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2010-068 RES SMITH CREEK BRIDGE REP SPANN CONCRETE
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2010-068 RES SMITH CREEK BRIDGE REP SPANN CONCRETE
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Last modified
8/21/2012 12:16:52 PM
Creation date
6/25/2010 2:08:11 PM
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CITY CLERK
Doc Name
2010-068
Doc Type
Resolution
CITY CLERK - Date
6/14/2010
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GERTIFEGATE OF <br />- <br />UATE (MMIDD/YYYY <br />L[ABfLITY INSURANC <br />PRODUCER (903)784-2544 FAX: <br />(903) 7E34-4320 <br />E <br />) <br />6/4/2010 <br />Kennemer Insurance Agency <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFO ~TqMR pN <br />ONLY AND CONFERS <br />1850 Lamar Ave <br />NO RIGHTS UPON THE CERTIFICATE <br />HOLDER. THIS CERTIFICATE DOES NOT AMENC <br />P. O. Box 816 <br />, EXTEND OR <br />ALTER THE COVERAGE AFFORDED BY THE POL.ICIES gELpW <br />Paris TX 75960 <br />_ <br />INSURED <br />, INSURERS AFFORDING C;OVERAGE <br />Spann Concrete & Construction, LLC <br />~ <br />I NAIC # <br />I iNsuRER ti Union Standard Insurance ; 38911 - <br />1640 NW Loop 286 <br />I iNSUR=R e 'I--------_- <br />~ <br />INSURER C. I - <br />INSUR <br />Paris ~ TX 75460 <br /> <br />I <br />COVERAGES <br />1 <br />~NSURER E <br />- <br />a <br />THE POLIGES OF INSURANCE LISTED BELOW NAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DO <br />NO',VVITHST <br />MAY PERTAI <br />. <br />ANDING <br />CUMENT WITH RESPECT TU WHICH THIS CERTIFICATE MA1' BE IS <br />N, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE - ERMS, EXCLUSIONS AND CONDITI <br />' POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAI <br />l <br />INSR <br />I <br />WDD' <br />D CLAIMS. <br />ONS OF SUCH <br />LTR <br />MSRDTYPE F INS RANCE <br />I I <br />I PQLJCY NUMBER <br />POLICY EFFECTIVE 1 POLICY EXPIRATION i <br /> <br />GENERAL LIABWTY -~-~=-~=1 If T T T?LLuATE (MM/DD/1'Y~YY I _ LIMITS <br />X COMMERCIAL GENERAL LIABILI"il' I EACH OCCURRENCE g <br />DAMAGETO RENTED <br />CLAIMS MADE ~ OCCUR PA428385513 I PREMISES (Ea occurrence) 5 <br />~ <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />X I POLICY n PRO- <br />JECT ~ LOC <br />AUTOMOBILE LIABILITY <br />X ANY AUTO <br />ALL OWNED AUTDS <br />SCHEDULED AUTOS <br />~ NON-OWNED AUTOS 385513 <br />~ HIRED AUTOS <br />---1 <br />07/13/2009 7/13/2010 <br />GARAGE llABiLITY <br />7 ANY AUTO <br />EXCESS / UMBRELLA LIABILITY <br />.I OCCUR ❑ CLAIMS MADE <br />25 <br />05/06/2010 105/06/2017. <br />DEDUCTBLE ~ <br />RETENTION 5 <br />A WORKERS COMPENSATON <br />AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE ~ <br />OrFICER/MEMBER EXCLUDED? <br />(Mandatory inNH) WcF,42e355112 7/13/2009 ~~13~2~1~ <br />If yes, tlescriDe untler I <br />SPECIAL PROVISIONS below <br />OTHER <br />DESCRIPTION OF OPERATIONS / LOCqTIONS / VEHICLES / EXCLUSIOtJS ADDED BY ENDORSEMENT I SPECIAL PROVtSIONS <br />3ERTIFICATE HOLDER <br />MED EXP (Any one person) I y <br />PERSONAL 8 ADV INJURY I y <br />GENERALAG6REGATE g <br />PRODUCTS - COMPIOPAGG ~ <br />COMBWED SINGLE LIMIT I <br />(Ea accidenq 1 $ <br />BODILY INJURY <br />(Per person) I s <br />BODILY INJURY <br />(Per accident) s <br />PROPERTY DAMNGE <br />(Per accident) $ <br />AUTO ONLY.- Eq qCCIDENT j$ <br />OTHER 7HAN EA /+CC I S <br />AUTO ONLY: <br />AGG I $ <br />EACH OCCURRENCE ~y <br />AGGREGATE y <br />i$ <br />I$ <br />15 <br />E.L. EACH ACCIDENT I g <br />E.L. DISEASE - EA EMPLOYEE $ <br />E.L. DISEASE - POLICY LIMIT I 5 <br />1,000 000 <br />100,OOD <br />5,000 <br />1,000 000 <br />2,000 Opp <br />2,000,000 <br />1,000,000 <br />1,000 000 <br />11000, 000 <br />500,000 <br />500,000 <br />500,000 <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESC:FIBED POLICIES BE CANCELLED BEFC7RE THE EXPIRATION <br />DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 3C' <br />DAYS WRITTEN <br />NOTICE TO THE CERTIFICATE HOLLER NAMED TO THE LEFT, BUT FAILURIE TO DO SO SHALL <br />IMPOSE NO OBLIGATION OR LIAEIIIJTY OF ANY KIND UPDN THE INSUF:E ITS AGENTS OR <br />REPRESENTATIVES. <br />AIJTHORIZED REPR65FN7 rniG ~ <br />kl-uKU zb (2009/01) ' " <br />NS025 ~200901) ~988-2 '~~tORD CORPORATION. All rights r <br />The ACOF:D name and logo are registered marks of ACOrRD <br />
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