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02/05l2008 14:1E 15802989992 MILLER INSURANGE PAGE 08108 <br />19. Owners Protective $500.400 Comb6ned si~gle 9rmits <br />LiablEity <br />_X 20. City named as additionaI insurec4 ora ot17er tharn l,Norkea•,, CompertisaCion. Thls coverage <br />is Primary to aN other caverages tP~e City may possesw. <br />?4_ 21. Cit}r proUided v+rith WaivQr ef Subraga6,ion cara Workars' Q~~npensation oa° A9ko-matsve <br />prograrrt if applicable. <br />X 22. Ten (10) days notice crr, cancellatiun, non-reneuva&, materia6 change or coverago- <br />reductian endorserncn4 re+quired. The wrords "°emd~avor tr" tand "baax *0ure." (ka end of <br />5e11tef1CB) arE I;0 be eliminal,ed itOC11 the Notice of Cance99ca8:iqm prbviswom ora sxand~rd <br />ACORD CertRiiGateS. <br />-A 21 The Cityaf Pmris prefers anA.IM. BEst"s Guido- F~ating r,r°',n,_", „Va" oor beiteror Standard <br />and Poor's Ra#ing AA or better, Authori Ted to do business in -tlic~ State c►f TexaF. (not <br />appAieable for uvorkers' campp9satio~ assigned 4hr°oa.agh pool or alfierrtative <br />Cornpensation p"ram,). <br />C 24. The Cerkifir,ate must state Ibid nurnber and bid ti%!~ or prciject namo. <br />25. Other Insurance Required: <br />INSC,I,R0.NCE AGE9~i"C'S ~~"ATE - <br />i have rcviewed these requirernents with tha bidder named be~a+rv. AdrJitionapkr <br />X P6. lfie abc~ve p~olicy(s) carry the f+~41dv+~ing c~rGl~urtik~ses: hr 4 ' <br />Full iirnits of coucrage available for: <br />General Liability <br />ALICOl1l6f3fle 11...Fab191't}/ - <br />X 27. Liabefity policies are (indicate): <br />occurRENCE[] CLaWs MADE C 3 ;ignatdre <br />~ ce Aqerek (Print) <br /> <br />~ 5- ai (7atc <br />XU 1 J,_3 C'1~3'U -G .c:{H #Jfl'ft~1'a UQW, '1sC7 Q~?_i <br />..T. <br />