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F DATE (MM1DDlYYYY) <br />CERTIFICATE OF LiABILITY INSURANCE 10/8/2009 <br />~ <br />1P:IQDUCER (972) 771-4071 FAX: (972) 771-4695 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br />i <br />;K & S Insurance Agency <br />~ '5 Ridge Road, Ste. 333 <br />` O. Box 277 <br />; i=.ockwall TX 75087 <br />1`:SURED <br />'aanitation Solutions <br />'P.O. Box 6190 <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 />INSURERS AFFORDING COVERAGE NAIC # <br />INSURER A: QBE Specialty Insurance Co. <br />INSURER e: Redland Insurance Co. <br />INSURER C: ROCkI711.I. Insurance Co. <br />INSURER o: Praetorian Specialty Ins. Co. <br />~Paris t TX 75461 IINSURERE' <br />COVERAGES <br />~THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NOTWITHSTANDING <br />TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br />ANY REQUIREMENT <br />, <br />, <br />THE INSURANCE AFFORDED BY THE POLICfES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br />' MAY PERTAIN <br />, <br />I POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />i <br /> <br /> <br />ItJSR <br />F.DD' <br />POLICY EFFECTIVE <br />POLICY EXPIRATION <br />` <br />LIMIT <br />S <br />L_TR <br />N R <br />F IN NC <br />POLICY NUMBER <br />DA E MMIDD/YYYY <br />(YY <br />DATE MMIDD/Y <br />GENERALLIABILITY <br />EACHOCCURRENCE <br />$ 1,000,000 <br />j <br />~ <br />DAMAGETO RENTED <br />lOO OOO <br />X <br />COMMERCIAL GENERAL LIABILITI' <br />PREMISES Ea occurrence <br />$ <br />~ <br />A <br />CLAIMSMADE [i] OCCUR <br />SITX0002143 <br />10/11/2009 <br />10/11/2010 <br />MEDEXP(Anyaneperson) <br />$ $ 000 <br />PERSONAL & ADV INJURY <br />$ 1,000,000 <br />~ <br />GENERAL AGGREGATE <br />$ 2,000,000 <br />AGGREGATE LIMIT APPLIES PER: <br />' <br />PRODUCTS - COMPlOP AGG <br />$ Included <br />GEN <br />L <br />L <br />7X POLICY PRC'~ LOC <br />_ <br />AUT <br />OMOBILE LIABILITY <br />SINGLE LIMIT <br />O <br />D <br />( <br />B <br />$ 1 <br />000 <br />000 <br />X <br />UTO <br />` <br />cide <br />E <br />a a <br />, <br />, <br />- <br />ANY A <br />I U <br />ALL OWNED AUTOS <br />ICTX0002029 <br />10/1I/2009 <br />10/11/2010 <br />BODILY INJURY <br />$ <br />I <br />' <br />HEDULED AUTOS <br />(Per person) <br />SC <br />~ <br />X <br />HIRED AUTOS <br />BODILY INJURY <br />$ <br />X <br />ED AUTOS <br />(Per accident) <br />NON-OWN <br />PROPERTY DAMAGE <br />$ <br />I <br />(Per accident) <br />BILITY <br />AUTO ONLY - EA ACCIDENT <br />$ <br />GA <br />RAGE LIA <br />ER THAN EA ACC <br />$ <br />R <br />ANY AUTO <br />OTH <br />AUTO ONLY: AGG <br />$ <br />BRELLA LIABILITY <br />EACH OCCURRENCE <br />$ 5,000, OOO <br />EXCESS / UM <br />X <br />CUR 0 CLAIMS MADE <br />AGGREGATE <br />$ 5,000,000 <br />OC <br />S <br />C <br />TIBLE <br />000728-02 <br />UI <br />10/11/2009 <br />10/11/2010 <br />$ <br />DEDUC <br />. <br />X <br />RETENTION $ 10,00 <br />$ <br />WC STATU- OTH- <br />D <br />WORKERS COMPENSATION <br />X <br />- <br />AND EMPLOYERS' LIABILITY Y/ N <br />PRIETOR/PARTNER/EXECUTIVE <br />E.L. EACH ACCIDENT <br />$ 1 000,000 <br />ANY PRO <br />OFFICERIMEMBER EXCLUDED? ❑N <br />NH <br />H0000024 <br />8/18/2009 <br />8/18/2010 <br />E.L.DISEASE - EAEMPLOYE <br />$ 1,000,000 <br />) <br />(Mandatory in <br />If yes, describe under <br />Q <br />E.L. DISEASE - POLICY LIMIT <br />$ 1,000,000 <br />SPECIAL PROVISIONS below <br />C <br />OTHERVOh1.C10 Pollution <br />TPLE000229-01 <br />10/11/2009 <br />10/11/2010 <br />$1,000,000 Occ. <br />I,iability <br />$1,000,000 Agg <br />DESCRIPTION OP OPERATIONS I LOGAl10rvs l vtnlcLta /ext.waivna Huuc~ oI ~I <br />City o£ Paris is named additional insured on general liability policy when required by written contract. <br />CERTIFICATE HOLDER CANCELLATION <br />SHOULD ANYOFTHEABOVE DESCRIBED POLICIES BECANCELLED BEFORE THE EXPIRATION <br />C1ty Of Paris DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN <br />P. O. BOX 9037 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br />Paris, TX 75461 <br />IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br />REPRESENTATIVES. <br />AUTHORIZED REPRESENTATIVE <br />T Fierro - Ins./DIANE <br />ACORD 25 (2009/01) O 1988-2009 ACORD CORPORATION. All rights reserved. <br />INS025 (zoosoi) The ACORD name and logo are registered marks of ACORD <br />QP. <br />