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Certificate of Liability Insurance: Revision Number: Certificate Number: Coverages

This document is a Certificate of Liability Insurance issued on April 3, 2025, confirming coverage for ETECHSTARS INC by GEICO General Insurance Company. It details various insurance coverages including commercial general liability, automobile liability, and workers compensation, with specific limits and policy periods. Forward Air Final Mile, LLC is named as an additional insured with a waiver of subrogation, and cancellation notice provisions are included.
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0% found this document useful (0 votes)
258 views1 page

Certificate of Liability Insurance: Revision Number: Certificate Number: Coverages

This document is a Certificate of Liability Insurance issued on April 3, 2025, confirming coverage for ETECHSTARS INC by GEICO General Insurance Company. It details various insurance coverages including commercial general liability, automobile liability, and workers compensation, with specific limits and policy periods. Forward Air Final Mile, LLC is named as an additional insured with a waiver of subrogation, and cancellation notice provisions are included.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DATE (MM/DD/YYYY)

CERTIFICATE OF LIABILITY INSURANCE 04/03/2025


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).
CONTACT
PRODUCER
NAME: GEICO
PHONE FAX
GEICO (A/C, No, Ext): 1-800-988-5036 (A/C, No):
E-MAIL
ONE GEICO BLVD ADDRESS: R1COMMEND@GEICO.COM
FREDERICKSBURG, VA 22412 INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : GEICO General Insurance Company 35882


INSURED INSURER B :
ETECHSTARS INC INSURER C :
11220 W BURLEIGH ST STE 167 INSURER D :
MILWAUKEE, WI 53222 INSURER E :

INSURER F :
COVERAGES CERTIFICATE NUMBER: 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 $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR PREMISES (Ea occurrence) $

MED EXP (Any one person) $


PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $


PRO-
POLICY JECT LOC PRODUCTS - COMP/OP AGG $

OTHER: $
COMBINED SINGLE LIMIT
AUTOMOBILE LIABILITY
(Ea accident)
$ 1,000,000
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
A AUTOS ONLY AUTOS Y Y 9300118165 02/26/2025 02/26/2026 BODILY INJURY (Per accident) $
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
$
UMBRELLA LIAB OCCUR EACH OCCURRENCE $
EXCESS LIAB CLAIMS-MADE AGGREGATE $

DED RETENTION $ $
WORKERS COMPENSATION PER OTH-
AND EMPLOYERS' LIABILITY STATUTE ER
Y/N
ANYPROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $
OFFICER/MEMBER EXCLUDED? N/A
(Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $
Limit/Deductible $100,000/$1,000
Motor Truck Cargo
A Y Y 9300118165 02/26/2025 02/26/2026

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

2020 INTERNATIONAL MV607 3HAEUMML5LL846925


Forward Air Final Mile, LLC dba Forward Final Mile and Forward Final Mile’s customers IS NAMED AS ADDITIONAL INSURED WITH WAIVER OF
SUBROGATION. THE TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US CONDITION DOES NOT APPLY TO THE PERSONS OR
ORGANIZATIONS SHOWN ABOVE. COVERAGE IS PRIMARY AND NON-CONTRIBUTORY.

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.
Forward Air Final Mile, LLC dba Forward Final Mile and
Forward Final Mile's customers c/o TrueNorth - Compliance
AUTHORIZED REPRESENTATIVE
PO Box 1863
Cedar Rapids, IA 52406-1863

© 1988-2015 ACORD CORPORATION. All rights reserved.


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

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