CTR078955_COI.pdf

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Attached to
AZ|CTR078955
Contract number
CTR078955
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for Sands Motor Company, issued by Marsh & McLennan Agency LLC, covering multiple insurance policies from The Charter Oak Fire Insurance Company, Travelers Property Casualty Co of America, and General Security Indemnity Co of Arizona. The certificate is for the Arizona Department of Public Safety, with a policy period from 03/01/2025 to 03/01/2026. The named insured includes multiple affiliated entities such as Sands Motor Company, Sands Properties LLC, Sands Chevrolet LLC, and several other related business entities.

The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella Liability, and Garagekeepers Legal Liability. Physical damage coverage is provided for multiple locations in Arizona, with total physical damage limits ranging from $3,900,000 to $12,090,000 across three different locations in Glendale and Surprise. The policies include additional insured provisions and a waiver of subrogation in favor of the Arizona Department of Public Safety. Coverage limits include $1,000,000 for each occurrence, $2,000,000 general aggregate, and $15,000,000 for umbrella liability. The policy also covers transportation expenses, physical damage, and various other automotive-related risks inherent to a motor vehicle dealership operation.

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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

9/11/2025

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

602-956-2250

The Charter Oak Fire Insurance Company 25615 Travelers Property Casualty Co of Amer 25674

Sands Motor Company PO Box 95 Glendale AZ 85311

General Security Indemnity Co of AZ 20559

1546086755

A X 1,000,000 X 300,000

5,000

1,000,000

2,000,000 X

Y Y Y6309X495371COF25 3/1/2025 3/1/2026

2,000,000

A 1,000,000

X

X Garagekeeper

Y Y ADA87810842514 3/1/2025 3/1/2026

B X X 15,000,000Y CUPA91884582514 3/1/2025Y 3/1/2026

15,000,000 X 100,000

A C

Garagekeepers Legal Liability Auto Dealers Physical Damage

Y Y ADA87810842514

264440182703

3/1/2025 3/1/2025

3/1/2026 3/1/2026

Aggregate Aggregate

$3,000,000 See below

Physical Damage Coverages:

Location #1: 5148 NW Grande Ave., Glendale, AZ - Physical Damage Limit: $3,900,000 - Deductible: $5,000 Per Auto / $15,000 Per Occurrence Location #2: 13474 N. Auto Show Ave., Surprise, AZ - Physical Damage Limit: $12,090,000 - Deductible: $5,000 Per Auto / $15,000 Per Occurrence Location #3: 16991 W. Waddell, Surprise, AZ - Physical Damage Limit: $8,580,000 - Deductible: $5,000 Per Auto / $15,000 Per Occurrence

Certificate Holder is Additional Insured and coverage is Primary and Non-Contributory as respects to General Liability and Auto Liability. Waiver of Subrogation in favor of Certificate Holder applies to General Liability and Auto Liability. All if required by written contract, subject to all policy terms, conditions, definitions and exclusions.

See Attached...

Arizona Department of Public Safety 2102 W Encanto Blvd Phoenix AZ 85009

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:

1 1

Marsh & McLennan Agency LLC Sands Motor Company PO Box 95 Glendale AZ 85311

25 CERTIFICATE OF LIABILITY INSURANCE

Additional Insured/Waiver of Subrogation in favor of: State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees with respect to liability arising out of the activities performed by or on behalf of the Contractor.

Policy Numbers: See below

Insurers: as per attached certificate

First Named Insured: Sands Motor Company, Inc.

Policy Term: 03/01/2025 – 03/01/2026

Named Insureds

Sands Motor Company, Inc.

Sands Motor Company Sands Properties LLC Sands Chevrolet LLC Sands Surprise Real Estate Chevy LLC Sands Imports LLC d/b/a Sands Kia Sands Surprise Real Estate Kia LLC Bell Road Holdings LLC Louis Sands IV Real Estate LLLP Sands Insurance Agency LLC Sands Motor Company 401k Profit Sharing Plan

LS IV H20 LLC LS

IV Management Co.

JP Morgan Chase Bank ISAOA Sands Surprise Real Estate Imports LLC LS IV Management Co

Policy Numbers

General Liability: Y6309X495371COF25 Auto Dealers/Garagekeepers: ADA87810842514 Dealers Physical Damage: 264440182703 Umbrella: CUPA91884582514

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.

Sands Motor Company

03/01/2025 03/01/2026Y6309X495371COF25

ADA87810842514 03/01/2025 03/01/2026

03/01/2025 03/01/2026ADA87810842514

File details come from the government source that posted it. Updated .