8.21.2023 WC.pdf

ACORD

CERTIFICATE OF LIABILITY INSURANCE I

DATE (MM/DD/YYYY)

� 9/29/2022

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 CONTACT Parker Cagle NAME:

U.S. National Insurance, LLC wg N

:o Extl: 602-362-3130 I FAX /AIC Nol: 602-362-3195

E-MAIL pcagle@usnational.com ADDRESS:

8010 E Morgan Trail #11 INSURERIS) AFFORDING COVERAGE NAIC#

Scottsdale AZ 85258 INSURER A: Praetorian Insurance Company 37257

INSURED INSURER B:

Specialized Delivery Services, Inc. INSURER C:

INSURER D:

3200 N Hayden Rd. #100 INSURER E:

Scottsdale AZ 85251 INSURER F:

COVERAGES CERTIFICATE NUMBER: 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

LTR

A

TYPE OF INSURANCE

COMMERCIAL GENERAL LIABILITY �

□ CLAIMS-MADE □ OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER: Fl □ PRO-

POLICY JECT

OTHER :

AUTOMOBILE LIABILITY

ANY AUTO

DLoc

� OWNED � SCHEDULED

� AUTOS ONLY � AUTOS

HIRED NON-OWNED

� AUTOS ONLY � AUTOS ONLY

UMBRELLA LIAB

H

OCCUR�

EXCESSLIAB CLAIMS-MADE

DED I I RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS" LIABILITY Y/N

ANYPROPRIETOR/PARTNER/EXECUTIVE

[YlOFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

ADDL SUBR

,:3hli� ,�3hli�I ,.,.,n IANn POLICY NUMBER

N/A P0014MP221814602C 8/1/2022 8/1/2023

LIMITS

EACH OCCURRENCE $

DAMAGE TO RENTED

PREMISES rEa occurrence) $ MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

COMBINED SINGLE LIMIT $ rEa accident\ BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ iP���&,�le':,fiAMAGE $

EACH OCCURRENCE $

AGGREGATE $

XI �ifTUTE I I OTH-

ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

E.L. DISEASE - POLICY LIMIT $

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

CERTIFICATE HOLDER CANCELLATION

1,000,000

1,000,000

1,000,000

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

I

ACORD 25 (2016/03)

THE EXPIRATION DATE THEREOF, NOTICE WILL

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

p� (/lnl, - A

BE DELIVERED IN

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