ACCEPTED ANY_ALL AL 06.12.25-06.12.26.pdf

Form_SCTNID_CTGRY.XX0316ACORD25_ACORD

<docindex><index>ACORD</index></docindex> BDF_PCA

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

PRODUCER CONTACT

NAME:

PHONE

(A/C, No, Ext):

FAX

(A/C, No):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSR

LTR

ADDL

INSD

SUBR

WVDTYPE OF INSURANCE

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

OTHER:

PRO-

JECT LOC

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

HIRED

AUTOS ONLY

SCHEDULED

AUTOS

NON-OWNED

AUTOS ONLY

UMBRELLA LIAB

EXCESS LIAB

OCCUR

CLAIMS-MADE

DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBEREXCLUDED?

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

Y/N

N / A

POLICY NUMBER

POLICY EFF POLICY EXP

(MM/DD/YYYY) (MM/DD/YYYY) LIMITS

EACH OCCURRENCE

DAMAGE TO RENTED

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

PREMISES (Ea occurrence)

COMBINED SINGLE LIMIT

PROPERTY DAMAGE

BODILY INJURY (Per person)

(Ea accident)

BODILY INJURY (Per accident)

AGGREGATE

EACH OCCURRENCE

E.L. EACH ACCIDENT

INSURED

$E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

PER

STATUTE

OTH-

ER

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

CERTIFICATE HOLDER CANCELLATION

AUTHORIZED REPRESENTATIVE

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

© 1988-2015 ACORD CORPORATION. All rights reserved.

(Per accident)

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).

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.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

progressivecommercial@email.progressive.com

06/23/2025

1-800-444-4487

Jess Recruiting LLC 1255 N Arizona Ave #1142 Chandler, AZ 85225

State of Arizona/ADOT 206 S 17th Ave Phoenix, AZ 85007

Progressive Commercial Lines Customer and Agent Servicing

583558892817645339D062325T165319

Progressive Insurance PO Box 94739, Cleveland, OH 44101

United Financial Casualty Company 11770

A X

X X

998784567Y Y 06/12/2025 06/12/2026

1,000,000

A 998784567Y Y 06/12/2025 06/12/2026

See ACORD 101 for additional coverage details. $ mailto:progressivecommercial@email.progressive.com Cindy Lewis AL Only

Form_SCTNID_CTGRY.XX0108ACORD101_ACORD

<docindex><index>ACORD</index></docindex> BDF_PCA

Progressive Insurance

998784567

United Financial Casualty Company 11770

Jess Recruiting LLC 1255 N Arizona Ave #1142 Chandler, AZ 85225

06/12/2025

AGENCY CUSTOMER ID:

LOC #:

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY

POLICY NUMBER

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance

1 1

Additional Coverages Insurance coverage(s) Limits…………………………………………………………………………………………………………………………………………………………………………………… Uninsured Motorist Bodily Injury $100,000 Combined Single Limit

Description of Location/Vehicles/Special Items Scheduled autos only

2021 TOYOTA JTEAAAAH3MJ070423VENZA

Comprehensive $500 Ded

Collision $1,000 Ded

Rental Reimbursement $40 Per Day ($1,200 Max)

Roadside Assistance Selected w/$0 Ded

Medical Payments $5,000 each person

Loan/Lease Gap 25% of the actual cash value

Additional Information

Certificate holder is listed as an Additional Insured and Waiver of Subrogation Holder.

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

Additional insured endorsement

Name of Person or Organization

Policy number: 00683676-0 Underwritten by:

Progressive Casualty Insurance Co

Insured:

CRAZY TACO MX LLC

-Policy Period:

Mailing Address Progressive Casualty Insurance Co

PO Box 94739

Cleveland, OH 44101

1-800-444-4487 For customer service, 24 hours a day, 7 days a week

The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page.

Limit of Liability

Bodily Injury

Property Damage each person/ each accident each accident

Combined Liability each accident

All other terms, limits and provisions of this policy remain unchanged.

This endorsement applies to Policy Number:

Issued to (Name of Insured):

Effective date of endorsement: Policy expiration date:

Form 1198 (01/04)

M_CL

Name

PROGRESSIVE

PO BOX 94739

CLEVELAND, OH

44101-8971

Policy number:

Underwritten by:

Insured:

Policy Period: -

Mailing Address

PO BOX 94739

CLEVELAND, OH 44101-8971

1-800-444-4487 For customer service, 24 hours a day, 7 days week

WAIVER O SUBROGATION ENDORSEMENTF

This endorsement modifies insurance provided under the following:

Commercial Auto Policy Motor Truck Cargo Legal Liability Coverage Endorsement Commercial General Liability Coverage Endorsement

We agree to waive any and all subrogation claims against the person or organization designated below.

Name of Person or Organization:

This endorsement applies to Policy Number:

Issued to:

Endorsement Effective: Expiration:

All other terms, limits and provisions of this policy remain unchanged.

Form 8610 (02/19) M_CL

Additional Insured Name and Address: State of Arizona/ADOT 206 S 17th Ave Phoenix, AZ 85007

1255 N Arizona Ave #1142 Chandler, AZ 85225

1255 N Arizona Ave #1142 Chandler, AZ 85225 Name of the Person or Organization and Address: State of Arizona/ADOT 206 S 17th Ave Phoenix, AZ 85007