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02105I2608 14:16 15602989992 MILLER INSURANCE PaGE 07108 <br />4NSUNCE CH~CKL;AS.T <br />Cortstruction Projects <br />("X" means #he caverage is required.) <br />C±pvqrop Re uired Limits (Flgure r~,Derrraite Mit~imums) <br />X 1. Warkers' COmj7er1Sat90n & S#atutorv, 1imats of SZa~e of Texas En1ployea^s' Liability $100,000 ciccident $100,000 d'n-sea,e <br />$500,000 pCPIBcy I@C'Yllit d65C'ase <br />2. ('Qr FutUr@ USe <br />3. City Apprnved Alterna'tiue $150,000 rn-iedir-al, safel,}r ,qarogram <br />Woricem" Comp, Prngraan <br />}C 4. Cenera! Liability fv'fcnimum ~250,000 ea+ch int;fderit <br />$500,400 per occura•c.rtce <br />CrampdAtp. eratry Nca. 26 <br />X 5, Generaf aggreg?te appliea <br />per pnvject (CG1.) <br />^W~ 6. PremissS/Operations <br />_ 7. ]ntlependant Gantractars <br />X Prptlucts <br />9. CarnpCeted C7pera4ians <br />_,,,1a. Contractual Liability <br />_X_i1. F'ercnnal Injury Liability <br />- 12. XCU Cauer~g"_ <br />_5.,_ 13. AUtarnCfarle Liability <br />14. t3wrred, }-Bired & Ncn-rawmed <br />~ 1 S. nrfotar Carrier Act Endarserner+t <br />16. Professional Liability <br />17. ~`aarage L1a4?13}ty <br />18. Garage keepArs' Legal <br />Z, - d <br />(Items fJO. 3•4 & 12 require) <br />~~CdQ,t)at~ comba~ed single Dinni't <br />1`or bodiiy dnjury and property dama.qQ <br />demago 08oh or~up-Pnce Wth <br />a►1,000,000 getiorran agqrm~atP t~~at <br />apptie,,- fo projar-t ~~nder contract <br />$250,000 eacka incildertrok, <br />$500,000 per cacr~.urrnnce <br />$250,000 ~ach incicaein7', <br />$500,4100 pRr occaarronco-, <br />$100,000 for properqe <br />Damago eacF7 accidanc <br />$500,000 Bodi1y Rnjuy& <br />PI'dpeI"N)/ ~amagl~ each sr~,`IdeFlt_ <br />S_ _"GG & ~D each oCcurr7c~oe <br />Cosnpfehensive <br />$ - Cot9isicara <br />X'U=3 .1_3rN33F!"7 dhi Wj1~=C E3007 t-u qa a <br />