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AC EP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) <br />1111-� 1 2/5/2020 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. <br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement On <br />this certificate does not confer rights to the certificate holder in lieu of such endorsements . <br />PRODUCER <br />TACT <br />YoUZoom Insurance Services, Inc PHONE <br />; EmilyBenson <br />6900 College Blvd PHG__r%E91; 888-240-8803 wc.Nas: 877.835-1.833 <br />Ste 1000 E-MAIL <br />AO0 Ess: AMSer0ceCenter@agpyyheadigrp,com <br />Overland Park KS 66211 <br />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: Zurich American Insurance Com any 16535 <br />INSURED iKOR51NC-01 Korson Inc siNSURIER: American Guarantee and Labky Insurance 26247 <br />dba ASAP Towing INSURERc: Carolina Casualty Insurance company 10510 <br />1906 S Olive Street INSURER D: y <br />South Bend IN 46613 INSURERE: I <br />INSURER F : <br />COVERAGES RPRTIFICATF h311PLAPrD, 1094A010a4 ortne�nu . <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY <br />CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY <br />THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR TYPE OF INSURANCE �ADDL <br />POLICYNUMBER <br />POLICY EFF POE%P <br />A11DD41GYfYY + LIMITS <br />A X COMMERCIAL GENERAL LIABILITY CP01640181-03 <br />2/12/2020 2/12/2021 EACH OCCURRENCE S1,0%000 <br />DAMAGENTED <br />CLAIMS -MADE LX' OCCUR <br />PREMISES Ea occurrence $ 300,000 <br />MED EXP Any one person) $ 5,000 <br />PERSONAL &ADV INJURY 31,000.000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />GENERAL AGGREGATE S 2,000,000 <br />PRO` <br />POLICY ❑ JEC7 LOC <br />PRODUCTS - COMP/OPAGG S2,00� 0,000 <br />I OTHER: <br />$ <br />B <br />AUTOMOBILE <br />LIABILITY <br />CP01640181-03 <br />2/12/2020 <br />2/12/2021 <br />COMBINED S 51,000.000 <br />INJURY (Per person) $ <br />ANY AUTO <br />_ <br />X <br />OWNED SCHEDULED <br />AUTOS ONLYEAUTOS <br />,BODILY <br />BODILY INJURY Per accident $ f <br />( )� <br />HIRED NON-OWNEDPROPERTYDAMAG <br />X <br />I <br />AUTOS ONLY AUTOS ONLY <br />S <br />UMBRELLA LIAB <br />OCCUR <br />HCLAIMS-MADE <br />EACH OCCURRENCE S <br />EXCESS LIAB <br />_ _ <br />AGGREGATE _f 5 _ <br />DED RETENTION $ <br />5 <br />C <br />WORKERS COMPENSATION <br />BNUWC0149018 <br />9/8/2019 <br />j 9/8/2020 <br />X I <br />AND EMPLOYERS' LIABILITY YIN <br />START TE RH <br />E• --- <br />ANYPROPRIETOR/PARTNER/EXECUTIVE <br />EL EACH ACCIDENT $ 500,000 <br />OFFICER/MEMBER EXCLUDED? ❑ <br />NIA <br />(Mandatory in NH) <br />I <br />E.L. DISEASE - EA EMPLOYEE $ 500,000 <br />If yes, describe under <br />- <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT $ 500.000 <br />B Garagekeepers CP01640181-03 <br />2/12/2020 ! 2/12/2021 I Limit See Desc of Ops <br />f <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) <br />Garagekeepers Includes On -Hook Coverage <br />Covered Locations and Garagekeepers Limits at each Policy Location: <br />1906 S Olive St South (.send IN / Limit $120,000 <br />55303 Mayflower Rd South Bend IN / Limit $100,000 <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />City of South Bend ACCORDANCE WITH THE POLICY PROVISIONS. <br />227 W. Jefferson Blvd. Suite 1316 <br />South Bend IN 46601 AUTHORIZED REPRESENTATIVE <br />L1111_4 6v�_] <br />©1988-2015 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD <br />