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Representative Producer

Location:
Paradise, NV, 89119
Posted:
October 10, 2022

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Resume:

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Pe DATE (MMIDDIYYY)

ACORD CERTIFICATE OF LIABILITY INSURANCE ee

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,

Ewall Insurance Company aN 70D FAX

700 S Jones Blvd {ac No, Exn: 702-***-**** (AIC. No}:

Las Vegas NV 89107 SauakEss. **************@*****.***

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : United Financial Casualty Co. 11770

WACHTRODT

MACHIN TRUCKING LLC meee

4600 UNIVERSITY CENTER DR APT 142A INSURER C

Las Vegas NV 89119 INSURER D

INSURER E

INSURER F

COVERAGES CERTIFICATE NUMBER:130******* 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.

ISR (DDL SUB POLICY EFF POLICY EXP.

LTR TYPE OF INSURANCE. SD WWD POLICY NUMBER: {MANIDDIVYYY) (MNIDDIVYYY) LIMITS,

‘A X COMMERCIAL GENERAL LIABILITY 960156812 7/28/2022 7/28/2023 EACH OCCURRENCE $1,000,000

DAMIGE TO RENTED.

ctamsmave [X ] occur PREMISES (Ea occurrence) $ 100,000

MED EXP (Any one person) $5,000

PERSONAL &ADVINIURY _ § 1,000,000

GEN AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

X poucy Seer Loc PRODUCTS - COMPIOP AGG $ 2,000,000

OTHER: $

‘A AUTOMOBILE LIABILITY 960156812 7/28/2022 7/28/2023 COMBINED SINGLE LIMIT T's 1,000,000

ANY AUTO BODILY INJURY (Per person) S

‘owneD SCHEDULED aden

owner, [x ] SCHED BODILY INDURY (Per accidend &

HIRED. NON-OWNED PROPERTY DAMAGE 3

AUTOS ONLY AUTOS ONLY ar scons)

5

UMBRELLA LIAB ‘occur EACH OCCURRENCE. $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

cep [retentions s

WORKERS COMPENSATION STATUTE cee

AND EMPLOYERS’ LIABILITY YIN = :

lanyPROPRIETOR/PARTNERIEXECUTIVE E.L. EACH ACCIDENT $

JOFFICERIMEMBEREXCLUDED? INIA

(Mandatory in NH E.L DISEASE - EA EMPLOYEE $

It yes, describe under

DESCRIPTION OF OPERATIONS below E.L DISEASE -Pouicy unit s

MOTOR TRUCK CARGO 960156812 7iesi2022 7/28/2023 [$2,500 DED $100,000

DESCRIPTION OF OPERATIONS / LOCATIONS VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

2007 INTL VIN# 1HTMMAAM57H378343

2004 INTL VIN# 1HTMMAAL24H652567

CERTIFICATE HOLDER CANCELLATION

‘SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

Proof of Insurance AUTHORIZED REPRESENTATIVE

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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD



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