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COI - DSV Road Transport, Inc. - Expires 2025-01-01AC -ORE) CERTIFICATE OF LIABILITY INSURANCE Page 1 of 2 DATE (MMIDD/YYYY) 12/27/2023 PRODUCER Willis Towers Watson Northeast, Inc, c/o 26 Century 731vd .0. Box 305191 ashville, TN 372305191 USA INSURED DSV Road Transport, Intl. 211 Two Smokes Way Dox 16050 asouls., MT 59808 COVERAQES 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 TIME 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(ias) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certaln policies may require an endorsement. A statement on this certificate does not confer ri±hts to the certificate holder in lieu of such endorsement(s). NAMEAtT Willis Towers Watson Certificate Center -- y-a77-945-7379 Licatss@willis".rsom TIFICATE NUMBER: W321161 PHONE FAX 1880 467-2378 (No, No), INSURER(S) AFFORDING COVERAGE; NA! INSURERA: XL Insurance America Inc INSURERS: AC4 American insurance Company INSURER : Indemnity Insurance Company of North Ameri 22667 43575 INSURERD; ACE Hire Underwriters Insurance Company _.. National Union INSURER 8 onanion Fire Insurance Company of INSURER F: REVISION NUMBER: 20702 19445 THIS INDICATED, CERTIFICATE EXCLUSIONS INSFi LTR IS TO CERTIFY THAT THE POLICIES NOTWITHSTANDING ANY REQUIREMENT, MAY BE ISSUED OR MAY AND CONDITIONS OF SUCH `-A-015 TYPE OF INSURANCE OF INSURANCE PERTAIN, POLICIES. n LISTED BELOW HAVE BEEN TERM OR CONDITION OF ANY THE INSURANCE AFFORDED BY LIMITS SHOWN MAY 1-IAVE BEEN REDUCED POLICY"NUMBgp._.__ ISSUED TO CONTRACT THE POLICIES BY JMMLICYYEff THE INSURED OR OTHER DOCUMENT DESCRIBED PAID CLAIMS, IM06.0C EXP NAMED ABOVE FOR THE POLICY PERIOD WITH RESPECT TO WHICH THIS HEREIN IS SUBJECT TO ALL THE TERMS, LIMIT5µ_.:__�_.__..__. X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 2,000, p00 CLAIMS•MADE ocout .. jj PREMDAMAGE TO RENTED a iy,� (Ell �Caurr�nr�g� MED EXIT (Any one person) �,____ 2,000, 000 $ 5, 000 U9000.96086L124A 01/01/2024 01/01/2025 F ERSONAL A ADV INJURY 2,000,000 GIN'LAGOREGATC LIMIT APPLIES PER: POLICY [Xi JCCT I xi LOC CENCRAL AGGREGATE PRODUCTS • COMP/OP AGC $ ,_4,000,000 $ 4, 000, 000 OTHER: $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT ,,.LDaaccl4r1,11), ,_ , BODILY INJURY (Per person), $ 5 00O, 000 ,_ _. ~$ ._ OWNED AUTOS ONLY SCHEDULED AUTOS Y MITI-110769619 12/31/2023 12/31/2024 BODILY INJURY (Per accident) $ _, ,.._... HIRED AUTOS ONLY NON -OWNED AUTOS ONLY PROPERTY DAMAGE (1161.629 deril), $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE EXCESS DED LIAR RETENTON$ CLAIMS•MADE AGGREGATk __... - $.___. __._ . . WORKERS COMPENSATION AND EMPLOYERS' LIABILITY v PER STATUE OTH ER C Y / N ANYPROPIIIETCR/PARTNEii/EXECUTIVE (MandatarIn NH) EXCLUDED? (Mandatary NH) N/A WLRC50742064 12/31/2023 12/31/2024 E,L EACH ACCIDENT E.L. DISEASE EA EMPLOYEE $ 2,000, 000 $ 2,000,000 If yes, describe under ObSCRIPTION OF OPERATIONS bcIow E.L, DISEASE. POLICY LIMIT $ 2, 000, 000 D Workers Compensation Employers Liability Per Statute BCirC50742106 12/31/2023 1,2/31/2024 E.X. Each Accident 1.L. Disease -Rol Lett62,000,000 E.L. Disease Each Esc 62,000,000 62,000,000 DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (ACORD 101, Additional Remarks Schedule, may to attached If more space is required) Workers Compensation includes U'SL&H and Maritime Coverage SEM ATTACHED CERTIF ATE HOLDE' CITY o8' GILROY 7351. ROSANNA ST GILROY, CA 95020 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. AUTHORIZED REPRESENTATIVE ACORD 25 (2016/03) 41988.2016 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD sn 10: 251.86832 91i10R;: 3259427 7661: 2 of 2 AGENCY CUSTOMER ID: LOC #: ACORD ADDITIONAL REMARKS SCHEDULE Page 2 of 2 AGENCY WL111s TOWers Watson Northeast, Inc. POLICYNUMBER See Page 1 CARRIER Page 1 ADDITIONAL REMARKS NAIC COD Page NAMEDINSURED DBV Road Transport, x 7211 Two Smokes Way . Box 16050 misaoula, MT 59808 EFFECTIVE DATE: See page1 THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: 1 FORM TITLE: Certificate of Liability Insurance rtificate Holder is named as an additional insured as their interests may appear with respects to General nd Liability coverage. INSURER AFFORDING COVERAGE: ACE American Insurance Company POLICY NUMBER: WLRC50741990 EFF DATE: 12/31/2023 EXP DATE: 12/31/2024 TYPE OF INSURANCE: kers Compensation 6 Employers Liability Per Statute LIMIT DESCRIPTION: E.L. Each Accident E.L. Disease -Po]. Lmt M.L. Disease Each Emp LIMIT AMOUNT: $2,000,000 $2,000,000 $2,000,000 INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh POLICY NUMBER: 02-543-70-86 EFF DATE: 01/01/2024 EXP DATE; 01/01/2025 TYPE OF INSURANCE: go Legal Liability ORD 101 (2008/01) LIMIT DESCRIPTION: Limit of Insurance LIMIT AMOUNT: $200,000 2008 ACORD CORPORATION. Ali r ghts reserved. The ACORD name and logo are registered marks of ACORD SR ID: 25186832 BATCH: 3259427 CERT: W32116155 7661: 2 of 2