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.
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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
9/8/2020
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 .