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Home My WebLink About20082752.tiff E ACORD/, CERTIFICATE OF LIABILITY INSURANCE 9/30/2009 DAT9/30/2008 ) PRODUCER Lockton Companies,LLC-1 Kansas City THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION 444 W.47th Street,Suite 900 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Kansas City MO 64112-1906 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR (816)960-9000 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC# INSURED US CABLE OF COASTAL-TEXAS,L.P. INSURER A Hartford Casualty Insurance Company 29424 1309892 DBA US CABLE OF WEST TEXAS INSURER B: Fireman's Fund 28 WEST GRAND AVENUE Suite 10 INSURER C: Commerce and Industry Insurance Company 19410 MONTVALE NJ 07645 INSURER D I INSURER E: COVERAGES USCAB01 ZH THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURERS), AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER 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 POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L POLICY EFFECTIVE POLICY EXPIRATION LTR INSRD TYPE OF INSURANCE POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A X COMMERCIAL GENERAL LIABILITY 37UUNAK0159 9/30/2008 9/30/2009 DAMAGE PREMISES S( RENTED (ERpNdurence) $ 300,000 CLAIMS MADE n OCCUR MED EXP(My one person) $ 10,000 PERSONAL B ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 -1 POLICY I-1 JE PRO- I X-ILOC A AUTOMOBILE LIABILITY 37UENAK0228 9/30/2008 9/30/2009 COMBINED SINGLE LIMIT $ 1,000,000 X ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ XXXXXXX SCHEDULED AUTOS (Per person) X HIRED AUTOS BODILY INJURY X NON-OWNED AUTOS (Per accident) $ XXXXXXX PROPERTY DAMAGE $ XXXXXXX (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ XXXXXXX ANY AUTO NOT APPLICABLE OTHER THAN EA ACC $ XXXXXXX AUTO ONLY: AGG $ XXXXXXX EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 5,000,000 B 5O060400017 9/30/2008 9/30/2009 X I OCCUR n CLAIMS MADE AGGREGATE $ 5,000,000 _ n UMBRELLA $ XXXXXXX DEDUCTIBLE FORM $ XXXXXXX RETENTION $ $ XXXXXXX C WC342-86-34 9/30/2008 9/30/2009 WCSTATU- OTH- - WORKERS COMPENSATION AND X I TORY LIMITS I I ER EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? If yes,descnbe under E.L.DISEASE-EA EMPLOYEE $ 1,000,000 SPECIAL PROVISIONS Below No E.L.DISEASE-POLICY LIMIT $ 1,000,000 A OTHER 37UUNAK0159 9/30/2008 9/30/2009 AlL RISK FORM.$10,000 REAL&PERSONAL DEDUCTIBLE. PROPERTY DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED UNDER THE ABOVE CAPTIONED POLICY. / i0 - I3-D8 2008-2752 CERTIFICATE HOLDER CANCELLATION 3904869 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION WELD COUNTY DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN ATTN:BILL HAWKINS NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL P.0 BOX 758 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR GREELY CO 80632 REPRESENTATIVES. AUTHORIZED REPRESS E I ACORD 25(2001/08) For questions regarding this certificate,contact the number listed in the'Producer sectio,,above and specify the client cod C 0r, ©ACORD CORPORATION 1988 Hello