2010-070 RES DEMO PARIS SANITATION

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E~L.,O a FATE ( MM/DD/YYYY) ~ CERTIFICATE OF LIABILITY INSURANCE G,8,2o09 i P:xoouceR (972) 771-4071 FAX: (972) 771-4695 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION~i ~K & S Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR '5 Ridge Road, Ste. 333 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. _ O. Box 277 ; i.ockwall TX 75087 INSURERS AFFORDING COVERAGE NAIC # ' c;:sur.EO INSURER A: QBE Specialty Insurance Co. 'Sanitation Solutions iNSURERB:Redland Insurance Co. ~ P. O. Box 6190 INSURER C: ROCkY1111 Insurance Co. I iNSURER o: Praetorian Specialty Ins. Co. Paris TX 75461 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR ' MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH PQLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IfJ°R LT F.DD' N TYPE F INSURANCE POLICY NUMBER POLICY EFFECTIVE A7E MM! YY POLICY EXPIRATION A M D!Yl'Y LIMITS i GENERALLIABILITY EACH OCCURRENCE $ 1,000,000 ~ X COMMERCIAL GENERAL LIABILITI' _ DAMAGE TO RENTED PREMISES Ea occurrence $ lOO OOO A CLAIMS MADE Fx 10CCUR SITX0002143 10/11/2009 10/11/2010 MED EXP (Any one person) $ 5,000 PERSONAL & ADV INJURY $ 1,000 000 GENERAL AGGREGATE , $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ Included X POLICY PRO LOC AU TOMOBILE LIABILITY X ANY AUTO COMBINED SINGLE LIMIT (Ea accidenl) $ 1,000,000 I U ALL OWNED AUTOS ZCTX0002029 10/11/2009 10/11/2010 SCHEDULED AUTOS gODILY INJURY (Per person) $ I X HIRED AUTOS X NON-OWNED AUTOS BODILY INJURY (Per accident) $ O I PR PERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ I F ANY AUTO EA ACC OTHER THAN $ AUTO ONLY: AGG $ EXCESS / UMBRELLA LIABILITY - EACH OCCURRENCE $ 5,000,000 X OCCUR F ICLAIMS MADE AGGREGATE $ 51000,000 $ C DEDUCTIBLE UL000728-02 10/I1/2009 SO/ZZ/ZOZO $ X RETENTION $ 10,00 $ D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY X WC STATU- OTH- Y/N ANY PROPRIETORlPARTNER/EXECUTIVE OFFICER/MEMBER EXCLU ~N E.L. EACH ACCIDENT $ 1,000,000 DED? (Mandatory inNH) Q80000024 8/18/2009 8/18/2010 E.L.DISEASE - EAEMPLOYE $ 1,000,000 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ 1,00 O OOO C OTHERV2h].C12 PO11llti0II Liability TPLE000229-01 10/11/2009 10/11/2010 $1,000,000 Occ. $1,000,000 Agg 101=5cKIp7iOr+ OF OPEW1710N5/ LOCATIONS! VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS City o£ Paris is named additional insured on general liability policy when required by written contract. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION C].ty of Paris DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN P. O. BOX 9037 NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL Paris, TX 75461 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE T Fierro - Ins./DIANE ACORD 25 (2009/01) O 1988-2009 ACORD CORPORATION. Ail rights reserved. INS025 (200901) The ACORD name and logo are registered marks of ACORD