ACCEPTED ANY_ALL AL 09.20.24-09.20.25.pdf

ACORD

CERTIFICATE OF LIABILITY INSURANCE I

DATE (MM/DD/YYYY)

~ 08/04/2025

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

NAME: Proaressive Commercial Lines Customer and Aaent Servicina

Drachman Insurance Services PHONE I FAX 6300 E EL DORADO PLZ, STE A220, TUCSON, AZ 85715 (AIC, No, Ext): 1-800-444-4487 IA/C Nol:

i~lJ~ss: progressivecommercial@email.progressive.com

INSURER(S) AFFORDING COVERAGE NAIC#

INSURER A: United Financial Casualtv Comoanv 11770

INSURED

INSURERS:

The Fairfax Companies, LLC

INSURERC: 1360 North Kolb Road Tucson, AZ 85715 INSURERD:

INSURER E:

INSURER F :

COVERAGES CERTIFICATE NUMBER: 242549591810603957D080425T200709 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 $

- D CLAIMS-MADE □ OCCUR 8~~~iH9E~~~J.\Wence\ $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

□ PRO-

DLoc

PRODUCTS - COMP/OP AGG $

POLICY JECT

OTHER: $

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT

- (Ea accident) $1 ,000,000

ANY AUTO

- BODILY INJURY (Per person) $

A OWNED ~X SCHEDULED

AUTOS ONLY >-- AUTOS y y 986974445 09/20/2024 09/20/2025 BODILY INJURY (Per accident) $ -

HIRED X NON-OWNED PROPERTY ?AMAGE

- AUTOS ONLY >-- AUTOS ONLY (Per accident

UMBRELLA LIAB OCCUR EACH OCCURRENCE $

- f--

EXCESS LIAB CLAIMS-MADE AGGREGATE $

OED I I RETENTION $ $

WORKERS COMPENSATION I g~h'i-11T<CI I f)JH-

AND EMPLOYERS" LIABILITY Y/N

ANYPROPRIETOR/PARTNER/EXECUTIVE □ N/A E.L. EACH ACCIDENT $

OFFICER/MEMBEREXCLUDED?

(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ If yes , describe under

E.L. DISEASE - POLICY LIMIT $ DESCRIPTION OF OPERATIONS below

See ACORD 101 for additional coverage details. $

A y y 986974445 09/20/2024 09/20/2025

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

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

The State of Arizona/ADOT ACCORDANCE WITH THE POLICY PROVISIONS.

206 S 17th Avenue Phoenix, AZ 85007

AUTHORIZED REPRESENTATIVE

© 1988-2015 ACORD CORPORATION. All rights reserved.

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

Cindy Lewis AL Only

AGENCY CUSTOMER ID:

LOC#:

ADDITIONAL REMARKS SCHEDULE Page _1_of 1

AGENCY NAMED INSURED

Drachman Insurance Services The Fairfax Companies, LLC

POLICY NUMBER 1360 North Kolb Road Tucson, AZ 85715

986974445

CARRIER

I

NAICCODE

United Financial Casualty Company 11770 EFFECTIVE DATE: 09/20/2024

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: _2_5 __ _ FORM TITLE: Certificate of Liability Insurance

Additional Coverages Insurance coverage(s) Limits

:~?ia:r 'r~~c~ :¢a.~9?:::::::::::::::::::::::::::::::::::::::::::: :$~5.,:0~0: ii$\□:o~ :b.iei:::::::::::::::::::::::::: :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::

Uninsured Motorist Bodily Injury $1,000,000 Combined Single Limit ·ui-i"ciei-irisi:i"red ·Moio"r1s·i sodi1y ·1-riiu·ry • • • • • • • • • • • • • • • • • • • • • • ·$ {oaa:aao ·caiiitiined· s1iig.1e "i:.1nii • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •

Additional Information Blanket Waiver of Subrogation in favor of the certificate holder, but only if party to a written waiver agreement executed by the named insured, as required by contract, prior to the occurrence of any loss. The certificate holder is an additional insured if required by written contract executed by the named insured prior to the occurrence of any loss, per blanket Al endorsement.

ACORD 101 (2008/01) ©2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

PROGRESSIVE

PO BOX94739

CLEVELAND, OH 44101

Policy Holder:

The Fairfax Companies, LLC 1360 North Kolb Road Tucson, AZ. 85715

The attached endorsements listed below applies to policy number: 986974445

Form 2366 (02/11) Blanket Additional Insured Endorsement Form 2367 (06/10) Blanket Waiver of Subrogation Endorsement

Endorsement effective: September 20, 2024

Endorsements listed above are effective until policy cancellation date.

Cindy Lewis Highlight

Form 2366 (02/11) M_ CL

Blanket Additional Insured Endorsement

This endorsement modifies insurance provided by the Commercial Auto Policy, Motor Truck Cargo Legal

Liability Coverage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appears on the declarations page. All terms and conditions of the policy apply unless modified by this endorsement.

If you pay the fee for this Blanket Additional Insured Endorsement, we agree with you that any person or organization with whom you have executed a written agreement prior to any loss is added as an additional insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to such additional insured only as a person or organization liable for your operations and then only to the extent of that liability. This endorsement does not apply to acts, omissions, products, work, or operations of the additional insured.

Regardless of the provisions of paragraph a. and b. of the "Other Insurance" clause of this policy, if the person or organization with whom you have executed a written agreement has other insurance under which it is the first named insured and that insurance also applies, then this insurance is primary to and non-contributory with that other insurance when the written contract or agreement between you and that person or organization, signed and executed by you before the bodily injury or property damage occurs and in effect during the policy period, requires this insurance to be primary and non contributory.

In no way does this endorsement waive the "Other Insurance" clause of the policy, nor make this policy primary to third parties hired by the insured to perform work for the insured or on the insured's behalf.

ALL OTHER TERMS, LIMITS, AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.

Form 2367 (06/10)M_CL

Blanket Waiver of Subrogation Endorsement

This endorsement modifies insurance provided by the Commercial Auto Policy, Motor Truck Cargo Legal

Liability Coverage Endorsement, and/or Commercial General Liability Coverage Endorsement, as appears on the declarations page. All terms and conditions of the policy apply unless modified by this endorsement.

If you pay the fee for this Blanket Waiver of Subrogation Endorsement, we agree to waive any and all subrogation claims against any person or organization with whom a written waiver agreement has been executed by the named insured, as required by written contract, prior to the occurrence of any loss.

ALL OTHER TERMS, LIMITS AND PROVISIONS OF THE POLICY REMAIN UNCHANGED.