CTR078955_COI.pdf
PDF 836 KB Posted
- 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
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
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