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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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