ACCEPTED_CTR069472_GL_AL_WC_03.01.25-03.01.26.pdf

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Attached to
Master Agreement AZ|CTR069472
Contract number
CTR069472
Issued by
Arizona

About this file

This is a Certificate of Garage Insurance issued by Shepherd Insurance, LLC for VVG Holdings, LLC, Freightliner of Arizona, LLC, and Los Angeles Truck Centers, LLC. The certificate covers multiple insurance carriers including The Travelers Indemnity Co of Connecticut, The Travelers Prop Cas Ins Co of America, Starstone National Ins Co, and Liberty Mutual Ins Corp. The certificate holder is the Arizona Department of Transportation, located in Phoenix, AZ, and the policy is effective from 03/01/2025 to 03/01/2026.

The insurance provides comprehensive coverage including auto liability, garage keepers liability, commercial general liability, umbrella liability, and workers' compensation. Coverage limits include $1,000,000 for auto liability, $2,000,000 aggregate, $10,000,000 for umbrella liability, and $1,000,000 for workers' compensation. The policy includes additional insured provisions, primary and non-contributory status, and a waiver of subrogation for general and auto liability when agreed in a contract. The policy covers a wide range of entities listed in the document, including various truck centers, dealerships, and automotive-related businesses operating under different doing-business-as (DBA) names across multiple states.

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Text version

05/16/2025

Shepherd Insurance, LLC.

111 Congressional Boulevard Suite 200 Carmel IN 46032

Certificate Processing Department (317)846-5554 (317)846-5444 trkdlrcerts@shepherdins.com

VVG Holdings, LLC, Freightliner of Arizona, LLC Los Angeles Truck Centers, LLC 2429 South Peck Road Whittier CA 90601

The Travelers Indemnity Co of Connecticut 25682 The Travelers Prop Cas Ins Co of America 25674 Starstone National Ins Co 44776 Liberty Mutual Ins Corp 33600

00017518 CL253458507

A AD4W927323/AD4W92474A 03/01/2025 03/01/2026

1,000,000

1,000,000

2,000,000

A AD4W927323/AD4W92474A 03/01/2025 03/01/2026

5,000

ACV

5,000

ACV

A

AD4W927323/AD4W92474A 03/01/2025 03/01/2026

1,000,000 100,000

1,000,000 2,000,000 2,000,000

BC

-0-

CUP4W970835/77553L231ALI 03/01/2025 03/01/2026

10,000,000 10,000,000

D N

WA5-64D-446354-015 03/01/2025 03/01/2026

1,000,000 1,000,000 1,000,000

Customers are included as an insured for Covered Auto Liability. Automatic additional insured status when agreed in writing in a contract or agreement for general liability "your operations" (including ongoing and completed ops liability). Insurance is on a primary and noncontributory basis for general/auto liability. A waiver of subrogation for general/auto liability and Workers' Compensation is automatic when agreed in writing in a contract or agreement. All in accordance with the attached forms and policy terms, conditions, and exclusions

Arizona Department of Transportation

MD 100P

1655 W Jackson St Phoenix AZ 85007

PROD / CUSTOMER ID:

OTHER:

ER

OTH-

STATUTE

PER

LOC

LOC

LOC

OTC LOC $

AUTO ONLY (Ea accident)

$AGGREGATE

ONLY

HIRED AUTOS

AUTOS ONLY

IN GARAGE

AUTOS USED

JECT

COLLISION

EXCESS

PERILS

SPECIFIED

PRIMARY

COMP /

DIRECT BASIS

LEGAL LIABILITY

GARAGE KEEPERS LIABILITY

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO- LOC

N / A

SUBR

WVD

ADDL

INSD

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.

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

REMARKS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

REMARKS (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

OTHER THAN

AUTO ONLY

$EA ACCIDENT

GARAGE LIABILITY

OWNED

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION #:CERTIFICATE #:COVERAGES

The ACORD name and logo are registered marks of ACORD

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.

CERTIFICATE OF GARAGE INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 30 (2016/03)

© 2010-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

NON-OWNED

BUSINESS

ANY AUTO

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).

Cindy Lewis Accepted

VVG Holdings, LLC

00017518

Shepherd Insurance, LLC.

30 Certificate of Garage Insurance: Notes

RE: Contract #CTR069472

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Cindy Lewis Highlight

D o no t a tta ch th is fo rm to a p ol ic y.

I t i s f or in fo rm at io na l u se o nl y.

COMMERCIAL AUTO

POLICY NUMBER: ISSUE DATE:

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED FOR GENERAL LIABILITY

COVERAGES – PRIMARY AND NON-CONTRIBUTORY

WITH OTHER INSURANCE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

SCHEDULE OF ADDITIONAL INSURED PERSONS OR ORGANIZATIONS

PROVISIONS

b. In connection with your premises owned by or1. The following is added to Paragraph D., Who Is rented to you.An Insured, of SECTION II – GENERAL

LIABILITY COVERAGES: 2. The following is added to Paragraph 5., Other

Insurance, in B., General Conditions, ofAny person or organization designated in the SECTION IV –CONDITIONS, but only for GeneralSchedule Of Additional Insured Persons Or Liability Coverages:Organizations who you are required under a written contract or agreement between you and Regardless of the provisions of paragraphs d.

that person or organization, that is signed by you and f. of this part 5. Other Insurance, this insurance is primary to and non-contributory withbefore:

applicable other insurance under which the

a. The "bodily injury" or "property damage" person or organization designated in the occurs; or Schedule Of Additional Insured Persons Or

b. The "personal injury" or "advertising injury" Organizations is the first named insured when the offense is committed; written contract or agreement between you and that designated person or organization, that isand that is in effect during the policy period, to signed by you before:name as an additional insured for general liability

(1) The "bodily injury" or "property damage"coverage, but only for damages because of occurs; or"bodily injury", "property damage", "personal injury" or "advertising injury" caused, in whole or (2) The "personal injury" or "advertising injury" in part, by your acts or omissions or the acts or offense is committed;

omissions of those acting on your behalf:

and that is in effect during the policy period,

a. In the performance of your ongoing "auto requires this insurance to be primary and non-dealer operations"; or contributory.

CA T6 21 01 18 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

AD4W92732323/AD4W92474A

1. "Any person or organization with whom you have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy, any any other person or organization you are required to add as an additional insured under the contract or agreement."

AD4W927323/AD4W92474A

no t a tta ch th is fo rm to a p ol ic y.

I t i s f or in fo rm at io na l u se o nl y.

COMMERCIAL AUTO

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET ADDITIONAL INSURED FOR COVERED AUTOS

COVERAGES – PRIMARY AND NON-CONTRIBUTORY

WITH OTHER INSURANCE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

2. The following is added to Paragraph 5., OtherPROVISIONS

Insurance, in B., General Conditions, of

1. The following is added to Paragraph c. in D.2., SECTION IV –CONDITIONS, but only for Who Is An Insured, of SECTION I – COVERED

Covered Autos Liability Coverage:

AUTOS COVERAGES:

Regardless of the provisions of paragraphs a. and This includes any person or organization who you

f. of this part 5. Other Insurance, this insurance are required under a written contract or is primary to and non- contributory with applicableagreement between you and that person or other insurance under which an additional insuredorganization, that is signed by you before the person or organization is the first named insured"bodily injury" or "property damage" occurs and when a written contract or agreement betweenthat is in effect during the policy period, to name you and that person or organization, that isas an additional insured for auto liability signed by you before the "bodily injury" orcoverage, but only for damages to which this "property damage" occurs and that is in effectinsurance applies and only to the extentof that during the policy period, requires this insurance toperson's or organization's liability for the conduct be primary and non-contributory.of another "insured".

CA T6 18 01 18 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission

AD4W92732323/AD4W92474AAD4W927323/AD4W92474A

no t a dd th is fo rm to a p ol ic y.

It is fo r i nf or m at io na l p ur po se s o nl y.

COMMERCIAL AUTO

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET WAIVER OF SUBROGATION

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

The following replaces Paragraph A.5., Transfer of required of you by a written contract executed Rights Of Recovery Against Others To Us, of the prior to any "accident" or "loss", provided that the CONDITIONS Section: "accident" or "loss" arises out of the operations

5. Transfer Of Rights Of Recovery Against Oth- contemplated by such contract. The waiver ap-ers To Us plies only to the person or organization desig-nated in such contract.We waive any right of recovery we may have against any person or organization to the extent

CA T3 40 02 15 © 2015 The Travelers Indemnity Company. All rights reserved. Page 1 of 1 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

AD4W92732323/AD4W92474AAD4W927323/AD4W92474A

WC 00 03 13 © 1983 National Council on Compensation Insurance, Inc. Page 1 of 1 Ed. 4/1/1984

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

Where required by contract or written agreement prior to loss and allowed by law.

Effective Date 03/01/2025 Premium $ Included

Issued by: LM Insurance Corporation

For attachment to Policy No.: WA5-64D-446354-015

Issued to: VVG Holdings, LLC

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