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A'CC?R°f CERTIFICATE OF LIABILITY INSURANCE <br />e~i7i2o <br />PRODUCER (972) 771-4071 FAX: (972) 771-4695 <br />K& S Insurance Agency <br />2255 Rid Road Ste. 333 <br />ga , <br />THIS CERTIFtCATE lS ISSUED A3 A MATTER OF INFORMATION <br />ONLY AND CONFERS NO RIGHTS UPON 7HE CERTlFICATE <br />HOLDER. THIS CERTIFfCATE OOES NOT AMEND, EX7END OR <br />ALTER THE COVERAGE AFFORbED BY THE POLICIES BELOW. <br />P. 0. Box 277 <br />Rockwall TX 75087 <br />INSURERS AFFORDING COVERAGE <br />NAIC 4 <br />INSUAED <br />INSURERA:QSF+ Speaialty Insurance CO. <br />11525 <br />Josh Hray dba Sanitation Solutions <br />iNSUReR a: Praetorian Insurance Company <br />372s7 <br />P. O. Box 6190 <br />iNSUReR c: $t Paul Sarplus Lines Ins Co <br />30481 <br />iNSURSR D: Texas Mutual Insuranoe Co. <br />22 945 <br />Paris TX 75461 <br />INSURERE: CI'f8Tt18 Specialty Insurance <br />26883 <br />COVERAGES <br />THE POLICiES OF INSURANCE LISTED BELOW HAVE BEEN 1SSUED TO THE WSURED MAMED ABOVE FOR THE POLICY PERfOD INDICATED. NOTWITHSTANDING <br />ANY REQUIREMENT, 7ERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT 1MTH RESPECT TO W14ICIi TNIS CERT(FICATE MAY BE lSSUED OR <br />MAY PERTAIN, THE INSURANCE AFFORDED BY 7HE PQLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONOITIONS OF SUCN <br />POLICIES. AGGREGA7E LIMITS SHOWN MAY HAVE BEEN REDl1CED BY PAID CLAIMS. <br />IIJS <br />DO' <br />' <br />pOLICY NUMBER <br />PALiCYEPFBCVIVE <br />POLIEYEXPIMTION <br />LIMRS <br />i <br />6EttERACLInBICITY <br />FACHOCCURRENCE <br />$ 11000,000 <br />f <br />X <br />COAIMERCUL GENERAL LUBILITY <br />DAb 70 RENT r0 ~ <br />$ 100,000 <br />A <br />I <br />CUIMSMADE X OCCUR <br />3I'1X0002722 <br />8/18/2010 <br />8/18/2011 <br />MEOExP (Any ons non <br />5 5,000 <br />I <br />PERSONAL d/lDY IN,IURY <br />$ 11000,000 <br />GENERAI A6GREGATE <br />$ 2,000,000 <br />~ <br />- <br />GEN'LACaGREGATELUdRAPPUESPER: <br />PROOUCTS-COIdPlOPAGCs <br />s Included <br />i <br />POLICY X PRO- LOC <br />JECT <br />RU <br />TOMOBILE 41AB1LITY <br />t <br />~GLE Li~~~rt <br />d <br />n <br />( <br />$ 1 <br />000 <br />000 <br />X <br />ANY AUTO <br />Eo <br />sa( <br />q <br />e <br />, <br />, <br />B <br />AILOVHJEDAUT05 <br />ICS'X0001215 <br />8/18/2010 <br />8/18/2011 <br />OOOILYINJURY <br />~ <br />S <br />I <br />SCHEOULED AU70S <br />(pwWfo^) <br />X <br />HfRE6AUTOS <br />BODILYINJURY <br />i <br />X <br />NON-0WNEDAtJTOS <br />(PeraoddenQ <br />S <br />I <br />PROPERTY DA <br />A <br />E <br />M <br />G <br />5 <br />i <br />(Pa uddenq <br />i <br />GARAGE4ABIL17Y <br />AUTDONLY-EAACCIDENT <br />S <br />ANY AUTO <br />OYFIER 7HAN EA ACC <br />S <br />AUTO ONLY: AGO <br />S <br />E%CESSIUAIBRELLALl0.81lITY <br />EACHOCCURRENCE <br />S 5 000 fl00 <br />X OCCUR ~ CUIRISlMDE <br />AGGREGA7E <br />S 51000,000 <br />S <br />C <br />DEDUCiIBLE <br />Z09125406 <br />8/18/2010 <br />8/18/2011 <br />S <br />X <br />RETENTION $ 10,00 <br />g <br />D <br />WORKfRS COMPENSATION <br />AND EMPlOYERS' LIABILITY <br />X WC STATU- OTH- <br />Y iH <br />ANY PRQPRlETORJPARTtJERlEXECUTNE <br />F <br />~ <br />E.L. EACH ACCIDENT <br />$ 11000,000 <br />~ <br />OF <br />ICERRdEl.18ER EXCLUDED7 <br />i <br />(Mandalory ln NH) <br />Q01102162 <br />8/18/2010 <br />8/18/2011 <br />E.L. DISEASE • EA EMPLOVE <br />S 1,000,000 <br />lf yes descabe vndar <br />I <br />a <br />SPE <br />tAL PROVISIONS bebw <br />E.L. DISEASE - POUCY IIMR <br />5 1 OOO OOO <br />F I OTHERTrallBQOrtBtiOll <br />I <br />L94766550 <br />8/18/20I0 <br />8/18/2011 <br />$1,000,000 ocn. <br />~ PolJ.ution <br />$2,000,000 ayy. <br />DESCFUI+itON OF OPERATtONS / LOCATIONS / V EHICLES ! EXCLU310!!S ADDED BY ENOORSEMENT! 3PECUI1. PROVISIONS <br />City oP Paris is named additionui ineured on general liability policy (C62033 07-09) When required by written <br />contract. <br />City of Paris <br />P, 0. Box 9037 <br />Paris, TX 75461 <br />ACORD 25 (2009101) <br />SHOULO ANY OF THE ABOVE DESCRlB E D POLICIES BE CANCELIED BEFORE THE EXPIRATION <br />DAT£ THEREOF, THE 159UIN0 INSURER WILL ENDEAVOR TO 61AIL 30 DAYS Y7RITTEN <br />NOTICE TO THE CERTIFICATE HOLdER NAMHD 70 TI1E LEfT, BUT FAIIURE 70 00 SO SHALL <br />IMP09E NO OBLIOATION OR UABIItTY OF ANY KIND VPO;J THE 1NSURER, IT3 AGEN79 OR <br />AUTHOAIZEO REPRESENTA7NE <br />R Daiker-1/DIAN£ L-0 <br />m 1988•2009 ACORD CORPORA710N. All riqhts rese <br />~••~~~v i:uvuv v.w 1 i iiv rk~,vrtu nainv aiiu ioyv are registorvu marxs or at.:vltu <br />- ` 76 <br />