DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE

3/24/2015

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 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). CONTACT NAME: PHONE (A/C, No, Ext):877-789-3773 E-MAIL ADDRESS:[email protected]

PRODUCER

Baldwin-DeBates Insurance 1101 W Russell St Sioux Falls SD 57104

FAX (A/C, No):605-274-9034

INSURER(S) AFFORDING COVERAGE INSURER A :Great INSURED

SHERM-6

NAIC #

West Casualty

INSURER B :

Sherman Xpress LLC 2244 HWY 65 Mora MN 55051

INSURER C : INSURER D : INSURER E : INSURER F :

COVERAGES

CERTIFICATE NUMBER: 610229088

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

ADDL SUBR INSR WVD

X

POLICY NUMBER

MCP15899A

GENERAL LIABILITY

POLICY EFF POLICY EXP (MM/DD/YYYY) (MM/DD/YYYY)

3/15/2015

3/15/2016

COMMERCIAL GENERAL LIABILITY CLAIMS-MADE

X

OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER: PROX POLICY LOC JECT

A

MED EXP (Any one person)

$ 5,000

PERSONAL & ADV INJURY

$ 1,000,000

GENERAL AGGREGATE

$ 2,000,000

PRODUCTS - COMP/OP AGG

$2,000,000

MCP15899A

3/15/2015

3/15/2016

COMBINED SINGLE LIMIT (Ea accident) BODILY INJURY (Per person)

ANY AUTO ALL OWNED AUTOS

X

HIRED AUTOS

X

$ 1,000,000 $ 100,000

$

AUTOMOBILE LIABILITY

X

LIMITS

EACH OCCURRENCE DAMAGE TO RENTED PREMISES (Ea occurrence)

SCHEDULED AUTOS NON-OWNED AUTOS

$1,000,000 $

BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident)

$

$ UMBRELLA LIAB

OCCUR

EACH OCCURRENCE

$

EXCESS LIAB

CLAIMS-MADE

AGGREGATE

$

DED RETENTION $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? (Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

A

Cargo Broad Form w/Reefer Breakdown

$

WC STATUTORY LIMITS

OTHER

E.L. EACH ACCIDENT

N/A

$

E.L. DISEASE - EA EMPLOYEE $ E.L. DISEASE - POLICY LIMIT

MCP15899A

3/15/2015

3/15/2016

$500,000

$

$2,500 deductible

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, 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 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE

ACORD 25 (2010/05)

© 1988-2010 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD

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