Scribd
Upload
48 views2 pages

CERTIFICATE No. CXW-3250556-1

This certificate provides commercial auto liability insurance for JST Transportes SA de CV for a 2001 Freightliner tractor hauling non-hazardous materials. The insurance is valid from January 25, 2023 at 5:50 PM to January 26, 2023 at 5:50 PM. The policy provides $1,000,000 in liability coverage per accident with a $0 deductible and $2,000 in medical payments per person up to $6,000 per accident. Coverage only applies within a 50 mile radius of the port of entry in Laredo, Texas and does not cover vehicles principally garaged in the United States.

Uploaded by

danny
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
48 views2 pages

CERTIFICATE No. CXW-3250556-1

This certificate provides commercial auto liability insurance for JST Transportes SA de CV for a 2001 Freightliner tractor hauling non-hazardous materials. The insurance is valid from January 25, 2023 at 5:50 PM to January 26, 2023 at 5:50 PM. The policy provides $1,000,000 in liability coverage per accident with a $0 deductible and $2,000 in medical payments per person up to $6,000 per accident. Coverage only applies within a 50 mile radius of the port of entry in Laredo, Texas and does not cover vehicles principally garaged in the United States.

Uploaded by

danny
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
You are on page 1/ 2

CERTIFICATE OF COMMERCIAL AUTO LIABILITY INSURANCE / CERTIFICADO DE SEGUROS RC PARA VEHICULO COMERCIAL

CERTIFICATE No. CXW-3250556-1

ADVERTENCIA: TODOS LOS ACCIDENTES DEBEN SER REPORTADOS INMEDIATAMENTE AL


TEL 1-866-329-6734, 512 861 0992 PARA EVITAR OBSTACULOS EN LA COBERTURA.

VERIFY COVERAGE: 1800-554-3498 or go to www.nationalunity.com


* ITEM ONE / SECCION UNO:
INSURED NAME AND ADDRESS / NOMBRE Y DIRECCION DEL ASEGURADO BROKER / AGENTE Número de Agente
3 1 1
TERESA ZOLEZZI
JST TRANSPORTES SA DE CV(JST TRANSPORTES SA DE CV)
Calle Paseo de la Montaña #138 esq. Gran Parque
CASETA CLORACION SN ., SALTILLO, CO Col. Cumbres 3º Sector , 64610
MONTERREY, NL
PHONE / TEL., AREA CODE / CODIGO LADA (844) 362-0207 Tel. 52(81) 8123-1052
Email. [email protected]

COBERTURA PARA DAÑOS A TERCEROS 31 Days/Días

From (Desde) 1 25 2023 Time/Hora 5:50 X To (Hasta) 2 25 2023 Time/Hora 5:50 X

Month (Mes) Day (Día) Year (Año) A.M. P.M. Month (Mes) Day (Día) Year (Año) A.M. P.M.
Central Central Central Central
Time Time Time Time
IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE
THE INSURANCE AS STATED IN THIS CERTIFICATE. EN CAMBIO DEL PAGO DE LA PRIMA Y SUJETO A TODAS LAS CONDICIONES DE ESTA
POLIZA, NOSOTROS CONVENIMOS PROVEER LAS COBERTURAS DECLARADAS EN ESTE CERTIFICADO.
* ITEM TWO / SECCION DOS: SCHEDULE OF COVERAGE / COBERTURAS
This certificate provides only those coverages where a charge is shown in this premium column below. Each of these coverages will apply only to those autos shown as covered autos.
Este certificado proveé solamente las coberturas de cual la prima está escrita aquí abajo. Las coberturas se aplican solamente a los vehículos listados como autos cubiertos.
COVERAGES / COBERTURAS LIMIT TOTAL PREMIUM
LIABILITY / RESPONSABILIDAD THE MOST WE WILL PAY FOR ANY ONE ACCIDENT OR LOSS LIMITE DE RESPONSABILIDAD PRIMA TOTAL
COMBINED AND SINGLE LIMIT $1,000,000.00 / DEDUCTIBLE $0.00 PER ACCIDENT $3,564.00

MEDICAL PAYMENTS $2,000.00 PER PERSON $6,000.00 PER ACCIDENT INCLUDED


Coverage radius never to exceed 50 (fifty) miles from port of entry / El radio de cobertura nunca excederá de 50 (cincuenta) millas del puerto de entrada.
PORT OF ENTRY: CITY: LAREDO, TX STATE: TEXAS

1) Insurance Afforded does not apply to any truck transporting hazardous, explosive or radioactive materials as defined by 49CFR171.8 and
49CFR173,389 of the MOTOR CARRIER ACT OF 1980.
2) Coverage does not apply to any public livery vehicle such as but not limited to, buses, taxis, limousines or van pools, whether hauling for
hire or not. ANY CERTIFICATE ISSUED ON THESE TYPE OF VEHICLES IS HEREBY NULL AND VOID.

WARNING / ADVERTENCIA
THERE IS NO COVERAGE HEREUNDER FOR VEHICLES
PRINCIPALLY GARAGED IN THE UNITED STATES OF AMERICA.
THIS POLICY IS VOID IF ALTERED.
NO EXISTE COBERTURA BAJO ESTA POLIZA PARA VEHICULOS DATE: (FECHA): 1/25/2023 5:50:26 PMBy (Por):
RESIDENTES DE ESTADOS UNIDOS DE AMERICA. ESTA POLIZA Authorized Representative for National Unity Insurance Company / Representante
NO ES VALIDA CON TACHADURAS O ENMENDADURAS. Autorizado, de National Unity Insurance Company
COVERAGE WILL BE NOT VALID FOR DRIVERS UNDER 21 OR OLDER THAN 65 YEAR OR WITHOUT A VALID DRIVERS LICENSE FOR THIS TYPE OF VEHICLE / NO SE OTORGA
COBERTURA A CONDUCTORES MENORES DE 21 AÑOS NI MAYORES DE 65 O CONDUCTORES SIN LICENCIA DE CONDUCIR VALIDA Y VIGENTE PARA ESTE TIPO DE VEHICULO
* ITEM THREE / SECCION TRES: SCHEDULE OF COVERAGE AUTO INSURED / DESCRIPCION DEL AUTO ASEGURADO.
DESCRIPTION / DESCRIPCION
Year, Model, Trade, Body Type /Año, Modelo, Marca, Tipo de Carrocería  
2001, CST120 , FREIGHTLINER , TRACTO
xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx NON-HAZARDOUS MATERIALS CARGO ONLY/
Serial number / Número de serie    1FUY0SZB41LG93962 SOLO MATERIALES DE CARGA NO PELIGROSOS
Licence plates / Placas  07ER4K xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx   Caja: 

This individual certificate is furnished in accordance with and subject to the provisions, conditions and limitations of the master policy. The
Master policy and the application therefore constitute the entire contract. The certificate of insurance is evidence of insurance under said master
policy.
NATIONAL UNITY INSURANCE CO
ONE HUEBNER PARKE, 15303 HUEBNER ROAD
SAN ANTONIO, TX. 78248
www.nationalunity.com THIS CERTIFICATE IS VOID IF ALTERED
F-70 08/2021

You might also like