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ACORD~ CERTIFICATE OF LIABILITY INSURANCE <br />ioiio °~ooe' <br />PRODUCER (972) 771-4071 FAX: (972) 771-4695 <br />K t S Insuranee Agency <br />2255 Ridga Road, Ste. 333 <br />TNIS CERTIFICA7E 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 />P. O. Box 277 <br />Rockwall TX 75087 <br />INSURERS AFFORDING COVERAGE <br />NAIC # <br />INSURED <br />INSURER A: R@dl 8AC1 =Il$11Z'3I1C@ CO. <br />Sanitation Solutions <br />INSURER B: TQ]C88 Mutual Insurance <br />22945 <br />P. O. Box 6190 <br />INSURER C: ROCkt1111 Insurance Co. <br />INSURER D SZBE S cialt Ins. <br />Paris TX 75461 <br />INSURERE: <br />OVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATEO. N0TIMTHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBdECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />BE N RED E B D CLAIMS. <br />INSR <br />ADD' <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE MMIDDIYY <br />POLICY EXPIRATION <br />DATE AIMlDD/YY <br />LIMITS <br />GENERAL LIABILITY <br />y 1,000,000 <br />X <br />COMMERCIAL GENERAL LIABILITY <br />QSITX0001296 <br />SO/ZZ/ZOOB <br />10/11/2009 <br />DAMAGE TO RENTED vnoel <br />a 100,000 <br />A <br />CLAIMS MADE FE OCCUR <br />MED EXP An one raon <br />$ 5,000 <br />a i,oo ,ooo <br />GENERAL GAT <br />S 2rO , 000 <br />GEN'LAGGREGATE LIMITAPPLIES PER: <br />: 1[1 uded <br />X P LICY PRO LOC <br />AUT <br />OMOBILE LIABILITY <br />COMBINED SINGLE LIMIT <br />X <br />qNY AUTO <br />(Ea ecddent) <br />a 1,000,000 <br />A <br />ALLOWNEDAUTOS <br />RICTX0001455 <br />10/11/2008 <br />10/11/2009 <br />BODILYINJURY <br />SCHEOULED AUTOS <br />(P~ PafeO^) <br />E <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />X <br />NON-OWNED AUTOS <br />(Per accidenl) <br />a <br />PROPERTY DAMAGE <br />(Per aCeident) <br />a <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />a <br />1 <br />p <br />ANY AUTO <br />OTHER THAN <br />AUTO ONLY, A <br />$ <br />C <br />EXCESSlUMBRELLA LIABILITY <br />- <br />$ S, OO , OOO <br />X OCCUR F <br />ICLAIMS MADE <br />CUL000526-01 <br />10I11I2008 <br />10I11I2009 <br />AGGREGATE <br />ffi 5,000,000 <br />E <br />DEDUCTIBLE <br />y <br />X <br />E TEN-flON 10 000 <br />$ <br />WORKERS COMPENSATION AND <br />' <br />X WC STATU- OTH- <br />EMPLOYERS <br />LIABILITY <br />ANY PROPRIETOR/PARTNERlEXECUTIVE <br />E.L. EACH ACCI~ENT <br />$ 1,000,000 <br />OFFICER/MEMBEREXCLUDED9 <br />T3F0001160413 <br />8/15/2008 <br />8/18/2009 <br />E.L. DISEASE - EA EMPLOYEE <br />E 1,000,000 <br />If yes, tleacribe under <br />D SE - P L Y LIMIT <br />E 1,000,000 <br />C <br />orHER Vehicl• Pollution <br />Lisbility <br />pH004693-081 <br />10/11/2008 <br />10/11/2009 <br />$1,000,000 occ. <br />$1,000,000 Aqq. <br />OE3CRIPTION OF OPERATIONS/LOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />City of Paria is named additional in9ured on qeneral lisbility policy Nhen raquired by written contract. <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 NIILL ENDEAVOR TO MAIL <br />30 DAYS WRITTEN NOTICE TO THE CERTIFICATE NOLDER NAMED TO THE LEFT, BUT <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGA710N OR LIABIIITY OF ANY KIND UPON 7HE <br />AUTHORIZED REPRESENTA7IVE <br />T Fierro - Ins./DIANE <br />ACORD 25 (2001108) m ACORD CORPORATION 1988 <br />INS025 pioa).oaa Page 1 ot2 <br />x U0014~~ <br />