Kenco_COI_8-26-21.pdf

PDF 83 KB Posted

Attached to
Master Agreement AZ|CTR049799
Contract number
CTR049799
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Kenco OR LLC dba LSH Lights, located in Goodyear, Arizona. The insurance is issued by American Zurich Insurance Company and Starstone National Insurance Company, with YouZoom Insurance Services acting as the insurance producer. The certificate holder is the State of Arizona/Arizona Department of Public Safety, located in Phoenix, Arizona.

The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella Liability, and Garagekeepers insurance. The policies are effective from 8/26/2020 to 8/26/2021, with various coverage limits. Notably, the Garagekeepers coverage includes On-Hook coverage with limits of $750,000 for the Goodyear, AZ location and $300,000 for the Gilbert, AZ location. The certificate holder is named as an Additional Insured, and there is a Waiver of Transfer of Rights of Recovery Against Others for the Commercial General Liability and Commercial Auto Liability policies.

View the file

Other files

Show all 14

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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

9/8/2020

YouZoom Insurance Services, Inc 6900 College Blvd Ste 1000 Overland Park KS 66211

888-240-8803 877-835-1833 AMServiceCenter@arrowheadgrp.com

American Zurich Insurance Company 40142 KENCORL-01 Starstone National Insurance Company 25496

Kenco OR LLC dba LSH Lights 14200 W Van Buren #C104, #105, #106 Goodyear AZ 85338

880952960

A X 1,000,000 X 1,000,000

5,000

2,000,000

Y Y EPK9869063-04 8/26/2020 8/26/2021

2,000,000

A 1,000,000

X X X

Y Y EAP9869064-04 8/26/2020 8/26/2021

B X X 3,000,00071314A200ALI 8/26/2020 8/26/2021

X 0

A Garagekeepers EAP9869064-04 8/26/2020 8/26/2021 Limit see Desc of Ops

Garagekeepers includes On-Hook coverage.

Covered Locations and Garagekeepers Limits at each Policy Location:

14200 W Van Buren #C104, #105, #106 Goodyear AZ 85338 / Limit: $750,000 2100 W Obispo Gilbert AZ 85233 / Limit: $300,000 Certificate Holder is named as an Additional Insured.

Waiver of Transfer of Rights of Recovery Against Others to Us applies to the Commercial General Liability and Commercial Auto Liability

State of Arizona/Arizona Department of Public Safety PO Box 6638 Phoenix AZ 85086

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