CTR077360 Certificate of Insurance.pdf

PDF 2 MB Posted

Attached to
Master Agreement AZ|CTR077360
Contract number
CTR077360
Issued by
Arizona

About this file

This document is a comprehensive insurance certificate and related policy endorsements for Earnhardt Management Company, issued by Travelers Insurance. The primary certificate holder is the State of Arizona, specifically the Arizona Department of Transportation and Arizona Department of Public Safety, located in Phoenix, AZ. The insurance covers multiple Earnhardt-affiliated entities, including various automotive dealerships, properties, and related businesses across Arizona, such as Earnhardt Hyundai, Earnhardt Cadillac, Earnhardt Ford Sales Company, and multiple limited liability companies.

The insurance policies provide comprehensive commercial general liability, commercial auto, and workers' compensation coverage with policy periods from January 1, 2025 to January 1, 2026. Coverage limits include $1,000,000 for general liability, $15,000,000 for umbrella liability, and $500,000 for workers' compensation. The policies include additional insured provisions for the State of Arizona and its departments, with coverage that is primary and non-contributory. Special endorsements cover areas such as host liquor liability, transportation expenses, damage to rented premises, and blanket additional insured provisions. The policies also include waivers of subrogation and provisions for various operational scenarios specific to auto dealership and related business activities.

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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

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

6/2/2025

Lovitt & Touché A Marsh and McLennan Agency, LLC 8605 E. Raintree Drive, Suite 200 Scottsdale AZ 85260

Betsy Fillicelli 602-397-0263

Betsy.Fillicelli@MarshMMA.com

Travelers Indemnity Company of CT 25682 EARNMAN-C2 Travelers Property Casualty Co of Amer 25674

Earnhardt Management Company 7300 W. Orchid Ln Chandler AZ 85226-1000

641518012

B X 1,000,000 X 300,000

Excluded

1,000,000

2,000,000 X

Y Y Y6303199R343 1/1/2025 1/1/2026

2,000,000

B 1,000,000

X

X Garagekeeper

Y Y AD5F695664 1/1/2025 1/1/2026

B X 15,000,000CUP9N995644 1/1/2025 1/1/2026

15,000,000

A X

N

Y UB9J419008 1/1/2025 1/1/2026

500,000

500,000

500,000 B Garagekeepers Legal Liability Y Y AD5F695664 1/1/2025 1/1/2026 Auto Only

Other Than Auto Only Aggregate

$1,000,000 $1,000,000 $3,000,000

See attached Named Insured Schedule.

Certificate Holder is an Additional Insured and coverage is Primary and Non-Contributory as respects to General Liability per forms CGD411 04-08; CGT100 02-19; CAT619 01-18 and CAT618 01-18. Waiver of Subrogation applies to General Liability; Auto Liability and Workers’ Compensation per forms CG2453 12-19; CAT425 12-18 and WC000313(00)-003. All if required by written contract, subject to all policy terms, conditions, definitions and exclusions.

Named Insured: SR24Meridian QOZB, LLC

State of Arizona, ADOT and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees shall be named as additional insureds if required by written contract, subject to all policy terms, conditions, definitions and exclusions.

The State of Arizona; Arizona Department of Transportation; and Arizona Department of Public Safety 1324 N 22nd Ave. MD 128A Phoenix AZ 85009

THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE

Cindy Lewis Accepted

First Named Insured: Earnhardt Management Company Policy Numbers and Insurers: As per attached Certificate or Evidence

Named Insureds 777 Properties, LLC Axle G, Inc. Dba: Genesis of Scottsdale Desert Hyundai, Inc. dba Earnhardt Hyundai North Scottsdale Durham Real Estate, LLC Earnhardt Arizona Properties, LLC Earnhardt Avondale Hyundai, Inc. dba Earnhardt Hyundai Earnhardt Avondale, Inc. dba Earnhardt Honda Earnhardt Buick GMC, Inc.

Earnhardt Cadillac, Inc.

Earnhardt Chandler Cadillac, Inc. dba Desert Cadillac Earnhardt Comprehensive Health and Welfare Benefit Plan 501 Earnhardt Enterprises, Inc. dba Earnhardt Toyota Scion Earnhardt Ford Sales Company Earnhardt Management Company Earnhardt Properties Limited Partnership Earnhardt Ranches, LLC Earnhardt Saving Plan 194048-01 Earnhardt's Gilbert Dodge, Inc. dba Earnhardt Chrysler Jeep Dodge Ram JB Earnhardt, Inc. dba Earnhardt Lexus No Bull, LLC Only Champions, Inc.

Presly Investments, LLC Rodeo Ford, Inc.

Rodeo QCC, Inc. dba Earnhardt Queen Creek Chrysler Dodge Jeep Ram San Tan Hyundai, Inc dba Earnhardt Hyundai San Tan San Tan Hyundai, Inc. dba Earnhardt Genesis of Gilbert Tex Chevrolet, Inc. dba Earnhardt Chevrolet Tex K, Inc., dba Earnhardt Peoria Kia Cloud No Bull, LLC No Bull 202, LLC Driftwood TX, LLC SR24Meridian QOZB, LLC 7th & Colter, LLC NBQOZB Minority Ptr, LLC No Bull QOZ Fund, LLC No Bull QOZ Fund II, LLC No Bull Legacy, LLC Tex Surprise, LLC 303 No Bull, LLC D&D Mesa, LLC Tex G, Inc. dba: Genesis of Chandler

Cindy Lewis Highlight

COMMERCIAL GENERAL LIABILITY

POLICY NUMBER: Y6303199R343 ISSUE DATE: 01-01-25

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - DESIGNATED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name of Additional Insured Person(s) or Organization(s):

"ANY PERSON OR ORGANIZATION WITH WHOM YOU HAVE AGREED IN A WRITTEN

CONTRACT, EXECUTED PRIOR TO LOSS, TO NAME AS AN ADDITIONAL INSURED,

BUT ONLY FOR THE LIMITS AGREED TO IN SUCH CONTRACT OR THE LIMITS OF

INSURANCE OF THIS POLICY, WHICHEVER IS LESS."

Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage", "personal injury" or "advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

A. In the performance of your ongoing operat ions: or B. In connection with your premises owned by or rented to you.

Page 1 of 1CG D4 11 04 08 © 2008 The Travelers Companies, Inc.

Includes the copyrighted material of Insurance Services Office, Inc. with its permission.

INSURED:

POLICY #: POLICY PERIOD: TO:

Earnhardt Management Company

Y6303199R343 01/01/2025 01/01/2026

01/01/2025 01/01/2026Y6303199R343

AD5F695664 01/01/2025 01/01/2026

COMMERCIAL AUTO

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET 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

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 who you are required SECTION IV –CONDITIONS, but only for Generalunder a written contract or agreement between Liability Coverages:you and that person or organization that is signed by you before: Regardless of the provisions of paragraphs d.

and f. of this part 5. Other Insurance, thisa. The "bodily injury" or "property damage" insurance is primary to and non-contributory withoccurs; or applicable other insurance under which an

b. The "personal injury" or "advertising injury" additional insured person or organization is the offense is committed; first named insured when the written contract or agreement between you and that person orand that is in effect during the policy period, to organization, that is signed by you before:name as an additional insured for general liability coverage, but only for damages because of (1) The "bodily injury" or "property damage" "bodily injury", "property damage", "personal occurs; or 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 19 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.

Earnhardt Management Company

01/01/2025 01/01/2026Y6303199R343

01/01/2025 01/01/2026AD5F695664

UB9J419008

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