Preview
FILED: QUEENS COUNTY CLERK 01/29/2024 09:59 AM INDEX NO. 702655/2023
NYSCEF DOC. NO. 21 RECEIVED NYSCEF: 01/29/2024
SUPREME COURT OF THE STATE OF NEW YORK
COUNTY OF QUEENS
MEESUM ABBAS
Plaintiff,
-against- Index No.: 702655/2023
ERIC MATEO, MATEO BROTHERS CONTRACTING LLC, RESPONSE TO
PAUL AND FRANCO BLACK FLEET CORP., UBER USA PRELIMINARY
LLC AND UBER TECHNOLOGIES, INC CONFERENCE ORDER
Defendants,
S I R S:
PLEASE TAKE NOTICE that Defendants, ERIC MATEO, MATEO BROTHERS
CONTRACTING LLC, as and for their response to the Preliminary Conference Order dated
August 31, 2023, respectfully respond in accordance with the CPLR, as follows:
RESPONSE TO DEMAND FOR INSURANCE INFORMATION
1. Annexed hereto and made a part hereof please see a copy of defendant’s insurance
policy and affidavit that the defendants did not maintain any umbrella and/or excess policies of
insurance at the time of the alleged incident.
RESPONSE TO DEMAND FOR WITNESSES
2. Responding defendants are unaware of any witnesses to the alleged incident giving
rise to the within lawsuit other than the parties hereto and any individuals listed in the accident
report.
RESPONSE TO DEMAND FOR ADVERSE PARTY STATEMENTS
3. Responding defendants are not in possession of any statements, either written or
recorded, of any adverse party herein other than the police accident report.
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RESPONSE TO DEMAND FOR PHOTOGRAPHS/VIDEOS
4. Responding defendants are not aware of any photographs or videos other than the
videos exchanged by plaintiff’s counsel and any photographs or videos exchanged by any parties
in the companion matter.
RESPONSE TO DEMAND FOR EXPERT WITNESS DISCLOSURE
5. Responding defendants have not retained any expert witnesses for trial purposes
and reserve the right to supplement their response to this demand upon the completion of pre-trial
discovery.
PLEASE TAKE FURTHER NOTICE, that the responding defendant reserves the right to
amend, supplement, revise and/or update the above responses throughout the course of pre-trial
discovery and up to and including the time of trial.
Dated: Hicksville, New York
January 29, 2024
Yours, etc.
Marc D. Sloane
MINTZER, SAROWITZ, ZERIS LEDVA &
MEYERS
Attorney for Defendant(s),
ERIC MATEO, MATEO BROTHERS
CONTRACTING LLC
17 West John Street, Suite 200
Hicksville, NY 11801
(516) 939-9200
File # 2462.0039
TO: NICHOLAS ELEFTERAKIS
ELEFTERAKIS, ELEFTERAKIS & PANEK
80 Pine Street, 38th Floor
New York, NY 10005
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L4 :
GUARD Ie Sorin AEGEAN
\){4 Berkshire Hathaway In cooperation with
www.guard.com
Mateo Brothers Contracting LLC Policy Number: MAAU221802
50 Garnet PI Customer Number: 9783628
Elmont, NY 11003 Insurance Company: AmMGUARD Insurance Company
Effective Date: 10/27/2021
Thank you for choosing us for your Commercial Auto Policy!
Welcome. Your policy is underwritten by AMGUARD Insurance Company - a member of Berkshire
Hathaway GUARD Insurance Companies. We are pleased to have the opportunity to serve you by
providing quality insurance coverage, easy claims reporting, and the attentive customer service you
deserve.
Register Now and Manage Your Policy Online
We provide fast and easy online self-service solutions through our Policyholder Service Center (PSC)
and BHGUARD mobile app. Here you can:
e view and print policy documents
e make online payments
e review our value-added services
e find information to report a claim (use our app to upload photos and documents)
e GO GREEN - set up electronic document delivery
Register now at www.quard.com/pscreqgister or download the BHGUARD app today!
Who to Contact
For coverage changes, policy provisions, or endorsement issues, call your insurance agent at 718-906-
5300.
For questions about billing, claims, and our other services, contact our Customer Service Center
Monday through Friday, 8:00 AM to 7:30 PM EST by phone at 800-673-2465, fax at 570-823-2059, email
at csr@GUARD.com, or chat with us online through the PSC.
To report fraud or suspicious activity, contact our Fraud Investigative Unit at 800-673-2465, ext. 8477
(TIPS) or via email at fraudsiu@guard.com.
Report a Claim 24/7
You can report a claim 24/7 by contacting our Claims Center at 888-NEW-CLMS. Look for information
on claims reporting on our Policyholder Service Center accessible at www.guard.com. Upload claims
documents and photos using our mobile app or online at our PSC.
Thanks for doing business with Berkshire Hathaway GUARD Insurance Companies. Please keep a copy of
this letter with your policy for future reference.
Register for our Policyholder Service Download the BHGUARD app mo TTT
Center at www.guard.com/pscregister/
g pscreg POLICYHOLDER
SERVICE CENTER 4 > 0d BYE
or download the BHGUARD app today!
enclosed: Commercial Auto Policy #MAAU221802
The Security You Need. The Name You Trust.
HQ: NY/CA
DECTOI
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DOWNLOAD OUR MOBILE APP! S« Berkshire Hathaway
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Policyholder Service Center #'GUARD [3
"
S$ Berkshire Hathaway
HB GUARD zs Register
Today!
www.guard.com/
pscregister/
We value our policyholders, so we take advantage
of technology to offer fast and easy online
ACCOUNT MANAGEMENT
self-service solutions.
> View and print policy documents
> Generate a Certificate of
Available from www.guard.com/pscregister/ or mobile app, our
Insurance (COI)
Policyholder Service Center is the gateway to a wide range of
Download loss control materials
resources used by our customers to manage their insurance
VV
Search our video library
with us. From reporting a claim to making a payment online to
reviewing helpful loss control information, our service center is Chat online with a representative
V
designed to offer convenient access to the tools you use most! Go paperless
V
Access other news and resources
Vv
Our BHGUARD mobile app offers many of the same features
with the latest technology always in mind. Get the app on
Google Play or download from the Apple App Store, today! BILLING & PAYMENTS
Need help? Contact 1-800-673-2465 or csr@guard.com. > Make a credit card payment
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Visit www.guard.com/pscregister/ or Download the BHGUARDapp ~~ 8 / NTE
POLICYHOLDER
download the BHGUARD app today! SERVICE CENTER 14" > GooglePlay J ® App Store
Some features and resources are only available for specific lines of insurance. Not all features may be currently available on the mobile app. Insurance is
underwritten by AMGUARD Insurance Company®, AZGUARD™ Insurance Company (non-admitted in California), EastGUARD Insurance Company® NorGUARD
Insurance Company® or WestGUARD® Insurance Company, members of Berkshire Hathaway GUARD Insurance Companies ("GUARD") with principal place of
business at 39 Public Square, Wilkes-Barre, PA 18701.
SSPSC052721
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NYSCEF DOC. NO. 21
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10/23/2023
OURRS SERVICCES
E 2 /Berkshire Hathaway
Claims Reporting pa ‘GUARD =n" Companies
We encourage policyholders to inform us of incidents, accidents,
and potential claims as soon as possible so that we can get right
to work! Prompt reporting can be key to a successful resolution. TIPS FOR CONTROLLING
Only the administration of emergency care comes first. THE LOSS
> Take reasonable steps to protect
any covered persons, property,
WAYS TO REPORT A CLAIM autos, etc., from immediate
RR further harm or damage and keep
hii =D Call 1-888-NEW-CLMS a record of any expenses incurred
(1-888-639-2567) in the process for consideration
dia in the settlement. If possible, set
# msn = Log into our Policyholder Service DRT ile LonSR BANGIN
EE Center at guard.com/pscregister
> Allow our adjusters to officially
Get the BHGUARD app from inspect the property/auto before
the App Store or Google Play any non-immediate repairs or
Visit guard.com to complete gispesiticaiakeiptace.
an online form > Promptly notify the police of any
stolen property or suspected
illegal activity.
> Preserve any closed-circuit
HELPFUL INFORMATION surveillance video.
FOR EXPEDITING YOUR CLAIM > If possible, photograph the scene;
Policy number cell phone pictures can be helpful.
Description of how, when, and where the incident occurred
+ Names, addresses, phone numbers of any CONTACT US
injured/involved parties or witnesses 1-888-NEW-CLMS
+ The insured driver's name, address, phone number GUARDClaimsTeam@guard.com
(for Commercial Auto claims) Fax: 570-825-0611
The employer's tax ID number, the injured/ill employee's
Berkshire Hathaway GUARD
SSN and personnel file and any accident reports
P.O. Box 1368
(for Workers’ Compensation claims)
Wilkes-Barre, PA 18703-1368
Legal correspondence (for Liability claims)
Special forms for Disability claims available on guard.com
Insurance may be underwritten by AmMGUARD Insurance Company®, AZGUARD™ Insurance Company, EastGUARD Insurance Company®, NorGUARD
Insurance Company®, or WestGUARD® Insurance Company, members of Berkshire Hathaway GUARD Insurance Companies (“GUARD”) with principal place
of business at 39 Public Square, Wilkes-Barre, PA 18701. All claims will be evaluated upon submission. We will not pay for any subsequent loss or damage
resulting from an occurrence that is not a “Covered Cause of Loss.” Only the relevant insurance policy and endorsements can provide the actual terms and
conditions for an insured. Some restrictions, all state laws, and all company claims/underwriting guidelines apply. © May 2021.
CLRP052721
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NUESTROS SERVICIOS /Berkshire Hathaway
Ny
Reporte de Reclamos AGUARD Companies
gi
Alentamos a los tenedores de polizas a que nos informen de incidentes,
accidentes y reclamos potenciales lo antes posible, para que ponernos a
trabajar inmediatamente. Una rapida denuncia puede ser importante
para una resolucién exitosa. Unicamente la administracion de la atencion CONSEJOS PARA
de emergencias es mas importante. CONTROLAR LAS PERDIDAS
> Dé pasos razonables para proteger
a cualquier persona, propiedad,
FORMAS DE DENUNCIAR UN RECLAMO vehiculos, etc. cubiertos, de un dao
mayor o perjuicio inmediato y lleve
un registro de cualquier gasto en el
< Report a New Claim 7% Llame al 1-888-NEW-CLMS que incurra en el proceso para su
@ E
© Identify (1-888-639-2567) consideracion en el acuerdo. De ser
© Contact Info
posible, reserve la propiedad para
Registrese en nuestro Centro de su examen.
© Add Description
© Attach files Servicio a tenedores de pdlizas en > Permita que nuestros ajustadores
Tp — guard.com/pscregister inspeccionen de manera oficial
s la propiedad/vehiculo antes de
0c Obtenga la aplicacién BHGUARD dar lugar a cualquier reparacion
o disposicién de caracter
@m &
en la App Store o de Google Play neinmediaio
Visite guard.com para completar > Notifiqgue inmediatamente a la policia
el formulario online acerca de la propiedad robada o de
sospecha de actividad ilegal
> Preserve cualquier video de circuito
cerrado de vigilancia.
INFORMACION UTIL PARA ACELERAR SU RECLAMO > De ser posible, tome fotografias
+ Numero de péliza de la escena; las fotos del teléfono
Co , , . ye celular pueden ser utiles.
« Descripcion acerca de cémo, cuando y donde ocurrié el incidente
« Nombres, direcciones, nimeros telefénicos de alguna de las
partes involucradas/lesionadas o de testigos CONTACTENOS
+ El nombre, direccion, numero telefénico del conductor asegurado 1-888-NEW-CLMS
(para reclamos comerciales de vehiculos) GUARDClaimsTeam@guard.com
+ El numero federal del negocio, el nimero de seguro social del Fax: 570-825-0611
empleado enfermo/lesionado y el archivo personal y cualquier
denuncia de accidente (para el reclamo de indemnizacién del Berkshire Hathaway GUARD
empleado) P.O. Box 1368
Wilkes-Barre, PA 18703-1368
+ Correspondencia legal (para reclamos de responsabilidad)
» Formularios especiales para reclamos por discapacidad
disponibles en guard.com
El seguro podra ser cubierto por AMGUARD Insurance Company®, EastGUARD Insurance Company®, NorGUARD Insurance Company®, WestGUARD®
Insurance Company, o AZGUARD™ Insurance Company, miembros de las Compafiias de Seguros Berkshire Hathaway GUARD (BHGIC) con sede central en
39 Public Square, Wilkes-Barre, PA 18701. Todos los reclamos serén evaluados una vez presentados. No pagaremos ninguna pérdida o dafo sobreviniente
como consecuencia de un incidente que no configure una «Causa de pérdida cubierta». Unicamente las pélizas de seguro y los endosos relevantes pueden
proporcionar los términos y condiciones efectivos a un asegurado. Son aplicables algunas restricciones, todas las leyes estatales y todos los reclamos de
empresas/guias de cobertura. © BHGIC 2020.
CFES052821
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oi
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/Berkshire Hathaway
A Insurance
py G UARD Companies
POLICY NUMBER: COMMERCIAL AUTO
MAAU221802 CADS 031013
BUSINESS AUTO DECLARATIONS
ITEM ONE
Company Name: AmGUARD Insurance Company — |Producer Name: NYSCOT10
A Stock Company SCOTTISH AMERICAN
P.O. Box AH 34-07 Steinway Street
39 Public Square Suite 201
Wilkes-Barre, PA 18703-0020 Long Island City, NY 11101
(800) 673-2465
Named Insured: Mateo Brothers Contracting LLC Mailing Address: 50 Garnet PI
Elmont, NY 11003-3632
Policy Period
From: 10/27/2021
To: 10/27/2022 At 12:01 AM Standard Time at your mailing address shown above
Previous Policy Number: NEW
Form Of Business:
Corporation Limited Liability Company [individual
Partnership BH Other:
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 policy.
Premium Shown Is Payable At Inception: $ 4,804.00
Audit Period (if applicable): Annually [1] Semiannually [1] Quarterly [1] Monthly
Endorsements Attached To This Policy
IL 00 17 — Common Policy Conditions (IL 01 46 in Washington)
Includes copyrighted
material of ISO, Inc., used Date: 10/28/2021
with its permission. P.O. Box AH e 39 Public Square » Wilkes-Barre, PA 18703-0020 » www.guard.com Page 10f12
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POLICY NUMBER: MAAU221802 COMMERCIAL AUTO
Date: 10/28/2021 CA DS 031013
Countersignature Of Authorized Representative
Includes copyrighted material of the Page 2 of 12
Insurance Services Office, Inc., used with its permission.
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POLICY NUMBER: MAAU221802 COMMERCIAL AUTO
Date: 10/28/2021 CA DS 031013
ITEM TWO - New York
Schedule Of Coverages And Covered Autos
This policy provides only those coverages where a charge is shown in the premium column below. Each of these
coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for
a particular coverage by the entry of one or more of the symbols from the Covered Autos section of the
Business Auto Coverage Form next to the name of the coverage.
Covered
Coverages Autos Limit Premium
Covered Autos 7 $ 300,000 $ 3,105.00
Liability
Supplemental
Spousal Liability
Mandatory Personal 7 Separately Stated In Each Personal $ 150.00
Injury Protection Injury Protection Endorsement Minus
(PIP) $ NA Deductible
Added Personal Separately Stated In Each Added
Injury Protection Personal Injury Protection
Endorsement
Aggregate No-Fault Limit Available Which Includes the Following Coverage and Limits
Maximum
Monthly Work
Loss
DeathBeneft | |s ~~ |s
Other
Necessary
Expenses (per
day)
Optional Basic
Economic Loss
(O.B.E.L.)
Auto Medical 7 $ 5,000 $ 3.00
Payments Each Insured
Uninsured Motorists
- Bodily Injury
Supplementary $ 300,000.00 $ 127.00
Uninsured/
Underinsured
Motorists Coverage
(SUM)*
*The maximum amount payable under SUM coverage shall be the policy's SUM limits reduced and thus offset
by motor vehicle bodily injury liability insurance policy or bond payments received from, or on behalf of, any
negligent party involved in the accident, as specified in the SUM endorsement.
Includes copyrighted material of the Page 3 of 12
Insurance Services Office, Inc., used with its permission.
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POLICY NUMBER: MAAU221802 COMMERCIAL AUTO
Date: 10/28/2021 CA DS 031013
ITEM TWO - New York
Schedule Of Coverages And Covered Autos (Cont'd)
Covered
Coverages _— Limit
Physical Actual Cash Value Or Cost Of Repair, $ 267.00
Damage Whichever Is Less, Minus
Comprehensive
Coverage $ 1,000 Deductible
For Each Covered Auto
See Item Four for Hired or Borrowed Autos.
Physical Actual Cash Value Or Cost Of Repair,
Damage Whichever Is Less, Minus
Specified $ Deductible
Causes Of
Loss For Each Covered Auto For Loss Caused
Coverage By Mischief Or Vandalism
See Item Four for Hired or Borrowed Autos.
Physical Actual Cash Value Or Cost Of Repair,
Damage Whichever Is Less, Minus
Collision
Coverage $ 1,000 Deductible
For Each Covered Auto
~ Item Four for Hired or Borrowed Autos.
Physical For Each
Damage Towing E—
bisabloment Of A Private Auto
And Labor
Rental
Reimbursement
Business Auto
Broad Form
Endorsement
Premium For Endorsements '$ 7500
75.00
Motor Vehicle Law Enforcement Fee - $10 PER VEHICLE | $ 10.00
Estimated Total Premium*| $ 4,794.00
*This policy may be subject
to final audit.
Includes copyrighted material of the Page 4 of 12
Insurance Services Office, Inc., used with its permission.
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POLICY NUMBER: MAAU221802 COMMERCIAL AUTO
Date: 10/28/2021 CADS 031013
Includes copyrighted material of the Page 5 of 12
Insurance Services Office, Inc., used with its permission.
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POLICY NUMBER: MAAU221802 COMMERCIAL AUTO
Date: 10/28/2021 CA DS 031013
ITEM THREE - New York
Schedule Of Covered Autos You Own
Covered Auto Number: 1
Town And State Where The Covered Auto Will Be Principally Garaged:
Elmont, NY
Covered Auto Description
Year: 2021 | Model: FORD F-150
Serial Number
Body Type: (S):
Vehicle Identification Number
(VIN): 1FTEW1EPXMFC90671
Purchased
Original Cost New: $ 46,840
Actual Cost New Or Used: $ [|New [ ]Used
Classification
Business
Use
s=service Size GVW,
Radius r=retail GCW Or Secondary
of c=commercia Vehicle Seating Age Rating
Operation | Capacity Group Classification Code
Local up to 50 Light Truck 10,000 Ibs | 1 Contractors 01189
miles GVW or less
Except For Towing, All Physical Damage Loss Is Payable To You And The Loss Payee Named Below
According To Their Interests In The Auto At The Time Of The Loss:
Includes copyrighted material of the Page 6 of 12
Insurance Services Office, Inc., used with its permission.
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POLICY NUMBER: MAAU221802 COMMERCIAL AUTO
Date: 10/28/2021 CA DS 031013
ITEM THREE - New York
Schedule Of Covered Autos You Own (Cont'd)
Coverages - Premiums, Limits And Deductibles
(Absence of a deductible or limit entry in any column below means that the limit or deductible entry
in the corresponding Item Two column applies instead.)
Coverages Premium
Liability $ 300,000 $ 3,105.00
Supplemental $
Spousal Liability
Mandatory Personal Stated In Each Personal Injury Protection $ 150.00
Injury Endorsement Minus
Protection(PIP) $ N/A Deductible
Added Personal Stated In Each Added Personal Injury $
Injury Protection Protection Endorsement
Aggregate No-Fault Limit Available Which Includes the Following Coverage and Limits
Maximum Monthly
Work Loss
Other Necessary
Expenses(per day)
Optional Basic $
Economic Loss
(O.B.E.L.)
Supplementary $ 300,000 $ 127.00
Uninsured/
Underinsured Motorists
Coverage (SUM)*
Auto Medical $ 5,000 $ 3.00
Payments
Comprehensive Stated In Item Two Minus $ 267.00
$ 1,000 Deductible
Specified Causes Stated In Item Two Minus $
Of Loss $ Deductible
Collision Stated In Item Two Minus $ 1,067.00
$ 1,000 Deductible
Towing And Labor $ Per Disablement |($
Business Auto Broad $
Form Reimbursement
Includes copyrighted material of the Page 7 of 12
Insurance Services Office, Inc., used with its permission.
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Preview
FILED: QUEENS COUNTY CLERK 01/29/2024 09:59 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 RECEIVED NYSCEF: 01/29/2024 SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF QUEENS MEESUM ABBAS Plaintiff, -against- Index No.: 702655/2023 ERIC MATEO, MATEO BROTHERS CONTRACTING LLC, RESPONSE TO PAUL AND FRANCO BLACK FLEET CORP., UBER USA PRELIMINARY LLC AND UBER TECHNOLOGIES, INC CONFERENCE ORDER Defendants, S I R S: PLEASE TAKE NOTICE that Defendants, ERIC MATEO, MATEO BROTHERS CONTRACTING LLC, as and for their response to the Preliminary Conference Order dated August 31, 2023, respectfully respond in accordance with the CPLR, as follows: RESPONSE TO DEMAND FOR INSURANCE INFORMATION 1. Annexed hereto and made a part hereof please see a copy of defendant’s insurance policy and affidavit that the defendants did not maintain any umbrella and/or excess policies of insurance at the time of the alleged incident. RESPONSE TO DEMAND FOR WITNESSES 2. Responding defendants are unaware of any witnesses to the alleged incident giving rise to the within lawsuit other than the parties hereto and any individuals listed in the accident report. RESPONSE TO DEMAND FOR ADVERSE PARTY STATEMENTS 3. Responding defendants are not in possession of any statements, either written or recorded, of any adverse party herein other than the police accident report. 1 of 70 FILED: QUEENS COUNTY CLERK 01/29/2024 09:59 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 RECEIVED NYSCEF: 01/29/2024 RESPONSE TO DEMAND FOR PHOTOGRAPHS/VIDEOS 4. Responding defendants are not aware of any photographs or videos other than the videos exchanged by plaintiff’s counsel and any photographs or videos exchanged by any parties in the companion matter. RESPONSE TO DEMAND FOR EXPERT WITNESS DISCLOSURE 5. Responding defendants have not retained any expert witnesses for trial purposes and reserve the right to supplement their response to this demand upon the completion of pre-trial discovery. PLEASE TAKE FURTHER NOTICE, that the responding defendant reserves the right to amend, supplement, revise and/or update the above responses throughout the course of pre-trial discovery and up to and including the time of trial. Dated: Hicksville, New York January 29, 2024 Yours, etc. Marc D. Sloane MINTZER, SAROWITZ, ZERIS LEDVA & MEYERS Attorney for Defendant(s), ERIC MATEO, MATEO BROTHERS CONTRACTING LLC 17 West John Street, Suite 200 Hicksville, NY 11801 (516) 939-9200 File # 2462.0039 TO: NICHOLAS ELEFTERAKIS ELEFTERAKIS, ELEFTERAKIS & PANEK 80 Pine Street, 38th Floor New York, NY 10005 2 of 70 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 L4 : GUARD Ie Sorin AEGEAN \){4 Berkshire Hathaway In cooperation with www.guard.com Mateo Brothers Contracting LLC Policy Number: MAAU221802 50 Garnet PI Customer Number: 9783628 Elmont, NY 11003 Insurance Company: AmMGUARD Insurance Company Effective Date: 10/27/2021 Thank you for choosing us for your Commercial Auto Policy! Welcome. Your policy is underwritten by AMGUARD Insurance Company - a member of Berkshire Hathaway GUARD Insurance Companies. We are pleased to have the opportunity to serve you by providing quality insurance coverage, easy claims reporting, and the attentive customer service you deserve. Register Now and Manage Your Policy Online We provide fast and easy online self-service solutions through our Policyholder Service Center (PSC) and BHGUARD mobile app. Here you can: e view and print policy documents e make online payments e review our value-added services e find information to report a claim (use our app to upload photos and documents) e GO GREEN - set up electronic document delivery Register now at www.quard.com/pscreqgister or download the BHGUARD app today! Who to Contact For coverage changes, policy provisions, or endorsement issues, call your insurance agent at 718-906- 5300. For questions about billing, claims, and our other services, contact our Customer Service Center Monday through Friday, 8:00 AM to 7:30 PM EST by phone at 800-673-2465, fax at 570-823-2059, email at csr@GUARD.com, or chat with us online through the PSC. To report fraud or suspicious activity, contact our Fraud Investigative Unit at 800-673-2465, ext. 8477 (TIPS) or via email at fraudsiu@guard.com. Report a Claim 24/7 You can report a claim 24/7 by contacting our Claims Center at 888-NEW-CLMS. Look for information on claims reporting on our Policyholder Service Center accessible at www.guard.com. Upload claims documents and photos using our mobile app or online at our PSC. Thanks for doing business with Berkshire Hathaway GUARD Insurance Companies. Please keep a copy of this letter with your policy for future reference. Register for our Policyholder Service Download the BHGUARD app mo TTT Center at www.guard.com/pscregister/ g pscreg POLICYHOLDER SERVICE CENTER 4 > 0d BYE or download the BHGUARD app today! enclosed: Commercial Auto Policy #MAAU221802 The Security You Need. The Name You Trust. HQ: NY/CA DECTOI 6 of 70 3 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 DOWNLOAD OUR MOBILE APP! S« Berkshire Hathaway 0) Policyholder Service Center #'GUARD [3 " S$ Berkshire Hathaway HB GUARD zs Register Today! www.guard.com/ pscregister/ We value our policyholders, so we take advantage of technology to offer fast and easy online ACCOUNT MANAGEMENT self-service solutions. > View and print policy documents > Generate a Certificate of Available from www.guard.com/pscregister/ or mobile app, our Insurance (COI) Policyholder Service Center is the gateway to a wide range of Download loss control materials resources used by our customers to manage their insurance VV Search our video library with us. From reporting a claim to making a payment online to reviewing helpful loss control information, our service center is Chat online with a representative V designed to offer convenient access to the tools you use most! Go paperless V Access other news and resources Vv Our BHGUARD mobile app offers many of the same features with the latest technology always in mind. Get the app on Google Play or download from the Apple App Store, today! BILLING & PAYMENTS Need help? Contact 1-800-673-2465 or csr@guard.com. > Make a credit card payment > Transfer funds from your bank > Submit multi-policy payments COVERAGE-SPECIFIC FEATURES > Set up re-occurring payments Workers’ Compensation 2 View billing history e Find a physician oe Complete a premium audit CLAIMS e Download state posting notices > Report a new claim e Implement a return-to-work program > Upload photos and documents e Report payroll (self-reporting policy) > View policy loss history Commercial Auto > Monitor the status of a claim e Access vehicle insurance ID cards > Chat with an adjuster e View all vehicles under a policy Visit www.guard.com/pscregister/ or Download the BHGUARDapp ~~ 8 / NTE POLICYHOLDER download the BHGUARD app today! SERVICE CENTER 14" > GooglePlay J ® App Store Some features and resources are only available for specific lines of insurance. Not all features may be currently available on the mobile app. Insurance is underwritten by AMGUARD Insurance Company®, AZGUARD™ Insurance Company (non-admitted in California), EastGUARD Insurance Company® NorGUARD Insurance Company® or WestGUARD® Insurance Company, members of Berkshire Hathaway GUARD Insurance Companies ("GUARD") with principal place of business at 39 Public Square, Wilkes-Barre, PA 18701. SSPSC052721 7 of 70 4 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 OURRS SERVICCES E 2 /Berkshire Hathaway Claims Reporting pa ‘GUARD =n" Companies We encourage policyholders to inform us of incidents, accidents, and potential claims as soon as possible so that we can get right to work! Prompt reporting can be key to a successful resolution. TIPS FOR CONTROLLING Only the administration of emergency care comes first. THE LOSS > Take reasonable steps to protect any covered persons, property, WAYS TO REPORT A CLAIM autos, etc., from immediate RR further harm or damage and keep hii =D Call 1-888-NEW-CLMS a record of any expenses incurred (1-888-639-2567) in the process for consideration dia in the settlement. If possible, set # msn = Log into our Policyholder Service DRT ile LonSR BANGIN EE Center at guard.com/pscregister > Allow our adjusters to officially Get the BHGUARD app from inspect the property/auto before the App Store or Google Play any non-immediate repairs or Visit guard.com to complete gispesiticaiakeiptace. an online form > Promptly notify the police of any stolen property or suspected illegal activity. > Preserve any closed-circuit HELPFUL INFORMATION surveillance video. FOR EXPEDITING YOUR CLAIM > If possible, photograph the scene; Policy number cell phone pictures can be helpful. Description of how, when, and where the incident occurred + Names, addresses, phone numbers of any CONTACT US injured/involved parties or witnesses 1-888-NEW-CLMS + The insured driver's name, address, phone number GUARDClaimsTeam@guard.com (for Commercial Auto claims) Fax: 570-825-0611 The employer's tax ID number, the injured/ill employee's Berkshire Hathaway GUARD SSN and personnel file and any accident reports P.O. Box 1368 (for Workers’ Compensation claims) Wilkes-Barre, PA 18703-1368 Legal correspondence (for Liability claims) Special forms for Disability claims available on guard.com Insurance may be underwritten by AmMGUARD Insurance Company®, AZGUARD™ Insurance Company, EastGUARD Insurance Company®, NorGUARD Insurance Company®, or WestGUARD® Insurance Company, members of Berkshire Hathaway GUARD Insurance Companies (“GUARD”) with principal place of business at 39 Public Square, Wilkes-Barre, PA 18701. All claims will be evaluated upon submission. We will not pay for any subsequent loss or damage resulting from an occurrence that is not a “Covered Cause of Loss.” Only the relevant insurance policy and endorsements can provide the actual terms and conditions for an insured. Some restrictions, all state laws, and all company claims/underwriting guidelines apply. © May 2021. CLRP052721 8 of 70 5 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 NUESTROS SERVICIOS /Berkshire Hathaway Ny Reporte de Reclamos AGUARD Companies gi Alentamos a los tenedores de polizas a que nos informen de incidentes, accidentes y reclamos potenciales lo antes posible, para que ponernos a trabajar inmediatamente. Una rapida denuncia puede ser importante para una resolucién exitosa. Unicamente la administracion de la atencion CONSEJOS PARA de emergencias es mas importante. CONTROLAR LAS PERDIDAS > Dé pasos razonables para proteger a cualquier persona, propiedad, FORMAS DE DENUNCIAR UN RECLAMO vehiculos, etc. cubiertos, de un dao mayor o perjuicio inmediato y lleve un registro de cualquier gasto en el < Report a New Claim 7% Llame al 1-888-NEW-CLMS que incurra en el proceso para su @ E © Identify (1-888-639-2567) consideracion en el acuerdo. De ser © Contact Info posible, reserve la propiedad para Registrese en nuestro Centro de su examen. © Add Description © Attach files Servicio a tenedores de pdlizas en > Permita que nuestros ajustadores Tp — guard.com/pscregister inspeccionen de manera oficial s la propiedad/vehiculo antes de 0c Obtenga la aplicacién BHGUARD dar lugar a cualquier reparacion o disposicién de caracter @m & en la App Store o de Google Play neinmediaio Visite guard.com para completar > Notifiqgue inmediatamente a la policia el formulario online acerca de la propiedad robada o de sospecha de actividad ilegal > Preserve cualquier video de circuito cerrado de vigilancia. INFORMACION UTIL PARA ACELERAR SU RECLAMO > De ser posible, tome fotografias + Numero de péliza de la escena; las fotos del teléfono Co , , . ye celular pueden ser utiles. « Descripcion acerca de cémo, cuando y donde ocurrié el incidente « Nombres, direcciones, nimeros telefénicos de alguna de las partes involucradas/lesionadas o de testigos CONTACTENOS + El nombre, direccion, numero telefénico del conductor asegurado 1-888-NEW-CLMS (para reclamos comerciales de vehiculos) GUARDClaimsTeam@guard.com + El numero federal del negocio, el nimero de seguro social del Fax: 570-825-0611 empleado enfermo/lesionado y el archivo personal y cualquier denuncia de accidente (para el reclamo de indemnizacién del Berkshire Hathaway GUARD empleado) P.O. Box 1368 Wilkes-Barre, PA 18703-1368 + Correspondencia legal (para reclamos de responsabilidad) » Formularios especiales para reclamos por discapacidad disponibles en guard.com El seguro podra ser cubierto por AMGUARD Insurance Company®, EastGUARD Insurance Company®, NorGUARD Insurance Company®, WestGUARD® Insurance Company, o AZGUARD™ Insurance Company, miembros de las Compafiias de Seguros Berkshire Hathaway GUARD (BHGIC) con sede central en 39 Public Square, Wilkes-Barre, PA 18701. Todos los reclamos serén evaluados una vez presentados. No pagaremos ninguna pérdida o dafo sobreviniente como consecuencia de un incidente que no configure una «Causa de pérdida cubierta». Unicamente las pélizas de seguro y los endosos relevantes pueden proporcionar los términos y condiciones efectivos a un asegurado. Son aplicables algunas restricciones, todas las leyes estatales y todos los reclamos de empresas/guias de cobertura. © BHGIC 2020. CFES052821 9 of 70 6 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 oi 0) /Berkshire Hathaway A Insurance py G UARD Companies POLICY NUMBER: COMMERCIAL AUTO MAAU221802 CADS 031013 BUSINESS AUTO DECLARATIONS ITEM ONE Company Name: AmGUARD Insurance Company — |Producer Name: NYSCOT10 A Stock Company SCOTTISH AMERICAN P.O. Box AH 34-07 Steinway Street 39 Public Square Suite 201 Wilkes-Barre, PA 18703-0020 Long Island City, NY 11101 (800) 673-2465 Named Insured: Mateo Brothers Contracting LLC Mailing Address: 50 Garnet PI Elmont, NY 11003-3632 Policy Period From: 10/27/2021 To: 10/27/2022 At 12:01 AM Standard Time at your mailing address shown above Previous Policy Number: NEW Form Of Business: Corporation Limited Liability Company [individual Partnership BH Other: 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 policy. Premium Shown Is Payable At Inception: $ 4,804.00 Audit Period (if applicable): Annually [1] Semiannually [1] Quarterly [1] Monthly Endorsements Attached To This Policy IL 00 17 — Common Policy Conditions (IL 01 46 in Washington) Includes copyrighted material of ISO, Inc., used Date: 10/28/2021 with its permission. P.O. Box AH e 39 Public Square » Wilkes-Barre, PA 18703-0020 » www.guard.com Page 10f12 10 7 of of 70 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 POLICY NUMBER: MAAU221802 COMMERCIAL AUTO Date: 10/28/2021 CA DS 031013 Countersignature Of Authorized Representative Includes copyrighted material of the Page 2 of 12 Insurance Services Office, Inc., used with its permission. 11 8 of of 70 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 POLICY NUMBER: MAAU221802 COMMERCIAL AUTO Date: 10/28/2021 CA DS 031013 ITEM TWO - New York Schedule Of Coverages And Covered Autos This policy provides only those coverages where a charge is shown in the premium column below. Each of these coverages will apply only to those "autos" shown as covered "autos". "Autos" are shown as covered "autos" for a particular coverage by the entry of one or more of the symbols from the Covered Autos section of the Business Auto Coverage Form next to the name of the coverage. Covered Coverages Autos Limit Premium Covered Autos 7 $ 300,000 $ 3,105.00 Liability Supplemental Spousal Liability Mandatory Personal 7 Separately Stated In Each Personal $ 150.00 Injury Protection Injury Protection Endorsement Minus (PIP) $ NA Deductible Added Personal Separately Stated In Each Added Injury Protection Personal Injury Protection Endorsement Aggregate No-Fault Limit Available Which Includes the Following Coverage and Limits Maximum Monthly Work Loss DeathBeneft | |s ~~ |s Other Necessary Expenses (per day) Optional Basic Economic Loss (O.B.E.L.) Auto Medical 7 $ 5,000 $ 3.00 Payments Each Insured Uninsured Motorists - Bodily Injury Supplementary $ 300,000.00 $ 127.00 Uninsured/ Underinsured Motorists Coverage (SUM)* *The maximum amount payable under SUM coverage shall be the policy's SUM limits reduced and thus offset by motor vehicle bodily injury liability insurance policy or bond payments received from, or on behalf of, any negligent party involved in the accident, as specified in the SUM endorsement. Includes copyrighted material of the Page 3 of 12 Insurance Services Office, Inc., used with its permission. 12 9 of of 70 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 POLICY NUMBER: MAAU221802 COMMERCIAL AUTO Date: 10/28/2021 CA DS 031013 ITEM TWO - New York Schedule Of Coverages And Covered Autos (Cont'd) Covered Coverages _— Limit Physical Actual Cash Value Or Cost Of Repair, $ 267.00 Damage Whichever Is Less, Minus Comprehensive Coverage $ 1,000 Deductible For Each Covered Auto See Item Four for Hired or Borrowed Autos. Physical Actual Cash Value Or Cost Of Repair, Damage Whichever Is Less, Minus Specified $ Deductible Causes Of Loss For Each Covered Auto For Loss Caused Coverage By Mischief Or Vandalism See Item Four for Hired or Borrowed Autos. Physical Actual Cash Value Or Cost Of Repair, Damage Whichever Is Less, Minus Collision Coverage $ 1,000 Deductible For Each Covered Auto ~ Item Four for Hired or Borrowed Autos. Physical For Each Damage Towing E— bisabloment Of A Private Auto And Labor Rental Reimbursement Business Auto Broad Form Endorsement Premium For Endorsements '$ 7500 75.00 Motor Vehicle Law Enforcement Fee - $10 PER VEHICLE | $ 10.00 Estimated Total Premium*| $ 4,794.00 *This policy may be subject to final audit. Includes copyrighted material of the Page 4 of 12 Insurance Services Office, Inc., used with its permission. 13 of 70 10 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 POLICY NUMBER: MAAU221802 COMMERCIAL AUTO Date: 10/28/2021 CADS 031013 Includes copyrighted material of the Page 5 of 12 Insurance Services Office, Inc., used with its permission. 14 of 70 11 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 POLICY NUMBER: MAAU221802 COMMERCIAL AUTO Date: 10/28/2021 CA DS 031013 ITEM THREE - New York Schedule Of Covered Autos You Own Covered Auto Number: 1 Town And State Where The Covered Auto Will Be Principally Garaged: Elmont, NY Covered Auto Description Year: 2021 | Model: FORD F-150 Serial Number Body Type: (S): Vehicle Identification Number (VIN): 1FTEW1EPXMFC90671 Purchased Original Cost New: $ 46,840 Actual Cost New Or Used: $ [|New [ ]Used Classification Business Use s=service Size GVW, Radius r=retail GCW Or Secondary of c=commercia Vehicle Seating Age Rating Operation | Capacity Group Classification Code Local up to 50 Light Truck 10,000 Ibs | 1 Contractors 01189 miles GVW or less Except For Towing, All Physical Damage Loss Is Payable To You And The Loss Payee Named Below According To Their Interests In The Auto At The Time Of The Loss: Includes copyrighted material of the Page 6 of 12 Insurance Services Office, Inc., used with its permission. 15 of 70 12 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024 10/23/2023 POLICY NUMBER: MAAU221802 COMMERCIAL AUTO Date: 10/28/2021 CA DS 031013 ITEM THREE - New York Schedule Of Covered Autos You Own (Cont'd) Coverages - Premiums, Limits And Deductibles (Absence of a deductible or limit entry in any column below means that the limit or deductible entry in the corresponding Item Two column applies instead.) Coverages Premium Liability $ 300,000 $ 3,105.00 Supplemental $ Spousal Liability Mandatory Personal Stated In Each Personal Injury Protection $ 150.00 Injury Endorsement Minus Protection(PIP) $ N/A Deductible Added Personal Stated In Each Added Personal Injury $ Injury Protection Protection Endorsement Aggregate No-Fault Limit Available Which Includes the Following Coverage and Limits Maximum Monthly Work Loss Other Necessary Expenses(per day) Optional Basic $ Economic Loss (O.B.E.L.) Supplementary $ 300,000 $ 127.00 Uninsured/ Underinsured Motorists Coverage (SUM)* Auto Medical $ 5,000 $ 3.00 Payments Comprehensive Stated In Item Two Minus $ 267.00 $ 1,000 Deductible Specified Causes Stated In Item Two Minus $ Of Loss $ Deductible Collision Stated In Item Two Minus $ 1,067.00 $ 1,000 Deductible Towing And Labor $ Per Disablement |($ Business Auto Broad $ Form Reimbursement Includes copyrighted material of the Page 7 of 12 Insurance Services Office, Inc., used with its permission. 16 of 70 13 73 FILED: QUEENS COUNTY CLERK 01/29/2024 10/23/2023 09:59 07:54 AM INDEX NO. 702655/2023 NYSCEF DOC. NO. 21 19 RECEIVED NYSCEF: 01/29/2024