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DATE (MMIDDIYYYYI <br />alco ~ CERTIFICATE OF LIABILITY INSURANCE 04/19/2010 <br />THI RTIFICATE IS ISSU FD IR~A MVELY OR NEGAOTIVELY AMEND, EXTEND OR ALT RRTHE COVERAGE AFFORIDEDABY THOE POL IC EIS <br />CERTIFICATE DOES NOT A <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZE <br />REPRESENTP,TIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. GAT IMPORTANT: If the certificahe h dr IrtanDpol esAmaly policy(ies) onthis ertifROa e dol•s nlot cv nlfeEDrights to thte <br />the terms and conditions of t pol~icY, ce <br />certificate holder in lieu of such endorsement(s). coNTACr OMF PRODUCER Norment 8 Landers Insurance pHONE (903) 754-3323 FAX .(903) 785-3065 <br />790 N. Collegiate E-MAIL <br />Paris TX 75460 pRODUCEe 20 <br />INSURER A First Comp <br />: <br />INSURED American States Ins. Co. <br />Randy Stephens INSURER B : <br />PRO TURF INSURER C <br />385 County Road 42530 INSURER D: <br />Paris TX 75462- , <br />ci~oCG F • <br />REVISION NUMBER: <br />OD <br />COVERAGES CERTIFICATE NUMBER: <br />IT ST AND NG ANYI REQUIREMENT TERMTOR COND1IT ON 0 BANY CONT ACOT OR ONHER DOCUMEDNT WBOVE ITH R~ES ECTT O WHICHRITHIS <br />THIS IS TO CERTIFY <br />INDICATED. NOTW <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM , <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDoLCD BF PAPOUceMP uMiTs <br />INSR TYPE OF INSURANCE ADDL SUBR ppLICY NUMBER 1,000,000 <br />B GENERALLIABILIN 01CH76104030 02I01/2010 2/01/2011 EACHOCCURRENCE <br />DAMAGETORENTED $ ZOO,OOO <br />X COMMERGIAL GENERAL LIABILITY "I O,OOO <br />CLAIMS-MADE a OCCUR MED EXP M one erson S "I ,OOO,OOD <br />PERSONAL 8 ADV INJURY $ 2,000,000 <br />GENERALAGGREGATE $ <br />, 2,000,000 <br />~ r, nuuu'_ i 0 <br />GEN'L AGGREGATE LIMIT APPLIES PER: § <br />POLICY PRO I I LOC COMBINED SINGLE LIMIT a <br />(Ea accident) <br />AUTOMOBILE LIABIIITY <br />BODILY INJURY (Per person) S <br />ANY AUTO <br />BODILY INJURY (Per accidenq $ <br />ALL OWNED AUTOS <br />PROPERTY DAMAGE s <br />SCHEDUIED AUTOS (Per accidenf) <br />HIRED AUTOS a <br />i NON-OWNEDAUTOS ~ $ <br />UMBRELLA LIAB OCCUR AGGREGATE $ <br />EXCESS LIAB CLAIMS-MADE $ <br />DEDUCTIBLE $ <br />RETENTION S WC STATU- X OTH- _ <br />01/0912010 110912011 <br />A WORKERSCOMPENSATION TSV0003827-02 E.L.EACHACCIDENT $ 1,000,000 <br />AND EMPLOYERS' UABILITY Y I N 'I,OOO,OOO <br />ANY PROPRIETOR/PARTNERIEXECUTIVE a N I A E.L. DISEASE - EA EMPLOYEE $ <br />OFFICER/MEMBER EXCLUDED~ "I,OOO,OOO <br />(Mandatory in NH) E L. DISEASE - POUCY LIMIT S <br />I( yes, descnbe under___ <br />I VEHICLES (Attach ACORD 10i, AddiYional Romarks Schedule, if more spaca is roquired) <br />DESCRIPTION OF OPERATION5 1 LOCATIONS <br />CANCELLATION <br />CERTIFICATE HOLDER <br />City Of Parls <br />PO Box 9037 <br />Paris <br />. ,.,.r.n o. -nnornoi <br />AI 003048 <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />TX 75461- 1 AUTHORIZEDREPRESENTATIVE <br />I L}-[{•~ J V Lr`ry►'",,,~,~' ~„ri - <br />1988-2009 ACORD CORPORATION. All rights reserved. <br />The ACORD name and loao are reaistered marks of ACORD <br />