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<br />jlCORQ, CERTIFICATE OF LIABILITY INSURANCE <br />FAX (972)771-4695 <br /> <br />I DATE (MMmONYYY) <br /> <br />08/19/2005 <br /> <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />AI. TER THE COVERAGE AFFORDED BY THE POlICIES BELOW. <br /> <br />~OVERAG~S <br /> <br />THE POUClES OF INSURANCE. usreo BELOW HAVE BEEN ISSUED TO THE INSUReD NAMED ABOVE. FOR THE PQUCV PERk)[) IN!UCA.TED. NOTWITHSTANDlNG <br />/\NY REQUIREMENT, TERM OR CONDITION OF /\NY CONTRACT OR OllER """'-"ENTWITH RESPECnO WHICH THIS CERTFlCATE MAY BE ISSUED OR <br />MAY PERTAIN.11E.INSURANCEAFFORDED BY THE POlICES DESCRH:DHEREIN IS SUBJECT TO ALL THE TERMS. EXCUJSIONSANDCOHOmONS OF SUCH <br />POlICIES. AGGREGATE UlIlTS SHOWN MAY HAVE BEEN REDUCED BY PAID CUIMS. <br /> <br />~ TYPE OF INSURANCE POLICY NUMBER POUCYEF~ ~ PIRATION <br /> <br />~ERAl UAIll1.lTY CCP375963 08/18/2005 08/18/2006 EACH OCCURRENCE <br /> <br />X COMUERaIILt39ERM.1.WBJlY DMlAGETO <br /> <br />I a.AlMSlIAIlE [!) OCCUR <br /> <br />CANCEL!ATmN <br />SHOULDAIfY OFlHEABOYE DESCRIBED PCUCES BEc........ 11m BEPORETHE <br />EXPIRATION DATETHEREOF. 1lE IS&lIINO INSURERWI.L ENDEAYDRTO IIAL <br />-12.... DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED 10THE LEFT, <br />SUT FAILURE TO MAIl. SUCH NOTICE SHAU.I,.POSE NO OBLIGATION OR LIABILlTV <br />OF """ KIND UPON THE INSURER:" ITS AGENTS Oft It!PftS!NTATIVES. <br />AlIT1tDRIZEDf\o.r. ITAT1YE ~A ^. (\ /t <br />Richard Daiker-l/DIANE ~LV~ <br />@ACORD CORPORATION 1988 <br /> <br />,,"OOUC." (972)771-4071 <br />K & S Insurance Agency <br />P 0 Ilox 277 <br />701 lustin Road <br />Rockwall, IX 75037 <br />IN$URED Sanltatlon Sol utlons <br />P.O. Box 6190 <br />Paris, TX 75461 <br /> <br />INSURER$ AFFORDING COVERAGE <br />INSURER A; Century Surety ~any <br />INSURElla, Southern County Mutual In. <br />1NSI..fiB{C: Cen5tar <br />INSURERD: Texas Mutual Insurance Co. <br />INSURER E: <br /> <br />Co <br /> <br />L1MIT$ <br />. <br />. <br /> <br />MED EXP f1ntON peqon) <br /> <br />A <br /> <br />PERSONAl & ACN INJURY S <br />GENERAL AGGREGATE S <br />PRODUCTS. COMPIOP AGG $ <br /> <br />- <br />- <br />~::n;;n= <br /> <br />~ELIA8IlJTY <br /> <br />_ANYAUTO <br /> <br />AlL OWNED AUTOS <br /> <br />X SCHElllUDAUlOS <br />..::. <br />_ HIREO AUlOS <br /> <br />_ NON-OWNEO AUTOS <br /> <br />BOOR. Y....... <br />(1'<-_ <br /> <br />STC5656U-O 08/18/2005 08/18/2006 <br /> <br />COMBINED SINGlE LIMIT <br />(EIIaccidenO <br /> <br />B <br /> <br />BODILY INJURY <br />""- <br /> <br />PROPeRTY I:IAMAGE <br />(Per aWdenj3 <br /> <br />C <br /> <br />~":':~ <br /> <br />~CE$SIUM81':EU.A LIABILITY <br />.!J OCCUR 0 ClAIMSMROE <br /> <br />I DEDUCTIBLE <br />x1~ . 10,OOt <br /> <br />EACH OCCURRENCE <br />""""""'TE <br /> <br />AUroONlY~EAACCII:IENT S <br />EA ACe . <br />. <br />. <br />. <br />. <br />. <br /> <br />OTHER THAN <br />AtITOONLY: <br /> <br />AGG <br /> <br />05081908083 08/18/2005 08/18/2006 <br /> <br />WOItKl!ltS COIIPENSAl1CN AND <br />l!MPl.DYERS'UAIIIUTY <br />D~~ <br />1t..-s,describ8under <br />SPECIAL PROVISIONS below <br />aTtlER <br /> <br />TSF-0007379&5 08/18/2005 08/18/2006 X WCSTATlJ._1 10TH. <br />EL EACH M:CIDENr S <br />E.L DISEASE. EA EMPLOVEl S <br />E.L. DISEASE. POLICY LIMIT S <br /> <br />DESCRlPTION OF OPERATIONS 1 LOCATIONS/ VEHIClES I excLUSIONS ADDED BY ENDORSI;MENT I SPECIAL PROVISIONS <br /> <br />C <br /> <br />, -~- <br /> <br />City of Paris <br />P. O. Ilox 9037 <br />Paris, tx 75461 <br /> <br />ACORD 25 (2001105) <br /> <br />NAlCtI <br /> <br />$ <br /> <br />1 000 00< <br />50 _ nor <br />2,00( <br />1,000,00< <br />2,000,00( <br />Incl ud.. <br /> <br />. <br /> <br />1 000,00' <br /> <br />. <br /> <br />. <br /> <br />. <br /> <br />1 000,000 <br />1 000 _ o0oi <br /> <br />. <br /> <br />500.001I <br />500.001I <br />500 OO( <br />