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ACORDCERTIFICATE OF LIABILITY INSURANCE <br />ioiioi2ooe <br />PRODUCER (972) 7'71-4071 FAX: (972) 771-4695 <br />K& S Insurance Agency <br />333 <br />St <br />d <br />R <br />id <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 />ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />e. <br />, <br />oa <br />ge <br />2255 R <br />P. 0. Box 277 , <br />Rockwall TX 75067 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: R2dl 3I1d II1Sllx'3T1C2 Co. <br />Sanitation Solutions <br />iNSUReRe:Texas Mutual Insurance <br />22945 <br />Box 6190 ~ <br />P <br />O <br />INSURER C: ROCk11111 Insurance Co. <br />. <br />. <br />INSURER D QBE S ecialt =ns. <br />C+i of Paris <br />Paris `I'X 75461 <br />INSURERE: <br />UVEKAUhb <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />REQUIREMENT <br />, <br />THE INSUrZANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />A R ATE LIMITS SHOWN MAY HAVE BEEN REDU ED BY PAID C IMS. <br />INSR <br />ADD'L <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDD/YY <br />POLICY EXPIRATION <br />DATE MMIDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />ACH 0 RREN <br />$ 1,000,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />1011584 <br />10/1I/2008 <br />10/11/2009 <br />AMAGETO Eaoccurence <br />$ 100,000 <br />A <br />a <br />MED EXP An one erson <br />$ 5,000 <br />CLAIMS MADE <br />OCCUR <br />PERS NAL & ADV IN RY <br />$ 1,000,000 <br />GENERAL AGGREGATE <br />$ 2,000,OOO <br />GGREGATE LIMIT APPLIES PER: <br />' <br />PROD TS - MP/0P A G <br />$ included <br />GEN <br />L A <br />- <br />l PRCO~ LOC <br />X POLICYF <br />AUT <br />OMOBILE LIABILITY <br />. <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br /> <br />(Ea accident) <br />A <br />ANY AUTO <br />ALL OWNED AUTOS <br />RICTX0001455 <br />10/11/2008 <br />10/11/2009 <br />BODIIYINJURY <br />a <br />(Perperson) <br />SCHEDULEDAUTOS <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />X <br />(Per accident) <br />NON-OWNEDAUTOS <br />PROPERTY DAMAGE <br />$ <br />(Per accidenq <br />GARAGE LIABILITY <br />AUTO ONLY - EA ACCIDENT <br />a <br />- <br />OTHER THAN EA AC <br />$ <br />ANY AUTO <br />AUTO ONLY: AGG <br />$ <br />C <br />EXCESSlUMBRELLA LIABILITY <br />g 5,000,000 <br />~ CLAIMS MADE <br />X <br />CUI.000526-01 <br />10/11/200E <br />10/11/2009 <br />AGGREGATE <br />$ 5,000,000 <br />OCCUR <br />$ <br />$ <br />DFDUCTIBLE <br />X <br />RETENTION 10,000 <br />$ <br />WC STATU- OTH- <br />$ <br />WORKERS COMPENSATION AND <br />X <br />EMPLOYERS' LIABILITY <br />E.L. EACH ACCIDENT <br />$ 1,000,000 <br />ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDED? <br />TSF0001160413 <br />E/18/2008 <br />8/18/2009 <br />E.L. DISEASE -EA EMPLOYEE <br />$ 1,000,000 <br />If yes, describe under <br />DISEASE - POIICY LIMIT <br />E <br />L <br />1,000,000 <br />$ <br />SPECIAL PROVISIONS below <br />. <br />. <br />C <br />oTHER Vehicle Pollution <br />PH004693-081 <br />10/11/2008 <br />10/11/2009 <br />$1,000,000 occ. <br />Liability <br />$1,000,000 ayg. <br />DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLESIEXCLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS <br />City of Paris is named additional insured on general liability policy when required by written contract. <br />CERTIFICATE HOLDER cANC:tLLA i wrv _ <br />City of Paris <br />P. O. Box 9037 <br />Paris, TX 75461 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br />INSURER, ITS AGENTS OR REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />P Fierro - Ins./DIANE <br />ACORD 25 (2001/08) " ' <br />INS025 (oioe).oea 00003~ Page 1 of 2 <br />. <br />