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HomeMy WebLinkAbout961887.tiff CSR ISSUE DATE(MM;UD/YY) ACORD CERTIFICATE OF INSURANCE 09/24/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INF0RI LYTIDN ONLPttND ALEXANDER & ALEXANDER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TATS CERTIFICATE OF TEXAS, INC. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2711 N. Haskell Ave. LB 8 POLICIES BELOW. DALLAS, TX _ 75204 COMPANIES AFFORDING COVERAGE Brock D. Duckworth 214-989-0000 COMPANY ' LETTER A NATIONAL SURETY CORPORATION 1� COMPANY B AMERICAN INSURANCE COMPANY INSURED LETTER TECOM INCORPORATED 5608 PARKCREST DRIVE COMPANY C TIG INSURANCE COMPANY SUITE 200 LETTER AUSTIN, TX 78731 COMPANY LETTER COMPANY v LETTER COVERAGES THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIALGENERALLIABILITY KXC80495481 10/01/96 10/01/97 PRODUCTS-COMP/OPAGG. $ 2,000,000 CLAIMS MADE )( OCCUR. PERSONAL&ADV INJURY $ 1,000,000 OWNER'S&CONTRACTOR'SPROT. EACHOCCURRENCE $ 1,000,000 A X loci Pesticide FIRE DAMAGE(Any one Ere) $ 50,000 Applicators Cover MED.EXPENSE(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE A X ANY AUTO KXA80164267 TX 10/01/96 10/01/97 LIMIT $ 1,000,000 A ALL OWNED AUTOS KXC80349548 0\S 10/01/96 10/01/97 BODILY INJURY (Per person) SCHEDULED AUTOS $ HIRED AUTOS - - BODILY INJURY NON-OWNED AUTOS (Per accident) '$ GARAGE LIABILITY PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURRENCE $ 10,000,000 C X UMBRELLAFORM XLB9291062 10/01/96 10/01/97 AGGREGATE $ 10,000,000 OTHER THAN UMBRELLA FORM B WORKER'S COMPENSATION KWC80718548 10/01/96 10/01/97 X STATUTORYLIMITS AND EACH ACCIDENT $ 500,000 EMPLOYERS'LIABILITY (TX & 0/S) DISEASE—POLICY LIMIT $ 1,000,000 DISEASE—EACHEMPLOYEE $ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS SEE ATTACHMENT. CERTFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO T WELD COUNTY LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR CO 917 TENTH ST. `, LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVE W GREELEY, CO 80631 (O AUTHORIZED REPRESENTATIVE 7. lCl T /(l S` Brock D. Duckworth �"r.'�^= Bv a �_rtlw0-7✓L+'G ACORD 25-S(7/90). ACORDCORPORATIC ACORD CERTIFICATE OF INSURANCE CSR ISSUE DATE(MM DD YY) 09/25/96 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND ALEXANDER & ALEXANDER CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE OF TEXAS, INC. DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE 2711 N. Haskell Ave. LB 8 POLICIES BELOW. DALLAS, TX 75204 COMPANIES AFFORDING COVERAGE Brock D. Duckworth 214-989-0000 COMPANY A NATIONAL SURETY CORPORATION LETTER COMPANY B AMERICAN INSURANCE COMPANY INSURED LETTER - TELOM INCORPORATED 5608 PARKCREST DRIVE COMPANY C TIG INSURANCE COMPANY 1 � SUITE 200 LETTER AUSTIN, TX COMPANY D 78731 EITER COMPANY E LETTER COVERAGES THIS IS TO CERTIFY THAT 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.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM/DD/YY) DATE(MM/DD/YY) . GENERAL LIABILITY GENERAL AGGREGATE $ 2,000,000 A X COMMERCIALGENERALLIABILITY KXC80349548 10/01/96 10/01/97 PRODUCTS-COMP/OP AGG. $ 2,000,000 CLAIMS MADE X OCCUR. PERSONAL&ADV.INJURY $ 1,000,000 OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ 1,000,000 A X IDcI Pesticide FIRE DAMAGE(Any one fire) $ 50,000 Applicators Cover MED EXPENSE(Any one person) $ 5,000 AUTOMOBILE LIABILITY COMBINED SINGLE $ 1,000,000 A X AU: ANY TO KXA80164267 TX 10/01/96 10/01/97 LIMIT A ALL OWNED AUTOS KXC80349548 0\S 10/01/96 10/01/97 BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per amden0 GARAGE LIABILITY PROPERTY DAMAGE $ EXCESS LIABILITY EACH OCCURRENCE $ 10,000,000 C X UMBRELLAFORM XLB9291062 10/01/96 10/01/97 AGGREGATE $ 10,000,000 OTHER THAN UMBRELLA FORM B WORKER'S COMPENSATION KWC80718548 10/01/96 10/01/97 X SI'ATUtORY LIMITS. AND EACH ACCIDENT $ 500,000 DISEASE—POLICY LIMIT $ 1,000,000 EMPLOYERS'LIABILITY (TX & O/S) -- -- -- - - - DISEASE—EACH EMPLOYEE I$ 500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS SEE ATTACHMENT. CERTFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE WELD COUNTY LEFT,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 917 TENTH ST. LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. GREELEY, CO 80631 AUTHORIZED REPRESENTATIVE Art" Brock D. Duckworth Anveee- ACORD 25-S(7/90?. _ _ ACORD CORPORATION 1990 Hello