CTR059315 Certificate of Insurance.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR060638
- Contract number
- CTR060638
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate package for Courtesy Chevrolet, Inc., located in Phoenix, Arizona, involving multiple insurance endorsements from Federated Mutual Insurance Company and USI Insurance Services LLC. The primary parties include Courtesy Chevrolet, the Arizona Department of Transportation (ADOT), and CopperPoint Premier Insurance Company. The documents cover various commercial auto insurance policies, including liability, workers' compensation, and specific endorsements related to auto dealer coverage.
The insurance package provides multiple layers of coverage, including a $10 million umbrella liability policy and a workers' compensation policy with $1,000,000 in coverage limits. The policies are effective from June 1, 2021, to June 1, 2022, with specific endorsements addressing primary and non-contributory insurance conditions, waiver of subrogation rights, and designated insured status for the Arizona Department of Transportation. The documents include provisions for auto dealer liability, commercial auto coverage, and workers' compensation, with specific attention to primary insurance status and contractual agreements between Courtesy Chevrolet and the state transportation department.
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Text version
e6906
GL - AL ONLY
© Insurance Services Office, Inc., 2011
POLICY NUMBER: 6074187
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.
COURTESY CHEVROLET, INC
06-01-2021
ARIZONA DEPARTMENT OF
TRANSPORTATION
1739 W JACKSON ST STE B-MD #
100P
PHOENIX AZ 85007
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The 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 Page 1 of 1
COMMERCIAL AUTO
CA 04 44 10 13
Named Insured:
Endorsement Effective Date:
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Transfer Of Rights Of Recovery Against Others To Us
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
© Insurance Services Office, Inc., 2016
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.
The following is added to the Condition in the Business Auto Coverage Form and the 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:
Such "insured" is a Named Insured under such other insurance; and
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".
The following is added to the 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:
Such "insured" is a Named Insured under such other insurance; and
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".
CA 04 49 11 16 Page 1 of 1
COMMERCIAL AUTO
CA 04 49 11 16
A. Other Insurance
Other Insurance - Primary And Excess Insurance Provisions
1.
2.
B. Other Insurance
1.
2.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
© Insurance Services Office, Inc., 2011
POLICY NUMBER: 6074187
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.
COURTESY CHEVROLET, INC
06-01-2021
ARIZONA DEPARTMENT OF TRANSPORTATION
1739 W JACKSON ST STE B-MD # 100P
PHOENIX AZ 85007
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 of Section - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph of Section - Covered Autos Coverages of the Auto Dealers Coverage Form.
CA 20 48 10 13 Page 1 of 1
COMMERCIAL AUTO
CA 20 48 10 13
Named Insured:
Endorsement Effective:
SCHEDULE
Name of Person(s) Or Organization(s):
A.1. II
D.2.
I
DESIGNATED INSURED FOR
COVERED AUTOS LIABILITY COVERAGE
e6906
WC ONLY
| ECM converted document |
| Page 1 |
| Page 2 |
| CA 04 44 Waiver of Transfer of Rights of Recovery Against Others to Us |
| Page 1 |
| CA 04 49 Primary and Noncontributory - Other Insurance Condition |
| Page 1 |
| CA 20 48 Designated Insured For Covered Autos Liability Coverage |
| Page 1 |
| Page 2 |
| The State of Arizona COIWaiver of sub R.pdf |
| The State of Arizona.pdf (p.1-2) |
| IMPORTED FROM PDF PRINT DRIVER.PDF (p.3) |
| APPROVED CTR059315 WC 01.01.22 - 01.01.23.pdf |
| ECM converted document |
| Page 1 |
| Page 2 |
| CA 04 44 Waiver of Transfer of Rights of Recovery Against Others to Us |
| Page 1 |
| CA 04 49 Primary and Noncontributory - Other Insurance Condition |
| Page 1 |
| CA 20 48 Designated Insured For Covered Autos Liability Coverage |
| Page 1 |
| Page 2 |
| The State of Arizona COIWaiver of sub R.pdf |
| The State of Arizona.pdf (p.1-2) |
| IMPORTED FROM PDF PRINT DRIVER.PDF (p.3) |
File details come from the government source that posted it. Updated .