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INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: 1601591158 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 INSD WVD POLICY NUMBER (MM/DD/YYYY) (MM/DD/YYYY) LIMITS
COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
OTHER: $
A COMBINED SINGLE LIMIT $ 1,000,000
AUTOMOBILE LIABILITY 01427580 11/27/2022 11/27/2023 (Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED
AUTOS ONLY
X SCHEDULED
AUTOS
BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
X Basic PIP X $10,000 Basic Pip $ $10,000
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
A Cargo 01427580 11/27/2022 11/27/2023 Limit $250,000 Ded $1000
Physical Damage COMP-COLL DED $1000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
2005 Peterbuilt 1XP5DB9X45D862481 value at $40,000
2016 Font Trailer 13N2532C5G1514915 value at $40,000
2022 Great Dane Trailer 1GR1A0624NB416242 VALUE AT $38,603 (ADDED ON 02/23/2021)
2018 Peterbilt 1XPBDP9X8JD363905 Value at $96,000 (added on 04/12/2022)
2023 Fontaine Renegade 57J653201P35A1723 at $128,825 (added on 07/19/22)
Drivers: Vicente Hernandez and Leovani Ojeda