Please submit the information listed on this sheet as soon as possible.

Current proof of coverage with:

• Minimum limit of $1,000,000.00, with the certificate holder listed as: Q. Roberts Trucking Inc., P.O. Box 936, Seagoville, TX 75159

• And Waiver of Subrogation to Q. Roberts Trucking Inc. Endorsement CA2312 must be included and stated on the certificate

These documents can be faxed or emailed to:

Fax: 469-726-2437

Email: support@robertstruckinginc.co