Name: Robert Johnson
Driver ID: DRV-012
Address: 88 S Main St, Akron, OH 44308
Phone: 618-623-9317
Email: robert.johnson@boftransport.com

Delta Advanced Trucking, Inc. is named as additional insured and loss payee on all policies listed above.

Company Address:
88 S Main St, Akron, OH 44308
Phone: (330) 555-0100
Contact: Risk Management Department

Vehicle Type: Class A Tractor
Year: 2023
Make: Kenworth
Model: T680
VIN: 1XKND49X3PJ234567
License Plate: OH-8F7G6H

Commercial Auto Liability: Covers bodily injury and property damage resulting from motor vehicle accidents. Combined Single Limit (CSL) provides $1,000,000 total coverage per accident.

General Liability: Covers bodily injury and property damage occurring during business operations not related to vehicle use.

Cargo Insurance: Covers loss or damage to goods being transported up to $100,000 per load. Includes refrigerated cargo coverage.

Physical Damage: Covers damage to the insured vehicle (collision and comprehensive) up to actual cash value.

Occupational Accident: Provides coverage for work-related injuries and illnesses for independent contractors.

Non-Trucking Liability: Covers liability when using the vehicle for personal or non-business purposes.

Certificate Issued: October 15, 2025
Certificate Number: COI-DRV-012-2025-001
Producer: Delta Insurance Services
Producer License: OH-1234567
Contact: (800) 555-1234

This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate does not amend, extend, or alter the coverage afforded by the policies listed herein. In the event of any inconsistency between the terms of this certificate and the policies, the terms of the policies shall control. For complete coverage details, please refer to the actual policies.