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2019/08/01 S T Moll Inc dba Integrity Tire Certicate of Liability Insurance CERTIFICATE OF LIABILITY INSURANCE DATE(MWDD/YYYY) `-� 8/1/2019 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. 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 endarsement(s). PRODUCER CONTACT YouZoom Insurance Services, Inc NAME: 6900 College Blvd Wc.- •8.88-240-8803 (A%W:877-835-1833 Ste 1000 ADDRESS. AMServiceCenterO-arruwheLadgrp.00m Overland Park KS 66211 WSURM AFFORDING COVERAGE NAIC# INSURER A;American Zurich Insurance Com ny 40142 INSURED STMOLLI-01 INSURER B:American Guarantee and Liability Insurance 26247 S T Moll Inc dba Intgrity Tire INSURER C:Great American Alliance Insurance Company 26832 3223 W Florida Ave INSURERD: Hemet CA 92545 INSURER E; INSURER F: COVERAGES CERTIFICATE NUMBER:538450297 REVISION NUMBER: 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. INSR ADDL-SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DD MM/DD LIMITS A X COMMERCIAL GENERAL LIABILITY EPK1655749-00 8/1/2019 ` 8/1/2020 EACH OCCURRENCE $1,000,000 CLAIMS-MADE OCCUR I AMA PREMISE ccurrenc $100,000 MED EXP(Any one person) $5,000 PERSONAL 8 ADV INJURY $ `SEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000 PRO- POLZCY JECT F1 LOC PRODUCTS-COMP/OP AGG $2,000.000 OTMER: $ B AUTOMOBILE LIABILITY EAP1655750-00 8/1/2019 8/1/2020 OMBBIINdED$IN6L umrr $1,000,000 (Ea a9do ANY AUTO BODILY INJURY Per( person) $ OWNED X SCHEDULED BODILY INJURY Per accident $ AUTOS ONLY AUTOS ( ) X HIRED E NON-OWNED PROPERTY DAMAGE AUTOS ONLYAUTOS ONLY Per aoc den $ C X UMBRELLA LIAB X OCCUR UME188553-00 8/1/2019 8/1/2020 EACH OCCURRENCE s4,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $4,000,000 _ DED I X I RETENTION$0 -Prod/Comp O A $4.000.000 WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILrrY Y/N STATUTE I ER ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ OFFICER/MEMBEREXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ B Garagekeepers EAP1655750-00 8/1/2019 8/1/2020 Blanket Limit 960,000 OMRIPTION or OPERATIONS I LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Garagekeepers includes On-Hook coverage. Covered Locations included under the blanket Garagekeepers Limit on the Policy: 3223 W.Florida Ave Hemet CA 92545 24901 Sunnymead Blvd Moreno Valley CA 92553 1267 N Waterman Ave San Bernardino CA 92404 1350 E Washington St Colton CA 92324 34470 Yucaipa Blvd Yucaipa CA 92399 15109 Sear Valley Rd Hesperia CA 92345 See Attached... CERTIFICATE HOLDER malty OT CANCELLATION Menifee t?B City Clerk SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of Menifee ACCORDANCE WITH THE POLICY PROVISIONS. 29714 Haun Rd Menifee CA 92586 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD AGENCY CUSTOMER ID: STMOLLI-01 LOC#: ADDITIONAL REMARKS SCHEDULE Page 1 of 1 AGENCY NAMED INSURED YouZoom Insurance Services,Inc S T Moll Inc dba Intgrity Tire POLICY NUMBER 3223 W Florida Ave Hemet CA 92545 CARRIER NAIC CODE EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE 26920 Newport Rd Menifee CA 92584 27802 Aliso Creek Rd#D150 Aliso Viejo CA 92656 ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD