permission. Page 1 of 1

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:

We waive any right of recovery we may have against any person or organization because of payments we make for injury or damage arising out of:

1. Your ongoing operations; or

2. “Your work” included in the “products-completed operations hazard”.

However, this waiver applies only when you have agreed in writing to waive such rights of recovery in a written contract or agreement, and only if the written contract or agreement:

1. Is in effect or becomes effective during the term of this policy; and

2. Was executed prior to loss.

A s r e q u i r e d b y w r i t t e n c o n t r a c t .

Policy #: 4X92281

Policy #: 4X92281 www.saif.com

400 High Street SE Salem, OR 97312 P: 800.285.8525 F: 503.373.8020

Pol_PC1_E430B

Carrier no: 20001 Endorsement no: WC000313 (Ed. 430B)

SAIF policy: 520632 Schetky Northwest Sales Inc

Waiver of Our Right to Recover from Others Endorsement

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

Description: ALL OPERATIONS

Contractor name: Persons and/or organizations with whom the insured-employer is required by written contract to waive subrogation rights.

This endorsement does not alter the rights of an injured worker to pursue recovery from another party or SAIF to receive a statutory share of recoveries by an injured worker, even from the party listed in the schedule.

The premium charge for this endorsement is based on one (1) percent of your manual premium.

Effective date: October 01, 2022

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

WC000313

(Ed. 430B)

Countersigned August 27, 2022 at Salem, Oregon

Chip Terhune President and Chief Executive Officer

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 04-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective Policy No. Endorsement No.

Insured Premium $ Insurance Company Countersigned by______________________________Zurich American Insurance Company

10/01/2022 WC 0189481 - 06

Schetky Northwest Sales Inc

Copyright 1983 National Council on Compensation Insurance, Inc.WC124 (4-84)

WC 00 03 13