Dear Sir / Madam:
Thank you for doing business with Katana Racing, Inc. dba Wholesale Tire Distributors (WTD).
Please complete the following with regard to your requirements for our Product Liability insurance:
* and its Subsidiaries, Affiliates, Agents, Successors and Assignees
Each Occurrence Limit: $21,000.00
Annual Aggregate Limit: $21,000.00
Policy Form (Occurence, Claims Made, Either:)
Certificate Holder Name (including any related subsidiaries Eg: Inc., Corp, LLC, Partnership, Sole Proprietor etc...)
Certificate Holder Address, Email, Fax#: .
Special Endorsement Requirements* .
*Should you require Additional Insured status, please sign and date below. Upon our receipt and approval, we will add our signature agreeing to provide such status on our General / Product Liability policy and will return the executed agreement of your records.
**This agreement shall remain in force until terminated by both parties in writing.**