|
CERTIFICATE OF LIABILITY INSURANCE
<br />THS CGIONWATEIS IS61J®AS A HATTBt OF Rii>RNIATIDN CMY AN D C0N1q= NO R%GNr3 UPON THECOMCATJ!i d THIS
<br />0111M OATEOMNOFAFARMATIVELYORHEGATR/BLYAMENRMMORALTIERTHECOVEIM(MAFFORDW11fTiEPOLICIS
<br />BELOW. THIS M1E10ATEOFOMMNCB000 NOT CONSTITYMA CONTRACTBETWEt THE OWN 116t110"), AI1r=M=
<br />IMPCRrANr, IN she eaftitkate holder Is. an ADDITIONAL IB UREEk the polky(les) must have ADMTK NAL INSS6MOprovisions or be endensed
<br />df SUBMWATM 0 WAIVM subject to the terms and Gond Wens of the poDey, sertaln policies may require an endorsement. A statement on
<br />this eertiNeafe dean not solder rights to the attMleste holder to lieu of such endersamem(s).
<br />PRODUCER C01f70LT hA !°AS'�9Ballardhwm2ace a lac.
<br />....... _ _.......w...
<br />Ballard Insu ce Agency lea n"E ry
<br />AmafDal
<br />aeus®
<br />Green's Lavin Service
<br />3610 ClententRd
<br />Paris, TX 75460
<br />COVE C84Yff7CA7E H11Lfgt
<br />BBIIBION�
<br />7NIg IB TO CERTIFY TNAT7HE PDUCIFS OF INSURANCE LISTED EELOW NAVE BEEN ISSUED TO TIE INSURED NAMED ABOVE FOR THE POLICY PERIOD
<br />INDICATED. NOTYWTHSTANUING ANY REOUIREMENT, TERM OR CONOITION OF ANY CONTRACT OR OTHER DOCUTAW Wn i RESPECTTO WHICH THIS
<br />CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 18 SUBJECT TO ALLTHE TERM
<br />EADWSIONS'AND CONDITIONS OF SUCH POLICIES. 1IATTS BROWN MAY HAVE BEEN REDUCED BY PND CLAIMS.
<br />dk� o IYPEMM&IRIWCE
<br />fluSTP
<br />TiCMM
<br />..... _-'__111'_'__ _
<br />POUC►RUMBEfr
<br />POLICY EFF _
<br />'w*e*,
<br />..,�
<br />WPOtXVElm�.
<br />qNA� o^r�. ..v »o
<br />ial7f
<br />ealNSReua°alLrrALLUBaIrr
<br />E4WCCDURREMM
<br />1,OOD OOD
<br />wf
<br />j
<br />Y'��� _
<br />aw
<br />1AOOADO
<br />{
<br />M®FJ�HAieue�fd�.,.
<br />s
<br />IS,O(iD
<br />A
<br />IMS59MI892
<br />3/12/2023
<br />311212024
<br />»„ ym
<br />rHxaoNueADvniuRr
<br />f
<br />MOOA00
<br />GIRrLARa0iEGNIXIai1TAPPUMPEE'
<br />oeiERALABORB3A7E
<br />:
<br />2,000,000
<br />Pa1xr ❑ � ❑ ae
<br />rrtmucTa•coNF>oaAse
<br />s
<br />2,000,000
<br />o�w.M.rW,B�y
<br />.._...
<br />couewmaneLEuu'I�
<br />e
<br />.
<br />-w
<br />.....
<br />ArerwVrO
<br />11DDLrwIURrSiIrFNrw)
<br />s
<br />... ....OMED
<br />AUTOS
<br />AUTOBONLY
<br />SCHmutEO
<br />AUT06
<br />BODILYINJ..... .... m...w.er.a
<br />URYtPkr."wa
<br />... ...............m.....
<br />$
<br />...........
<br />.V.
<br />.w.„., ..,°.,°,°,.....
<br />PROF'ENTYOAUAeE
<br />.
<br />.....w.�...................:«.,,
<br />..,.,.
<br />AUTOS WILY
<br />AU
<br />...
<br />MTUSWNID
<br />AUTt160NLY
<br />,,,�,P!.�.�!��� ..... .:,,,,,,..,
<br />f
<br />............. „......�.w_.,
<br />f
<br />...
<br />1R®R6LAlHB OCCUR
<br />w_...
<br />..,
<br />.....................,,, .. .._..... .......... .
<br />.M,m ,.�,m.
<br />...... .
<br />..
<br />FILCH ODCURRTNCE
<br />S
<br />�.
<br />'....
<br />��� GAOAERAADE
<br />`
<br />AOGRESIATE
<br />S
<br />m.....,
<br />manaBffTmON f
<br />......... __�.N.v _......,,
<br />f
<br />...,_.. __
<br />..........
<br />..... .....
<br />-
<br />+wotrDLarassLneamr YAH....
<br />ANYPROPRERIRIPNnNMRIXECUrNE
<br />OFFICERNMOM ENCU) ❑
<br />NIA
<br />.............�s........v...�,.�.aw,.,...,,........_.....
<br />.��.......�
<br />(RegerM
<br />Epi. ave
<br />S
<br />D66CRPn1ON OG OP 770Neba-
<br />FLDESM-POUOVUMfr
<br />e
<br />Deaeae cN OFWBA110Y6I .....nena.�(71LroNA IM,ImalmwRermna ea�tluhmerw ... .,�.�,., „�. .. . ............ .�.
<br />l4dtl■aWnyueeb�q�6W
<br />......--..........
<br />m.,.,�_� .... ,,..., ,,., ,. -------
<br />..�..... ,.w.._._..
<br />6tyofParis
<br />133 SE 1st
<br />Pati%, TX 75460
<br />SHOULD ANYOF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
<br />THE EDPUTAMON DATE THEREOF. NOTICE WILL DE VELPARED m
<br />ACCORDANCE wn” THE POLICY PROVISIONS.
<br />, , ®1986-816 ACM CORPOR UK A6 rights reserved.
<br />ACIDRD26 t20 =3) The ACOINname and logo are registered marks of ACORD
<br />
|