ACCEPTED CTR077138 GL,AL 11.01.24-11.01.25.pdf
PDF 375 KB Posted
- Attached to
- Master Agreement AZ|CTR077168
- Contract number
- CTR077168
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for O'Rielly Motor Company, issued by Continental Casualty Company, covering operations in Arizona. The certificate involves multiple entities including O'Rielly Chevrolet, the Arizona Department of Transportation (ADOT), Broadway Property LLC, Tucson ADAS Calibration Center, Phoenix ADAS Calibration Center, and several other related business entities. The insurance policy is effective from 11/1/2024 to 11/1/2025, with Continental Casualty Company as the primary insurer.
The insurance provides comprehensive coverage including commercial general liability, automobile liability, and umbrella liability. Key coverage limits include $1,000,000 for general liability, $1,000,000 for garage liability, and $10,000,000 in umbrella liability. The policy includes specific provisions for garagekeepers coverage with direct primary comprehensive/collision coverage at different locations, including sites in Tucson and Phoenix, Arizona. The certificate indicates the coverage applies to various operational activities such as labor and repair services using both OEM and non-OEM parts, with the State of Arizona/ADOT listed as an additional insured. The policy includes waivers of subrogation and is designated as primary and non-contributory insurance.
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| 2-Financial Envelope-Proposal # 1-prop_answer.xls | XLS spreadsheet | |
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Text version
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
06/06/2025
Brightline Dealer Advisors
15301 Dallas Pkwy
Suite 400
Addison TX 75001
Mike Mortensen
(855) 955-2718 (469) 533-3854 mmortensen@brightlinedealer.com
O'Rielly Motor Company
6160 E Broadway Blvd.
Tucson AZ 85711
Continental Casualty Company 20443
A
Garage Liability
Y Y AYA737203186 11/1/2024 11/1/2025
1,000,000
5,000
1,000,000
2,000,000
2,000,000
Garage Liability 1,000,000
A Y Y AYA737203186 11/1/2024 11/1/2025
1,000,000
A
10,000
AYU737203155 11/1/2024 11/1/2025
10,000,000
10,000,000
Named Insured(s) Include:
O'Rielly Motor Company dba O'Rielly Chevrolet Arizona Department of Transportation Procurement Group Broadway Property LLC Dodge Business Plaza Partners, LLC and Reliance Management R.B. and Barbara C. ORielly Revocable Trust...(continued on Form 101)...
The State of Arizona/ADOT
Department of Transportation
206 S. 17th Ave
Phoenix AZ 85007
Andrew Lee Typewriter 100,000
Cindy Lewis Highlight
Cindy Lewis GL-AL Only
EFFECTIVE DATE:
NAMED INSURED
POLICY NUMBER
NAIC CODECARRIER
AGENCY
LOC #:
AGENCY CUSTOMER ID:
ofPageADDITIONAL REMARKS SCHEDULE
ADDITIONAL REMARKS
FORM TITLE:FORM NUMBER:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 101 (2008/01)
1 1
25 Certificate of Liability Insurance
Broadway Property LLC Tucson ADAS Calibration Center Phoenix ADAS Calibration Center, LLC
Covered Location(s) Include:
Loc 1: 6100 E Broadway Blvd, Tucson, AZ 85711 Loc 2: 4800 E 22nd St, Tucson, AZ 85711 Loc 3: 1975 N La Canoa, Green Valley, AZ 85614 Loc 4: 3631 E 44th St, Suite 125, Tucson, AZ 85713 Loc 7: 4829 S. 36th Street, Suite 5, Phoenix, AZ 85040
Garagekeepers Limited Direct Primary:
Comp / Collision Loc 1: $1,500,000 Loc 3: $100,000 Loc 4: $100,000
GK Deductible:
Collision: $2,500 Comprehensive: $2,500/$10,000 Certificate Holder is added as additional insured for ongoing operations, completed operations per contract. Waiver of Subrogation applies. Coverage is primary and noncontributory.
Umbrella follows Form. Ongoing ops include: Labor and Repair with Non-OEM Parts, Labor and Repair with OEM Parts, and OEM Parts. The insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT
RE:BPM006653RE: CTR077138
NAMED INSURED ENDORSEMENT
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy.
Garage Policy Endorsement
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
It is understood and agreed that the words “you” and “your”, as used throughout this policy, also refer to the following persons or organizations:
NAMED INSUREDS
O'Rielly Chevrolet Broadmont Associates Limited Partnership Rincon Etal Investments, Inc.
O'Rielly Ventures, Inc.
O'Rielly Family Foundation Palo Verde II, LLC Town of Marana Tucson ADAS Calibration Center (TACC)
Desert Preferred Insurance, LLC
Draper Insurance Service, LLC
Patricia Pettis Trust 2/1/77
Broadway Property, LLC
Phoenix ADAS Calibration Center, LLC
Amy O'Rielly Draper GST/OMC IP-2015 West Deer Valley Road, LLC The State of Arizona/ADOT
All other terms and conditions of the policy remain unchanged.
Highlight
Garage Policy
ENDORSEMENT
Form No: CNA104504XX (07-2022) Policy No: AYA737203186 Endorsement Effective Date: 5/30/2025 Policy Effective Date: 11/1/2024 Endorsement No: 2 Underwriting Company: Continental Casualty Company, 151 N Franklin St Chicago, IL 60606
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) O'Rielly Chevrolet Broadmont Associates Limited Partnership Rincon Etal Investments, Inc.
O'Rielly Ventures, Inc.
O'Rielly Family Foundation Palo Verde II, LLC Town of Marana Tucson ADAS Calibration Center (TACC) Desert Preferred Insurance, LLC Draper Insurance Service, LLC Patricia Pettis Trust 2/1/77 Broadway Property, LLC Phoenix ADAS Calibration Center, LLC Amy O'Rielly Draper GST/OMC The State of Arizona/ADOT
Section II – General Liability Coverages is amended as follows:
A. Paragraph D. Who Is An Insured is amended to include as an "insured" the person(s) or organization(s) shown in the Schedule above, but 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 "auto dealer operations"; or
2. In connection with your premises owned by or rented to you.
However:
1. The insurance afforded to such additional "insured" only applies to the extent permitted by law; and
2. If coverage provided to the additional "insured" is required by a contract or agreement, the insurance afforded to such additional "insured" 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 Paragraph F. Limits Of Insurance – General Liability Coverages:
If coverage provided to the additional "insured" is required by a contract or agreement, the most we will pay on behalf of the additional "insured" is the amount of insurance:
1. Required by the contract or agreement; 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.
Highlight
Garage Policy
ENDORSEMENT
Form No: CNA104504XX (07-2022) Policy No: AYA737203186 Endorsement Effective Date: 5/30/2025 Policy Effective Date: 11/1/2024 Endorsement No: 2 Underwriting Company: Continental Casualty Company, 151 N Franklin St Chicago, IL 60606
Includes copyrighted material of Insurance Services Office, Inc. with its permission.
All other terms and conditions of the policy remain unchanged.
This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy.
Form No: CNA86105XX (06-2016) Endorsement Effective Date: 5/30/2025 Endorsement No: 2 Page:
Underwriting Company: Cont inenta l Casua l ty Company
Policy No: AYA737203186 Policy Effective Date: 11/1/2024 Policy Page:
© Copyright CNA All Rights Reserved.
POLICY NUMBER: AYA737203186 COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
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: O'Rielly Motor Company
Endorsement Effective Date: 5/30/2025
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
The State of Arizona/ADOT 206 S. 17th Ave Phoenix, AZ 85007
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.
COMMERCIAL AUTO
CA 04 49 11 16
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1
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".
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