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<br />'-.2''''''^ 11/:11/101 " MA'"","''' '~'~.r' . '~~U""" p.""- . <br />ACOBD~ CERTIFICATE OF LIABILITY INSURANCE I OATEI"M/DOfYYI <br />08/27/01 <br />,Pft;JttUCER' 'IllIS CERTIFICATE IS ISSUED IS A MATTER OF INFORMATIOO <br />Brady, Chapman, Holland & Assoc. llIlLY AND CONFERS NO RIGHTS UI'QI 'IllE CERTIFICATE <br />HOlDER. 'IllIS CERTIFICATE ODES NOT AMEN~ EXTEI<<l OR <br />2190 North LOOp West ALTER 'IllE COVERAGE AFFORDED BY 'IllE PQ.J IES BELOW. <br />suite 200 <br />Houston, TX 77018 INSLflERSAFFORDING COVERAGE <br />INSURED INsuAEA.,Maryland Casualty Co. (Zur~ch) <br />TIFCO Industries Inc IN'U,"" ..National Standard InG. Co. I Zurich <br />P.O. Box 40277 INSUAEAe, Zurich Insurance <br />Houston, TX 77240 INsuAEAD,NorLhern Ins. Co. of New YorklZur <br /> INSU"EA",American Safety Casualty ISullivar <br /> <br />COVSlAGES <br /> <br />THE PaJC1ESOFINSJIWlCE USTED aacw HAVE BE8'< ISSUED TO THE INSJRED NAIIE) MI:NE FORTHEPCUCYPERlOOINDICA1ED. NOIWITHSTANDNG <br />ANY ROClJIEl!ENT. Tm.1 m CONDrT1ON OF ANY CONtRACT m OTHER DOCUMENT 'M1H ROlPECT TO WHICH THIS CERTFlCATE MAY BE ISSJED m <br />MAY PERTAJ\!. TIiE INSURANce: .AFFOfDEI) BY nlE POUClES CESCFIBED HEFBN IS SUBJECT TO JU THE TERMS, EXaJJsta\lS AND cx:t.Iomoos OF SUCH <br />Pa.JCES. AGQfEC16.TEUMrrsSHOWN MAY HA\IE ElEEN FEDUCED BYPNJ Cl...NMS. ~~~~.P~ ~ll~.~~r...A,.,T~ <br />Ir:: TYPEOFINSURANCE POLICY NUMBER AT MM 0 ATE MM 00 liMITS <br />A ~NmAL LIABiliTY CMM49294953 06/30/01 06/30/02 EACH OCCURRENCE .1 000 000 <br /> X 5MERClAlGEN EAAl L1ABllllY FIRE QAMAGE(AnyClfle fire) .100 000 <br /> - CLAIMS MADEOO OCCUR MED EXP(Any cne person] .5 000 <br /> PERSONAL lADY INJURY .1 000 000 <br /> - GENERAlAGGRffiATE .2 000 000 <br /> "LAGGAl'nE,llMI: AF"nPEA: PAODUCTS -COMP/OPAGG .2 000.000 <br /> POLICY ~gT lOG <br />B ~TOMOBILELlABILl1Y CMA58201600 06/30/01 06/30/02 COMBINEDSINGLE LIMIT '1,000,000 <br /> X ANY AUTO (Euccldtnll <br /> - ALLOWNEDAUTOS BO:)ILYINJURY <br /> . <br /> SCHEDULED AUTOS (~rplllra~J <br /> X HIRED AUTOS ~ODllYINJUAY <br /> X ,Per&C(:idenl) . <br /> NON -OWN EO AU TOS <br /> X Drive Other Caz PRO?ERTY DAMAGE <br /> {PerllCcidenl) . <br /> ~".GE L1..lLllY AUTO ONLY . EAACCIDENT . <br /> ANY AUTO OTHEA THAN EAACC . <br /> AUTO ONLY: ... . <br />C EXCEaS LIABILllY UBA49294979 06/30/01 06/30/02 EACH OCCURRENCE .15 000 00 <br /> ~ ~CCUA 0 OlAIMS MADE AGGREGATE .15 000 00 <br /> . <br /> ~ ~EOUeTlBlE . <br /> X. RETe:.~TIO.~ .10000 . <br />D WORKEAI COMPENSATION AND TC258553034 06/30/01 06/30/02 X I~~~I tJ,'ls I IOJ~ <br />E EMPLoYERS'LIABllllY CIw5206762 06/30/01 06/30/02 .500 000 <br /> E.l. EACII ACCIDENT <br /> E.L.OISEASE-EA EMPLOYEE .500 000 <br /> E.L. DISEASE-POLICY LIMIT .500 000 <br /> OTHER <br />DESCRIPTION OF OPERATIO:NS/lOCA.T10NS/VEHIClES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIA.l PROVISIONS <br />CERTIFICATE HOLOER I I AODITIONALINSUREOO;INSUAE:RlETTEFt CANCEllA TlllIl <br /> SHOU lDANYOFTH EABOVE DESCRlBEO roUCI ES B ECANCEL lED BEFORETH E EXPIRA ~ON <br />Santa Anna Fire Dept. DATETHEREOF, THEISlSUING INSURER WILL ENDEAVOR TO MAlllLL-OAYSWRfTTE)j <br />Attn: Roberta NOTICETOTH E CERTIFlCA TE HOLDER NAWED 10 THE LEFT, BUT FAI LURE 10 OOSO SHALL <br />