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<br />ACORDTM CERTIFICATI:: OF LIABILITY INSURANCE I DATE <br />09/23/2003 <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />Texas Insurance Exchange ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br />855 Davis Blvd #600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE <br />Southlake TX 76092- <br />INSURED INSURER A: NAUTILUS INSURANCE COMPANY <br />AMERICAN MUNICIPAL SERVICES CORP. INSURER B: <br />3740 N. JOSEY LANE STE# 225 INSURER C: <br /> INSURER D: <br />CARROLLTON TX 75007- INSURER E: <br /> <br />COVERAGES <br /> <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING 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 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />IN~: TYPE OF INSURANCE POLICY NUMBER P~l+~~~~8~~ Pg~!fJI~~~~N LIMITS <br /> GENERAL LIABILITY - / / / / EACH OCCURRENCE $ 1,000,000 <br /> - <br /> X COMMERCIAL GENERAL LIABILITY . FIRE DAMAGE (Anyone fire) $ 50,000 <br />A I CLAIMS MADE W OCCUR NC286891 09/15/2003 09/15/2004 MED EXP (Anv one person) $ 1,000 <br /> PERSONAL & ADV INJURY $ 1,000,000 <br /> / / / / GENERAL AGGREGATE $ 1,000,000 <br /> GEN'L AGGRnE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ <br /> I PRO- n / / / / <br /> POLICY JECT LOC <br /> ~TOMOBILE LIABILITY / / / / COMBINED SINGLE LIMIT <br /> - ANY AUTO (Ea accident) $ <br /> - ALL OWNED AUTOS / / / / BODILY INJURY <br /> SCHEDULED AUTOS (Per person) $ <br /> - / / / / <br /> I-- HIRED AUTOS BODILY INJURY <br /> I-- NON-OWNED AUTOS (Per accident) $ <br /> - / / / / PROPERTY DAMAGE <br /> (Per accident) $ <br /> ~RAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO / / / / OTHER THAN EA ACC $ <br /> AUTO ONLY: AGG $ <br /> EXCESS LIABILITY / / / / EACH OCCURRENCE $ <br /> ::J' OCCUR D CLAIMS MADE AGGREGATE $ <br /> $ <br /> ==i DEDUCTIBLE / / / / $ <br /> RETENTION $ $ <br /> WORKERS COMPENSATION AND / / / / I T~~~IfJNs I 10TH- <br /> EMPLOYERS. LIABILITY ER <br /> E.L. EACH ACCIDENT $ <br /> / / / / E.L DISEASE - EA EMPLOYEE $ <br /> E.L DISEASE - POLICY LIMIT $ <br /> OTHER <br /> / / / / <br />DESCRIPTION OF OPERA TIONS/LOCA TIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS <br />CERTIFICATE HOLDER I I ADDITlONAL INSURED' INSURER LETTER: CANCELLATION <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 /> - <br /> CITY OF PARIS FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE <br /> MUNICIPAL COURT INSURER, ITS AGENTS6@PRESENTATWE9;-. - <br /> P.O. BOX 9037 AUTHORIZED REPRESkNIrAiLYL- t' ---q .L <br /> PARIS TX 75461- \I~ <br />ACORD 25-S (7/97) ELECTRONIC LASER FORMS, INC. - (800)327-0545 U 0 @ ACORD CORPORATION 1988 <br />~",,- INS025S (9910).01 Page 1 012 <br />