CTR059315 Certificate of Insurance.pdf

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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

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WC ONLY