Kerr_COI_7-1-25.pdf
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- Attached to
- Master Agreement AZ|CTR049799
- Contract number
- CTR049799
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Professional Insurance Strategies in Phoenix, Arizona, for Kenco OR LLC dba LSH Lights, located in Goodyear, Arizona. The insurance is provided by Auto-Owners Insurance Company and is issued for the State of Arizona Department of Public Safety, with a certificate date of 07-15-2024.
The insurance coverage includes Commercial General Liability, Garage Liability, and Automobile Liability, with policy periods from 07/01/2024 to 07/01/2025. The general liability policy has a $1,000,000 each occurrence limit and a $2,000,000 general aggregate limit. The policy covers two business locations in Goodyear, Arizona, and includes a Garage Keepers coverage with a $750,000 limit and $1,000 deductibles for comprehensive and collision. The certificate includes a waiver of subrogation for Commercial, Garage Keepers, and Auto Liability, with the State of Arizona Department of Public Safety listed as an additional insured.
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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
7152024
Professional Insurance Strategies
2822 W. Northersn Ave.
Phoenix, AZ 85051
Tony Komadina
6234639000 tony@proinsgroup.com
Kenco OR LLC dba LSH Lights
14200 W. Van Buren St. #C105C106
Goodyear, AZ 85338
AutoOwners Ins. Co. 18988
A Garage Liability Y Y 5538474901 07/01/2024 07/01/2025
1,000,000
300,000
10,000
1,000,000
2,000,000
1,000,000
A Y Y 5538474900 07/01/2024 07/01/2025
1,000,000
Medical Payments 5000
A Garage Keepers
Y Y 5538474900 0701/2024 07/01/2025
Limit $750,000
Comp $1000
Coll $1000
Certificate Holder listed as Additional Insured. General Liability and Garage Keepers coverage extended to each location:
14200 W. Van Buren St. #C105C106 & 1480 W. Van Buren St. #B101 Goodyear, AZ 85338 Waiver of Subrogation applies to Commercial, Garage Keepers, and Auto Liability.
This certificate dated 07/15/2024 supercedes prior issued certificates.
State of Arizona AZ Dept. of Public Safety
PO Box 6638
Phoenix, AZ 85005
File details come from the government source that posted it. Updated .