Stop_and_Go_COI_2025.pdf

10/24/2024

Bennett & Porter Insurance Services 3200 N Hayden Rd Suite 310 Scottsdale AZ 85251-6655

Natina Callum

(480) 212-1150 (480) 212-1151 ncallum@bennettandporter.com

Stop and Go Inc, DBA: Stop and Go Driving School 13771 N Fountain Hills Blvd #114-349

Fountain Hills AZ 85268

Western World Insurance Company 13196 Infinity Auto Insurance Company 11738 Burlington Ins. Co.

Berkshire Hathaway GUARD Insurance Companies

CL24102464633

A Y 01-C-PK-P20123614-0 10/23/2024 10/23/2025

1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000

B Y 50015515901 10/23/2024 10/23/2025

1,000,000

1,000,000 Medical payments 5,000

C 10,000

309BE04433-03 10/23/2024 10/23/2025

2,000,000 2,000,000

D Y R2WC590943 02/01/2024 02/01/2025

1,000,000 1,000,000 1,000,000

Additional Named Insured: Affordable Traffic School. The following are included as additional insured on general liability and auto liability when required by written agreement subject to the policy terms and conditions. Waiver of subrogation applies on general liability, auto liability, workers compensation.

Az Dept. of Transportation Mail Drop 558M Records Unit- MOTOR VEH DIV.

PO Box 2100 Phoenix AZ 85001

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

Drive Safe Az Traffic School

Stop and Go Defensive driving school

Stop and Go Driving School

Stop and Go Traffic School

Additional Named Insured

Additional Named Insured

Doing Business As

Additional Named Insured

Additional Named Insureds

Other Named Insureds

OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC

Part A - Liability Coverage, is changed as follows:

The definition of insured is changed to include the additional insured named above. Adding an insured will not increase the limit of our liability. The insurance provided by this endorsement will be excess over any other valid and collectible insurance.

All other parts of this Policy remain unchanged.

Copy To

ADDITIONAL NAMED INSURED ENDORSEMENT

Policy ID Number Expiration Date

This endorsement is attached to and forms a part of the policy. No changes will be effective prior to the time changes are requested.

Named Insured

50250AIS01

Additional Insured

12:01 a.m.

AMEND DATE:

ENDORSEMENT:

Customer Service: Claims Service:

Infinity Commercial Auto

Underwritten by: Infinity Auto Insurance Company

"11700 Great Oaks Way, Suite 450" "Alpharetta, GA 30022"

(800) 722-3391 (800) 334-1661

AZ Dept of Transportation Mail Drop 558M Records Unit-Motor Veh Div PO Box 2100 Phoeniz, AZ 85001

502-50001-1007-001 10/23/2024

Stop and Go Inc DBA Stop and Go

AZ Dept of Transportation Mail Drop 558M

WAIVER SUB COPY 10/23/2023

3-1

PRIMARY AND NONCONTRIBUTORY ENDORSEMENT

AMEND DATE:

ENDORSEMENT:

This endorsement modifies the insurance provided under your COMMERCIAL AUTO POLICY.

PART A – LIABILITY COVERAGE

OTHER INSURANCE – PART A ONLY

The following is added to this section:

The coverage afforded under your Commercial Auto Policy is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

a. You have agreed in writing in a contract or agreement that the coverage afforded under your Commercial Auto Policy would be primary and would not seek contribution from any other insurance available to such additional insured; and

b. Such additional insured is a named insured under such other insurance.

ALL OTHER TERMS, LIMITS, CONDITIONS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.

Customer Service: Claims Service:

Policy ID Number Expiration Date

This endorsement is attached to and forms a part of the listed policy.

The following endorsement applies only if Form Number 500PNCV01 appears on your Declarations Page.

Copy To

Named Insured

12:01 a..m.

500PNCV01

Infinity Commercial Auto

Underwritten by: Infinity Auto Insurance Company

"11700 Great Oaks Way, Suite 450" "Alpharetta, GA 30022"

(800) 722-3391 (800) 334-1661

502-50001-1007-001 10/23/2024

Stop And Go Inc Dba Stop And Go

WAIVER SUB COPY 10/23/2023

3-1

Important Information

Agency

BENNETT AND PORTER INSURANCE SERVICES LLC

3200 N HAYDEN RD STE 310

Scottsdale, AZ 85251

STOP AND GO INC

DBA/TA STOP AND GO DRIVING SCHOOL

13771 N Fountain Hills Blvd Ste 114 PMB 349 Fountain Hills, AZ 85268

Changes to Your Workers' Compensation Policy

Policy Number R2WC590943 with AmGUARD Insurance Company

Policy Period From February 1, 2024 to February 1, 2025, 12:01 AM, standard time at the insured's mailing address.

Party Requesting the Change and Type of Endorsement

The Agent - Added 0_040 effective 02/01/2024

State: AZ; Code: 8868 COLLEGE: PROF. EMPLOYEES & CLERICAL; Payroll: $943,787

The Agent - Added Waiver of Subrogation effective 02/01/2024

Name: Arizona Department of Transportation- Motor Vehicle Division; Job Description: Teaching students to drive

New AZ Estimated Annual Premium 5,310

Premium change: 267.00$

R2WC590943

STOP AND GO INC $267

See Above

AmGUARD Insurance Company

Thank You Again for Choosing Berkshire Hathaway GUARD Insurance Companies!

Call Customer Service at 800-673-2465 with any questions.

Endorsement

Specific Waiver

Person/Organization: Arizona Department of Transportation- Motor Vehicle Division

Job Description: Teaching students to drive

Waiver Premium: 250.00

Class State Payroll Subject to Waiver

8868 AZ 943,787

R2WC590943

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 04 24

(Ed. 1-17)

AUDIT NONCOMPLIANCE CHARGE ENDORSEMENT

Part Five-Premium, Section G. (Audit) of the Workers Compensation and Employers Liability Insurance Policy is revised by adding the following:

If you do not allow us to examine and audit all of your records that relate to this policy, and/or do not provide audit information as requested, we may apply an Audit Noncompliance Charge. The method for determining the Audit Noncompliance Charge by state, where applicable, is shown in the Schedule below.

If you allow us to examine and audit all of your records after we have applied an Audit Noncompliance Charge, we will revise your premium in accordance with our manuals and Part 5-Premium, E. (Final Premium) of this policy.

Failure to cooperate with this policy provision may result in the cancellation of your insurance coverage, as specified under the policy.

Note:

For coverage under state-approved workers compensation assigned risk plans, failure to cooperate with this policy provision may affect your eligibility for coverage.

© Copyright 2016 National Council on Compensation Insurance, Inc. All Rights Reserved.

(Ed. 1-17)

Countersigned by ____________________________________WC 00 04 24

Insurance Company: AmGUARD Insurance Company

Insured:

Endorsement No.: Policy No.: R2WC590943Endorsement Effective: 02/01/2024

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Premium

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 04 24

(Ed. 1-17)

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICYWC 00 04 24

(Ed. 1-17)

Schedule

State(s) Basis of Audit Noncompliance Charge

Maximum Audit Noncompliance Charge Multiplier

AZ

5,310

Two TimesEstimated Annual Premium

Of $

PAAMGU20

© Copyright 2016 National Council on Compensation Insurance, Inc. All Rights Reserved.

(Ed. 1-17)

Countersigned by ____________________________________WC 00 04 24

Insurance Company: AmGUARD Insurance Company

Insured:

Endorsement No.: Policy No.: R2WC590943Endorsement Effective: 02/01/2024

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

Premium