Laserfiche WebLink
DATE (MM/DD/YYYY) <br />CERT'IFICATE OF l-IABILITY INSURe4NCE ( 2/16/2010 <br />PRODUCER (903)784-0836 FAX: (903)785-8434 <br />Pierson & Fendley <br />1705 Lamar Avenue <br />P.O. Box 459 <br />Paris TX 75461-0459 <br /> <br />INSURED <br />STEPHENS & SONS CONCRETE <br />4725 LArIA22 RD <br />iNSUaEa e: Senrice Lloyds Insurance Co <br />INSURER <br />INSURER D: . . <br />NAIC # <br />20230 <br />63389 . <br />oAR1$ I TX 75462 INSURERE: COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br />OR CONDITION OF ANY CONTRACT OR O <br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE OLICIES DESCRI ED HERE N S SUBJ,ECT TO ALL THE O TERMS EXCLUS O S AND T CONDITIONS OF SUCH <br />v un\/C OCChI ocni icGn [iV PAif1 CI AIMS_ <br />rvuvw..,u~~....~".,.,..,.... <br /> <br />POLICY EFFECTIVE <br />' <br />' <br />POLICY EXPIRATIO <br />LIMITS <br />ADD <br />L <br />NSR <br />POLICY NUMBER DATE MM DD YYY <br />DATE MM D YYY <br />_TR I D <br />~ I <br />EACHOCCURRENCE I <br />3_ Z,OOO, OOO_ <br />'GENERALLIABILITY <br />- ~ ! I <br />DAMAGE TO RENTED ~ <br />I <br />PREMISES Eaoccurrence <br />300,000 <br />S <br />X COMMERCIALGENERALLIABILIIY ~ <br /> <br />~ <br />_ <br /> <br />~ i <br />62 <br />i <br />i <br />6/30/2009 <br />6/30/2010 <br />MEDEXP(Anyoneperson) <br />.5,000 <br />- <br />OCCUR iBAP 84537 <br />CLAIMSMADE <br />X <br />X <br />A <br /> <br />' <br />I <br />PERSONAL &ADV.INJURY ' <br />_ - <br />$ 1,000,000 <br />- <br />' <br />! <br />I <br />GENERALAGGREGATE <br />_ <br />lS _2_,000,000 <br />. <br />i _ ' <br /> <br />PRODUCTS - COMP/OP AGG <br />2 , OO0 O , OOO <br />I$ <br />GEN'L AGGREGATE LIMIT APPLIES PER: ~ <br />. <br />. <br />~ <br />. _ _ <br />, <br />. <br />; POLICY I X PRO I LOC I I <br />i AUTOMOBILE LIABILITY I <br />I <br />I <br />COMBINED SINGLE LIMIT <br />(Ea acddent) <br />' g 1,000,000 <br />j AUTO <br />I X ANY <br /> <br />r----------'----- <br />r- <br />A I ALIOWNEDAUTOS BAP 8453762 <br />6/30/2009 <br />6/30/2010 <br />BODILY INJURY <br /> <br />, <br />~ SCHEDULED AUTOS i <br />i <br />I <br />(Per person) <br /> <br />I HIRED AUTOS <br />- <br />BODILY INJURY i <br />(Per accident) <br />$ <br />. . <br />j <br />j NON-OWNEDAUTOS <br />I <br />~ <br />. <br />I <br />- - <br />I <br />, <br />I <br />PROPER DAMAGE ~ <br />TY <br />$ <br />. . . _ , <br />( <br />dent) <br />(Per acci <br />1 <br />~ <br />' <br />I <br />I <br />AUTO ONLY - EA ACCIDENT I <br />---T <br />$ <br />. - <br />GARAGE LIABIUTY <br />i ; <br />I <br />EA ACC ~ <br />$ <br />' I ANY AUTO <br />•---I ~ <br />i <br />OTHER THAN <br />AU700NLY: <br /> <br />AGG <br />$ <br />I <br />' <br />EACH OCCURRENCE <br />$___2 , OOO , OOO <br />. EXCESS/ UMBRELLA LIABILITY <br />, <br />~ <br />I <br />AGGREGATE <br />000 <br />_ 2,000,000 <br />CLAIMS MADE I <br />OCCUR <br />~ <br /> <br />i I <br /> <br />A' ! I DEDUCTIBLE ICXS 8454812 <br />6/30/2009 <br />6/30/2010 <br />---i ~ <br />X ~ RETENTION $ oI <br />WC STATU- OTH- <br />g <br />I WORKERS COMPENSATION <br />TOLIMIIS <br />B <br />AND EMPLOYERS' LIABILITY yIN I <br />l <br />E.L EACHACCIDENT <br />$ 1,000,000 <br />' ANY PROPRIETOR/PARTNER/EXECUTIVE <br />OFFICER/MEMBER EXCLUDEDI <br />09 <br />I <br />6/30/2009 <br />6/30/2010 <br />E.L.DISEASE - EAEMPLOYE <br />$ _ 1,000,000 <br />SRY17625- <br />;(Mandatory lnNH) <br />~ <br />. If yes, describe under <br />E.L DISEASE • POLICY LIMIT <br />$ 1,000,000 <br />~ SPECIAL PROVISIONS below <br />jOTHER <br />overage can be expedited <br />~ <br />Owners Protective f bid received I <br />~ I <br />)ESCRIPTION OF OPERATIONS / LOCATIONS ! VEHICLES ! EXCLUSIONS ADOED BY ENDORSEMENT / SPECIAL Pnuvimurva <br />~.dditional Insured: City of Paris including its elected officials, officers and employees with waiver of subrogation <br />ipglicable. <br />;ERTIFICATE HOLDER CANCELLATION <br />SHOULD ANY OFTHE ABOVE DESCRIBED POLICIES BECANCEILED BEFORETHE EXPIRATION <br />The City Of Paris DATE THEREOF, THE ISSUING INSURER WILI ENDEAVOR TO KAAIL 10 DAYS WRITfEN <br />PO BOX 9037 NOTICE TO THE CERTIFICATE HOLDEP NAMED TO THE LEFT, BUT FAIIURE TO DO SO SHALL <br />Paris, TX 75461-9037 IMPOSE NO OBLJGATION OR LJABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />Curtis Fendley/CINDY <br />aCORD 25 (2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved. <br />NS025 (200901) The ACORD name and logo are registered marks of ACORD <br />- !?i1 (1f'p R <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 />I INSURERS AFFORDING COVERAGE <br />NSUREa a: Central Mutual Ins. Co . _ <br />r <br />