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2021/08/01 S T Moll Inc dba Integrity Tire` ] DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 7/27/2021 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 endorsement(s). PRODUCER YouZoom Insurance Services, Inc. 6900 College Blvd. Ste. 1000 Overland Park, KS 66211 INSURED S T Moll Inc dba Integrity Tire 3223 W Florida Ave Hemet, CA 92545 STMOLLI-01 AFFORDING COVERAGE INSURER A: American Zurich Insurance INSURER C : INSURER E: I rnic. Nn1. 877-835-1833 1 Guarantee and Liabilitv Insurance COVERAGES CERTIFICATE NUMBER:2104457614 REVISION NUMRER- NAIC # 40142 26247 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. INSA ADDL SUBq POLICY EFF POLICY EXP LTA TYPE OF INSURANCE JUSID WVD POLICY NUMBER MWDD/YYY D/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY CLAIMS -MADE Px� OCCUR Y EPK1655749-02 8/1/2021 8/1/2022 EACH OCCURRENCE $1,000,000 PREMISE Ea occurrent $ 100,000 MED EXP (Any oneperson) $ 5,000 PERSONAL & ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: PA POLICY 0 JE LOC POTHER GENERAL AGGREGATE $ 2,000,000 PRODUCTS - COMP/OP AGG $ 2,000 000 $ B AUTOMOBILE LIABILITY EAP1655750-02 8/1/2021 8/1/2022 COMBINED SINGLE LIMIT tEa aceidenl} $1,000,000 ANY AUTO BODILY INJURY (Per person) $ OWNED X SCHEDULED AUTOS ONLY AUTOS $ BODILY INJURY P (Per accident) X HIRED X NON -OWNED AUTOS ONLY AUTOS ONLY PRO ERTY[}AMAGE tiler "axid�ls) $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ WORKERS COMPENSATION I oTH- AND EMPLOYERS' LIABILITY Y / N--LSTATLJTE AN YP RO PR I ETOR/PA RTN ER/EXEC UT I V E OFFICER/MEMBEREXCLUDED? ❑ N/A E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ (Mandatory in NH) If yes, describe under E-L, DISEASE - POLICY LIMIT DESCRIPTION OF OPERATIONS below $ B Garagekeepers EAP1655750-02 8/1/2021 8/1/2022 Blanket Limit $2,010,000 DESCRIPTION OF OPERATIONS / 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 Bear Valley Rd, Hesperia, CA 92345; See Attached... a.cn I. I c nvLucn L;ANUtI_LA I IUN City of Menifee 29844 Haun Rd Menifee CA 92586-6539 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Yta���-�: �v�scura.s�� Se.�►r+:ce�1 �ii✓I,G. ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD AGENCY YouZoom Insurance Services, Inc. POLICY NUMBER CARRIER LDDITIONAL REMARKS AGENCY CUSTOMER ID: STMOLLI-01 LOC #: A nnirinKi A ll QCRA A DVC Cf'%L1Cn1 11 C NAIC CODE NAMED INSURED S T Moll Inc dha Integrity Tire 3223 W Florida Ave Hemet, CA 92545 EFFECTIVE DATE: 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 # 0150, Aliso Viejo, CA 92656; 8687 Hellman Ave Ste A, Rancho Cucamonga, CA 91730 54170 Pine Crest Ave, ldyrlwild, CA, 9254% 2091 W Florida Ave Ste 205, Hemet, CA 92545; 25311 Railroad Canyon Rd, Lake Elsinore, CA 92532; 1631 W. Redlands Blvd., Redlands, CA 92373; 1000 N. Ontario Mills Dr. Ontario, CA 91764-5227 28007 Jefferson Ave #E Temecula, CA 25590 Certificate holder is named as Additional Insured kuu"u 1U1 (zoosioi) © 2008 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD EVIDENCE OF PROPERTY INSURANCE DATE(MM/DDNYYY) 7/27/2021 THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST. AGENCY PHONE COMPANY (A)C. No, rxll: 888-240-8803 American Zurich Insurance Company YouZoom Insurance Services, Inc. 1299 Zurich Way 6900 College Blvd Ste 1000 g, Schaumbur IL 60196-1056 Ste FAX F MAIL (A/C No):877-835 1833� ALDDRE S:AMSerdwCenteraarrowhead .com CODE: SUB CODE: AGENCY GIJ$SS�HLEB Ip.�:. INSURED A BC Company LLC 15109 Bear Valley Rd Hesperia, CA 92345 PROPERTY INFORMATION LOCATION/DESCRIPTION 15109 Bear Valley Rd Hesperia, CA, 92345-1663 LOANNUMBER EFFECTIVE DATE EXPIRATION DATE 08/01 /2021 08/01 /2022 THIS REPLACES PRIOR EVIDENCE DATED: POLICY NUMBER EPK1655749-02 CONTINUED UNTIL TERMINATED IF CHECKED 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 EVIDENCE OF PROPERTY INSURANCE 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. COVERAGE INFORMATION BASIC I I BROAD COVERAGE/PERILS/FORMS Building, Replacement Cost, Special (Including theft) AMOUNT OF INSURANCE DEDUCTIBLE i37,500 $2,500 FitMAKII%b tincivaing.spectai L'onctitions Curtis P. Cowan, Trustee of the Puyallup Trust, and Ralph E. Taylor. Trustee of the Ceres Trust is listed as an additional insured for the property at 15109 Bear Valley Rd Hesperia Ca 92345. L,ANt;r-LLA I KJIV SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. ADDITIONAL INTEREST NAME AND ADDRESS Curtis P. Cowan, Trustee of the Puyallup Trust Ralph E. Taylor, Trustee of the Ceres Trust 18818 Teller Ave. Ste 100 Irvine, CA 92612 VM DDITIONAL INSURED LENDER'S LOSS PAYABLE LOSS PAYEE ORTGAGEE LOAN # AUTHORIZED REPRESENTATIVE " ke-W I0IU01 U 1993-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD