Laserfiche WebLink
A~. °Rp~ CERTIFICATE QF LI <br />A B 1 L I TY I N S U RA N C E OATE (7.IhVDDlYYYy) <br />PR06UCER (5 J2~ ~~1~q~71 8/17/2010 <br />AX: (972) 771-4695 THlS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATfON <br />K& S Insurance Agency ONLY AND CONFERS NO R(GHTS UPON THE CERTlFiCATE <br />2255 Ridge Road, Ste. 333 HOLOER. THIS CEf2T(F(CATE DOES NOT AMEND, EX7ENp OR <br />p, p, goX 2~~ ALTER TNE COVERAGE AFFORDED BY THE POLICIES BELOW, <br />Rocksrall TX 75087 <br />u+SURE~ _ INSURERS AFFORDING COVERAGE NAIC #f <br />Josh Bray dba Sanitation Solutions INSURERA:QBE Speoialty Insurance Co, iis:s <br />P. O. Box 6190 INSURER e: Praetorian Insurance Company 37257 <br />iNSUReR C: St Paul Surplus Lines Ins Co 30481 <br />Paris TX 75461 Ir+suRFRO:Texas Mutual Tnsurance Co, 2294s <br />COVERAGES iNSUReae•Chartis Specialty Insurance 2e8e3 <br />THE POLICfES OF INSURANCE LIS7ED BELOW HAVE BE[N 1SSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERfOD INDICATED. NOTWITHSTANDING <br />ANY REQUlREPdENT, TERM OR COND1710N OF ANY CONTRACT OR pTNER DOGUM[NT WlTH RESPEC7 TO W!{ICIi THIS CC•RTIFICATE MAY BE ISSUED OR <br />MAY PERTAlN, THE INSUR,qNCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SU6JECT TO ALL THE TERMS, EXCIJS(ONS AND CONOITIONS OF SUCH <br />POLICIES. AGGREGATE llMITS SHOWN MqY HAVE BEEN REDl1CE0 BY PAID CLAIMS. <br />ISR ADD' <br />JR~ _ TYPEOFIMS iRq C pOLICYNUM9Etl P A F OLICYEFFECTIVE POLlCYEXPIRATION R,4I7S <br />' GENERALLIABlGTY D Y A[ 1FV L <br />I <br />X COiAIAERCIAL GENERAL LIABILITY EACH OCCURRENCE ; <br />A I DAAIAGE TO RFNTEO <br />I CL4UAS AiADE ~ OCCUR 9T2X0002722 L@~~ S <br />8/18/2010 8/18/20Z1 MeDexP pn oneperaon} S <br />PERSONAL S ADV INJURY s <br />GEN'L AGGREGAT£ L11.1RqPpLIE'IS PER: GENERAL AGGREGATE $ <br />POLICY n jE~ I ( LOC PRODUCTS-COIdPJOPAGG S <br />I f riurOMOBILEL1A81LITY <br />X ANYAUTO <br />H A« owveo Auros <br />SCHEOULED AUTOS <br />i' X H(REDAUTOS <br />' X NON-ONNED AUTOS <br />~ GAWi3EL1A81LITY <br />ANYAUTC <br />ESS! UMBRELLP, LI0.DIUri <br />OCCUR D CLAIIdSl,7ADE <br />C DEpUC718LE '~QZ09125906 <br />X R <br />8I18/2010 $/18/20: <br />2 <br />5--- <br />ETEN710N 5 10,00 <br />. <br />S <br />D WORKERSCpMPENSA710N <br />AND EMPLOYERS' LIABILRY <br />$ <br />ANY FROPRIETOR/PAR7t~EWEJ(ECUTNE <br />a <br />OFFIC <br />X <br />WC STATU- OTH- <br />, <br />EfL1.SEl.iBER EXCLUOE09 <br />j(Afandalory In NH) <br />If 001102162 <br />' yes,descr~beunder <br />i SPECl <br />/18/2010 8/18/2011 <br />E.L. EACH ACCIbENT <br />$ <br />. <br />AL PROVISIONS bebw <br />E.LDISF~ISC•EAEAfPLOYE S ] <br />orHertTransportation <br />LS4766550 <br />E.L.DISEASE-POl(CYLIMIT $ ] <br />' Pollvtion <br />e/is/aozo 8/1 <br />$/2011 <br />g1,000,000 <br />occ. <br />I <br />$2,000,000 Aqg, <br />DESCRIP710N OF OPERAT(ON5/ LOCATfONS /VEHICLES / EXCLUSIONS ADDED BY ENOORSEMENT /$pECIAL PROVISIONS <br />City of ?aris is nam <br />d <br />e <br />addltionai insured on <br />conYract. <br />general liabilit <br />y policy (CG2033 07-09) <br />when r <br />i <br />squ <br />red by writtan <br />C <br />I SHOULO ANYOFTHEABOVE DESCRIdED POUCIES BE CANCELIED BEFORE 7HE EXPIRATION <br />' DATE THEREOF, THElSSUING INSURER IMLL ENDEAVOR TO 4tA1L 30 DAYS YJRITiEN <br />Ca- tY of Pari s NOTICE TO THE CERTIRICATE HOLbER NARIED 70 ii{E LEF7, 8UT FAIIURE TO 00 $O SHALL <br />p. O. BOX 9037 IMPp9E NO OBLIGATION OR LIABILITY OF ANY KIND UPO~~ THE 1NSURER, IT3 qGENTS OR <br />Paris, TX 75461 <br />REPRESENTAT~VES, <br />AUTFtORIZED REpRESENTATNE <br />R Daiker-1/DIANE ~ L~ •(1 <br />ACORD 25 (2009/01) <br />INS025 (200e01).01 Tha ACORD namo and logo are reyistorocl n~iarks of AC RDORD CORPORA710N. AU righfs reserved, <br />~ COIABINED SlNGIB LIIdR <br />~ (En acd~ dent) S <br />oi2is 8/18/2010 8/18/2011 <br />~ OODILY INJURY <br />' (aerporson) S <br />BODILY INJURY <br />(Peracc(deng $ <br />PROPERTY DAMAGE <br />(PlractiAent) 5 <br />AU70 ONLY - EA ACCIDEN7 S <br />07FiER THAN EA ACC S <br />_ AUTO ONLY: <br />5 <br />1,000,000 <br />5 5.0 <br />$ 5,0 <br />_ ' 76 <br />