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, COR& CERTIFICATE OF LIABILITY INSURANCE DAT 0IYYrr)
<br />02210 /09/2 8/2 02 1
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
<br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
<br />IMPOlilAN1� If the certrlicate holder is an ADDITIONAL INSJREO, the policy(les) must have ADDITIONAL INSURED provisions or be endorsed.
<br />If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on
<br />this certificate does not confer rights to the certificate holder In lieu of such endorsement(s).
<br />PRODUCER n)AMe: Danns Walker I«�
<br />D,iVS.71: .. F 3 ....,.,.._,....... ..
<br />K&5Insurance Agency ° (972) 771 4071 (972) 771 4695
<br />2255 Ridge Road, Ste. 333 A dwalkerCkendslns.Com
<br />R O. Box 277 INSURER(%AFFORDING COVERAGE MAIC N
<br />Rockwall TX 75087 INSURERA : United Fire & Casualty Companyµ... 13021
<br />.. "I._ ........
<br />.... xMal Insurance _......
<br />INSURED INSURER B : Teasulu
<br />� ... , rance Co. ......�... .. 22945
<br />Richard Drake Construction Company, L.P. INSURER C : Argonaut Insurance Co. 19801
<br />6290 Highway 271 N. INSURER D : Hanover Insurance Group 22292
<br />': INSURER E
<br />_
<br />Powderly TX 75473
<br />INSURER F......... .. ............ . ........
<br />.. ..�.�.. ....... ..................... ...._n..... .....P,,...,,,m,...,...... .
<br />,......,
<br />COVERAGES CERTIFICATE NUMBER. 20/21 MASTER _ _ REVISION NUMBER:
<br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT MALL THE TERMS,
<br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
<br />LTR COMMERCIAL GENERAL LIABILITY .. �, j f. ..k
<br />,s INSURANCE
<br />�... ......... wv LIMITS
<br />TYPEOFINSURANCE TY It$5p1yVYD�� POLICY NUMBER MMIDDfYYW MMIDDIYY11Yl r� ���it'G',is S 1,000,000
<br />kid a i s r rrp
<br />100,000
<br />CLAIMSM.DE ®OCCUR
<br />x Ded $2 000 PD MED EXP (m sne re ®rel) 15 000
<br />A 85319456 03/30/2020 03/30/2021 PERSONAL&AoV INJURY $ 1,000,000
<br />EN'LAGGREGATELIMITAPPLIESPER GENERALAGGREGATE $ 2000000
<br />G.. POLICY ® JET LOC PRODUCTS COMPIOPAGG•••• $ 2 000 OOD
<br />OTHER.,$
<br />AUTOMOBILE LIABILITY COMBINED SIN LIMIT $ 1 000 OOD
<br />SINGLE r "tEa acaldent.
<br />XPI
<br />ANY AUTO BODILY INJURY („erperson) ..... ................. ........ .............
<br />A OWNED SCHEDULED 85319458 03/30/2020 03130!2021 BODILYINJURY(Peracuden0 $
<br />,.,,„„,,,, AUTOS ONLY AUTOS
<br />HIRED .... NON -OWNED PatleMDAMAGE $......
<br />�...
<br />AUTOS ONLY AUTOS ONLY
<br />.......... ..
<br />UMBRELLA
<br />A ', EXCESSLU1B� . l i< OCCUR 85319456 031., ....
<br />5 000 000
<br />I EACH OCCURRENCE � $
<br />3012020 03/3012021 5,000,000
<br />CLAIMS -MAGE AGGREGATE _ $•
<br />AND
<br />pw6RKEERpL� RETENTION
<br />$ .�,...... ....
<br />�,._....... _ $
<br />MPENsanoN
<br />PER ATH- 1000,
<br />ERS'LIABILITY
<br />ANY PROPRIETORIPARTNERIExECUTIVE YIN E.L. EACH STATUTE]
<br />ER $ 1000000
<br />BIC ,OFFICERIMEMBEREXCLUDED9 N NIA TSF0001267055 03/30/2020 03/3012021 -- ----
<br />,(Mandatory In NH) E L DISEASE EA EMPLOYEE $ 000
<br />IFyes. d0 - -under
<br />1,000,000
<br />IPTIONOFOPERATIONSbelow f „m•"•,,,,, ,,,, ,,, _,,,,__,,, ..n EL DISEASE POLICY LIMIT., $ wm
<br />.........DESCR.�.......................................�.... ......... .......mf,. .....�.,,...._________- ..m. ,,,eee..� .. .., - ..
<br />Rented/Leased $700k 1$1 mil
<br />CE. Ded: $2,500 except $10k on 800 to
<br />D silo; MTC:Ded: $10k; WHSLL Ded $10k ' IHDA872550-04 03/30/2020 0313012021 Single Conveyance $500,0000
<br />Warehouse Legal L(ab $1,000,000
<br />DESCRIPTION OF OPERATIONS I LOCATIONS VEHICLES (ACORD .1, .."nal a ark ........."_,le, may
<br />__._ _,v....... ... ..p ........ ".. .... .... ...........� �,.��,,,,,,.,,,,,,.....,.,._...._--_...--,
<br />01, Additional Remarks Schedule, may be attached IF more space is required)
<br />[Job #: Job Type: Curb/Gutter. Driveway, Approches]
<br />and Reinforced Concrete Sidewalk
<br />Please see attached for additional information.
<br />---.-.—.,,.
<br />CERTIFICATE HOLDER CANCELLATION
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
<br />City of Paris ACCORDANCE WITH THE POLICY PROVISIONS.
<br />186 1st S.E. �.......�.��....�������M����� .�� ����,r ,.��.�, ..mwow ....... m........__..��.,,m......................_._..................w...............................................................
<br />PO Box 9037 AUTHORIZED REPRESENTATIVE
<br />Paris TX 75461-9037 W„ ..•-
<br />ro.�,�..�.�a�.,-w..
<br />01988-2015 ACORD CORPORATION. All rights reserved.
<br />ACORD 25 (2016103) The ACORD name and logo are registered marks of ACORD
<br />
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