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ACOREP CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 3/1/2018 7/10/2017 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). CONT PRODUCER Lockton Companies NAMEACT 3280 Peachtree Road NE,Suite#250 PHONE FAX Atlanta GA 30305lA/E-MAILo.Exn. (A/C,No): (404)460-3600 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC# INSURER A:Tokio Marine Specialty Insurance Company 23850 INSURED Heartland Automotive Services,Inc. INSURER B:Travelers Excess and Surplus Lines Co 29696 1358907 105 Decker Court INSURER C:Technology Insurance Company,Inc. 42376 Suite 900 INSURER D: Irving TX 75062 INSURER E: INSURER F: COVERAGES 677561 CERTIFICATE NUMBER: 14820290 REVISION NUMBER: XXXXXXX 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 TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) A X COMMERCIAL GENERAL LIABILITY Y N PPK1617754 3/1/2017 3/1/2018 EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTED CLAIMS-MADE X OCCUR PREMISES Ea occurrence) $ 500,000 MED EXP(Any one person) $ Excluded PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 X POLICY JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ A AUTOMOBILE LIABILITY N N PPK1617754 3/1/2017 3/1/2018 pea accilceDtSINGLE LIMIT $ 1,000,000 000000 X ANY AUTO BODILY INJURY(Per person) $ XXXXXXX OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS XXXXXXX X HIRED v NON-OWNED PROPERTY DAMAGE $ XXXXXXX AUTOS ONLY AUTOS ONLY (Per accident) $ XXXXXXX B X UMBRELLA LIAB X OCCUR N N ZUP-41M73640-17-NF 3/1/2017 3/1/2018 EACH OCCURRENCE $ 25,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 25,000,000 DED X RETENTION$ 10,000 $ XXXXXXX WORKERS COMPENSATIONPER OTH- C AND EMPLOYERS'LIABILITY N TWC3615258 3/1/2017 3/1/2018 X STATUTE ER _ Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? N N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 A Garage Keepers Liability N N PPK1617754 3/1/2017 3/1/2018 Limit:$500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) RE:Jiffy Lube Store#2586 @ 6209 Evergreen Way,Everett,WA 98203.City of Everett is included as Additional Insured as respect General Liability as required by written contract,subject to policy terms,conditions and exclusions. CERTIFICATE HOLDER CANCELLATION 14820290 City of Everett SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Wetmore 2930ett WA 98201 ACCORDANCE WITH THE POLICY PROVISIONS. EverAUTHORIZED REPRESENT /.. Air ©1988-201= ACORD CORPO-ATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD