Ocean Blue Environmental Services, Inc. (7)

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POLICY NUMBER: H08886301 001 FORM MCS-90 OMB No.:2126-0008 Expiration: 05i31i2024 USDOT Number: _ Date Received: _ Please note,the expiration date at stated on this form relates to the process for renewing the Information Collection Request for this form with the Office or\lanagement and Budget.This requirement to collect information as requested an this form does not expire. For questions,please contact the Office of Registration and Safety Information,Registration,Licensing,and Insurance Division. A Federal A;encv rna� not conduCl or sponsor,and a person is not reduired to respond to.nor shall a person be subject to a penalty for Failure to comply with a collection of infommtion subject to the requirements of the Papenvort<Retluctio:a Act unless that collection of information displays a current valid ONIB Control Number.The OMB Control Number for this information collection is 2126-0008 Public reporting for this collection of mlormation is estimated to he approximately 2 minute~per response_includin--,the time for revie4\ing instructions,gathering the data needed,and completing and reviewing the collection of information.All responses to this collection of information are mandatory.Send comments regarding this burden estimate or am wither aspect of this collection or information,including suggestions for reducing this burden to Intormanon.Collection Clearance Officer,Federal Motor Carrier Safety Administration,MC-RRA,Washington,D.0 20i90 IAW-%- . United States Department of Transportation k%pli Federal Motor Carrier Safety Administration Endorsement for Motor Carrier Policies of Insurance for Public Liability under Sections 29 and 30 of the Motor Carrier Act of 1980 FORM MCS-90 Issued to Ocean,Blue Environmental Services,Inc of CA Y inlur C brrter ncttrtel (11urra'(•truer shire nr premp&e) Dated at Alpharetta,GA on this 1st day of July 2024. Amending Policy Number: H08886301 001 Effective Date: 07/01/2024 Name of Insurance Company: ACE Property and Casualty Insurance Company Countersigned by: �"OtiN I LUPICA. F�asidvnt rrtxrh,r•crrl crrrrrprtttt'n�pr++rttnrrn:ri The policy to which this endorsement is attached provides primary or excess insurance, as indicated for the limits shown (check only one): FRIlhr+to+nr•rrncr rs J,rArrar��um!rla:r<,tnlnnn rhall our hu lisdrh'Jnr rurunttrzs in��rcc•er uJ ti 1,000,000 fi,r each ucrrdem. a '1•hr+rta+-r,nrtrre,rerc��+ernJlh�c�rrrrprnrtiehnll,tuth+•kuhleJl,t'rnur>mutur€n'<<a.+r,J`i - Ji,rcrrcTr,rcireh'tuine-t':et+c.,lrhr underhrti,limo if ti li,r archmt Jesr_ Whenever required by the Federal Motor Carrier Safety Administration(FMCSA), the company agrees to furnish the FMCSA a duplicate of said policy and all its endorsements The company also agrees, upon telephone request by an authorized representative of the FMCSA, to verify that the policy is in force as of a particular date. The telephone number to call is: 678-795-4000. Cancellation of this endorsement may be effected by the company or the insured by giving(1)thirty-five(35)days notice in writing to the other party(said 35 days notice to commence from the date the notice is mailed, proof of mailing shall be sufficient proof of notice), and(2)if the insured is subject to the FMCSA's registration requirements under 49 U.S.C. 13901,by providing thirty(30)days notice to the FMCSA(said 30 days notice to commence from the date the notice is received by the FMCSA at its office in Washington, DC). Filings must be transmitted online via the Internet at http://www.fmcsa.dot-gov/urs. (continued on next page) FORM MCS-90 Page 1 of 3 Rev 6/3/2021 MC1622y(06-21)Wolters Kluwer I Uniform Forms 010