CERTIFICATE OF LIABILITY INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.
THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY BELOW.
PRODUCER INSURER AFFORDING COVERAGE
K.S. BILLING & ASSOC. INC AMERICAN TRANSIT INSURANCE COMPANY
118-12 ATLANTIC AVENUE PROCESSING CENTER: 5 BROADWAY
SOUTH RICHMOND HILL NY 11419 FREEPORT, NY 11520
INSURED
SINGH,ARMINDER
10112 102ND ST APT 2
OZONE PARK NY 11416
AUTOMOBILE LIABILITY POLICY NUMBER POLICY EFFECTIVE DATE POLICY EXPIRATION DATE
SCHEDULED AUTO B708322 03/01/2023 (12:01 AM) 03/01/2024 (12:01 AM)
COVERAGES LIMITS OF LIABILITY
BODILY INJURY $ 100,000 EACH PERSON
$ 300,000 EACH ACCIDENT
PROPERTY DAMAGE $ 10,000 EACH ACCIDENT
UNINSURED MOTORISTS $ 25,000 EACH PERSON
$ 50,000 EACH ACCIDENT
SUPPLEMENTARY UNINSURED MOTORISTS $ 25,000 EACH PERSON
$ 50,000 EACH ACCIDENT
MANDATORY PERSONAL INJURY PROTECTION $ 50,000
ADDITIONAL PIP $150,000
COMPREHENSIVE DEDUCTIBLE
COLLISION DEDUCTIBLE
DESCRIPTION OF REGISTERED OWNED VEHICLE(S)
2020 NISSAN ROGUE SPORT VIN: JN1BJ1CW8LW361170 EFFECTIVE: 03/01/2023
CERTIFICATE HOLDER CANCELLATION
NYC TAXI AND LIMOUSINE COMMISSION SHOULD THE ABOVE DESCRIBED POLICY BE CANCELLED BEFORE THE EXPIRATION
31-00 47 AVE 3FL DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS
LONG ISLAND CITY NY 11101 WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT
FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND
UPON THE INSURER OR REPRESENTATIVES
DISCLAIMER
THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), OR PRODUCER, AND THE CERTIFICATE
HOLDER, NOR DOES IT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY LISTED THEREON
Additional Insured:
Loss Payee:
Lienholder:
Issued Date: 02/25/2023
AMERICAN TRANSIT INSURANCE COMPANY (036)
PROCESSING CENTER: 5 BROADWAY, FREEPORT, NY 11520
(212) 857-8200 1-800-683-ATIC DATE OF ISSUE 02/25/2023
DECLARATIONS
AUTOMOBILE INSURANCE - NEW BUSINESS (NEW YORK)
POLICY NUMBER B708322
( NAMED INSURED AND ADDRESS ) ( PRODUCERS NAME AND ADDRESS )
SINGH,ARMINDER K.S. BILLING & ASSOC. INC
10112 102ND ST APT 2 118-12 ATLANTIC AVENUE
OZONE PARK NY 11416 SOUTH RICHMOND HILL NY 11419
POLICY PERIOD 3/1/2023 12:01 AM - 3/1/2024 12:01 AM
THE OWNED AUTOMOBILE(S) WILL BE GARAGED AT THE ADDRESS DESIGNATED, UNLESS OTHERWISE STATED HEREIN.
GARAGE ADDRESS
REGISTERED OWNED VEHICLE
CAR MODEL YEAR TRADE NAME IDENTIFICATION NUMBER CLASS TERR MEDALLION # PLATE #
NISSAN 2020 NISSAN JN1BJ1CW8LW361170 BC 18
DRIVER 1. SINGH,ARMINDER DRIVER 2.
DRIVER 3. DRIVER 4.
DRIVER 5.
THE INSURANCE AFFORDED IS ONLY WITH RESPECT TO SUCH OF THE FOLLOWING COVERAGES AS ARE INDICATED BY SPECIFIC PREMIUM CHARGE OR CHARGES. THE LIMIT OF THE
COMPANY’S LIABILITY AGAINST EACH SUCH COVERAGE SHALL BE STATED HEREIN, SUBJECT TO ALL THE TERMS OF THIS POLICY HAVING REFERENCE THERETO.
PREMIUMS(ALL PREMIUMS SHOWN ARE FULL POLICY PREMIUMS)
COVERAGES SYMBOL LIMITS OF LIABILITY PREMIUM
BODILY INJURY LIABILITY 7 $100,000 EACH PERSON $2,424.69
$300,000 EACH ACCIDENT
PROPERTY DAMAGE LIABILITY 7 $10,000 EACH ACCIDENT $480.82
UNINSURED MOTORIST 7 $25,000 EACH PERSON $102.00
$50,000 EACH ACCIDENT
SUPPLEMENTARY UNINSURED/UNDERINSURED 7 $25,000 EACH PERSON $9.00
MOTORIST. $50,000 EACH ACCIDENT
PERSONAL INJURY PROTECTION COVERAGE LIMITS PREMIUM
MANDATORY PERSONAL INJURY PROTECTION 7 $50,000 $606.20
ADDITIONAL PERSONAL INJURY PROTECTION 7 $150,000 $369.36
OPTIONAL BASIC ECONOMIC LOSS
AGGREGATE NO-FAULT 7 $200,000 $975.56
MAXIMUM MONTHLY WORK LOSS BENEFIT $2,000
DEATH BENEFIT $2,000
OTHER NECESSARY EXPENSES (PER DAY) $25
* MAXIMUM PAYABLE UNDER SUM SHALL BE THE ABOVE NOTED SUM LIMITS REDUCED AND OFFSET BY MOTOR VEHICLES B.I. LIABILITY POLICY OR BOND PAYMENTS RECEIVED FROM
OR ON BEHALF OF ANY OTHER PARTY INVOLVED IN THE ACCIDENT, SEE SUM ENDORSEMENTS HEREIN.
EFFECTIVE DATE PR/SR FACTOR ANNUAL PREMIUM ** AMENDED ANNUAL PREMIUM
3/1/2023 1.00 $3,992.07 $3,992.07
** AMENDED TOTAL INCLUDES ORIGINAL POLICY PREMIUM AND ALL PREMIUM AMENDMENTS THROUGH CURRENT DATE FOR TERM SHOWN.
DOWN PAYMENT $1068.02 *MONTHLY PREMIUM THEREAFTER $352.54
***PLUS $240.00 TOTAL SERVICE CHARGE *PLUS $20.00 MONTHLY SERVICE CHARGE
THIS POLICY IS SUBJECT TO MOTOR VEHICLE LAW ENFORCEMENT ANNUAL FEE OF $10.00 PER VEHICLE.
ENDORSEMENTS ATTACHED TO POLICY AT ISSUANCE
CA 00 01 10 13 CA 01 02 08 14 CA 01 12 12 15 CA 02 25 08 14 CA 22 32 11 18 CA 22 33 11 18 CA 31 07 11 18
CA 31 13 11 18 IL U 004 09 03 IL 01 83 08 08 CA 22 60 04 92 CA 04 42 10 13 CA 99 27 01 87 ATIC 9-16
CA 31 08 11 18
KSB002 COUNTER SIGNATURE
ATIC Single Car DEC – NY(10/16) INSURED COPY
POLICY NUMBER : B708322
AMERICAN TRANSIT INSURANCE COMPANY
PROCESSING CENTER: 5 BROADWAY, FREEPORT, NY 11520
(212) 857-8200
Issued to: SINGH,ARMINDER
Policy No: B708322 Effective :3/1/2023 - 3/1/2024
by AMERICAN TRANSIT INSURANCE COMPANY
K.S. BILLING & ASSOC. INC
Broker: 118-12 ATLANTIC AVENUE
SOUTH RICHMOND HILLNY11419
Description. DUE DATE AMOUNT
Bill # 1 3/15/2023 $352.54
Bill # 2 4/15/2023 $352.54
Bill # 3 5/15/2023 $352.54
Bill # 4 6/15/2023 $352.54
Bill # 5 7/15/2023 $352.54
Bill # 6 8/15/2023 $352.54
Bill # 7 9/15/2023 $352.54
Bill # 8 10/15/2023 $352.54
Bill # 9 11/15/2023 $353.73
All Payments are to be made to the Producer listed above.
The monthly Payment plan provides for a $ 50.00 Reinstatement Fee for failure
to comply with this installment Payment Endorsement.
AUTHORIZED SIGNATURE
