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~eu- b, L'uii y:IJHM Nierson ard Ferdlet! NI, P. Ae6R& CERTIFICATE OF LIABILITY INSUQ~ <br />~ ~/'7 NCE DATE (8M1DD/YYYY) <br />THIS CER7IFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON TFIE CERTIFICATE HOLDER.1 HIS <br />CERTiFICATE DOES NOT AFFIRb1ATiVELY OR NEGAT1VFyY AMEND, 6XTENb OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUiE A CONTRACT BH7WEEN THE 133UING INSURER(S), AUTHORIZED <br />REPRESENTA7IVE OR PRODUCER, AND THE CERTIFICATE NOLDER. <br />IMPORTANT: if the certiflcate holder Is an ADDITIONAL IN3URED, the policy(les) must be endorsed. If SUBRO(iAT10N IS WAIVED, sub)ect to <br />the terms and conditions of the policy, certain pdicles may require an endorsemant. A statement on this certlllcate does not confer rights to the <br />certiflcate holder 1n Ileu of such endorsement s). <br />PRO[7UCER <br />NAME: Marty Brunson <br />Piersoa & Feadley ~NE . (903) 784-0836 Fnx <br />1705 L-r Avenue E L (Afc No :(903) 785-8434 <br />P.O. Box 459 c 0D~ R 191 00007390 <br />Parls TX 75961-0459 <br />INSURED INSUN@t(S)AFFORDINGCevFwer_e <br />C}~u <br />CO~TY W~4TE COI+T~EGTION LI,C ~a ~~u~Re:service Lloyds <br />TRASNY BU3INESS INSU~ac: <br />712 COUNTY RpAD 44100 INSURER D: <br />PoiWDERLY TX 75473-4725 I~RE: <br />COVERAGES t <br />UUFREERF: <br />CERTiFlCATE NUMBER:CL1152301339 REVISION NUMBER: <br />THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOUY HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWRHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CqVTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMRS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />usvt <br />.TR TYPE OF INSUtpNCE INSR NNp POLICY IiJA18ER MMLI E MM% ICY EXP <br />GENERAL LIABILITY LIMITS <br />X COMMERCIAL G=NEP.AL LIABILITY <br />EACH OCCURRENCE <br />g <br />1,000,00 <br />A CLNMS-MADE Fx -1 OCCUR P72 04 9555 75 <br />/4/2011 <br />~q~201Z PREMISES aoccurrence <br />g <br />1~0, 00 <br />MED E:{P (My one person) <br />$ <br />5,00 <br />PERSONAL & tiDY INJIJRY <br />g <br />1,000,00 <br />GEM'L AGG?EGATE fJM T APPLIES PER: <br />GENERAL AGGREGATE <br />$ <br />Z, OOO, OO <br />X POLICY ECT LOC <br />PRODUC-S- COldP10' AG3 <br />$ <br />Z, OOO, 001 <br />AUTOMOBILE LIABILITY <br />g <br />ANY AJTO <br />CONBINm SINGLE LIMI- <br />(Ee eccident) <br />Y <br />1, 000, OOI <br />Pa ALL OINNED AUTOS P7204955575 <br />/4/2011 <br />/4/4012 BOqLY INJURY Pe• pgr=_on) <br />~ <br />X SCHEDULED AUTOS <br />BOpIY IPJJURY (~e• e:cident) <br />g <br />X HIREDAUTOS <br />PROPERTYDP.MAGE <br />x NOPJ-GWVED AUTOS <br />(Peracaidant) <br />g <br />Sch edule H1od Fador 1 <br />q <br />UMBRELLA LIAB <br />PIP-Basic <br />8 <br />2 <br />50C <br />OCCUR <br />, <br />EXCESSLIAB <br />CLAI M3MA]E <br />EACH OCCURRENCE <br />g <br />DEDUCTIBLE <br />AGGREGATE <br />g <br />RETENTION $ <br />g <br />8 WORKERS COMPENSATION <br />g <br />AND BiAPLOYER3' LIA8ILITY <br />Y!N <br />N'C STATU- OTH- <br />ANY PROPF21EfCR/PA3TNERlENECUTIV= <br />' <br />OFFICER <br />MEMBBR =XCLUDED? ~ N/A <br />(Mandatory fnNH) RZB21805-11 <br />/8/2011 <br />E.L. EACH ACCIDE~T <br />/8/2012 <br />g <br />lOO OOO <br />If yes, descr be urder <br />DESCRIFTION 0= OP_RA710NS below <br />E.L. ~ISEAS= - EA EMPLOYE <br />g <br />100 OQ~ <br />E.L.DISEAS_-POLICYLIMIT <br />$ <br />500.000 <br />DESCPoPTION OF OPERATIONS! LOCATIONS 1 VEHICLES (Alhch ACORO 701, Addklond RornMn gehedule, Hmon spaee Ia nqulndQ <br />Certificate holder shown as additional insuzed ` <br />BHOULD ANY OF 7HE ABOVE DESCRIBm POLICIE8 BE G4NCELLED BEFORE <br />THE EXPIRA710N DATE 711ptEOF, NOTICE WIIL BE DELIVERED IN <br />Ci.t3( Of P3ri8 ACCORDANCE WITH THE POLICY PROVISI019S. <br />PO Box 9037 <br />Paris, TX 75461-9037 ~1~wzeor~r~seNrnnve <br />tt Frierson/CL2 <br />ACORD 25 (2009/08) 0 1888-2008 ACORD CORPORATION. All rigMs reaerved. <br />INS025 +200909) The ACORD name and logo are regiatered marks oi ACORD <br />