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<br />A AW.. CERTIFICATE OF LIABILITY INSURANCE
<br />03i i3 009
<br />PRODUCER (972)419 -7500 FAX (972)419 -7555
<br />Sleeper Sewell Insurance Services, Inc.
<br />12400 Coit Road, Suite 1100
<br />Dallas, TX 75251 -2039
<br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br />ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br />ALTER THE AFFORDED BY THE POLICIES BELOW.
<br />~ _COVERAGE
<br />INSURERS AFFORDING COVERAGE
<br />NAIC #
<br />_... ....._ ................... ...._.
<br />-_.. . - - --
<br />IN5UgED A�)• t� InternatTOna Eimer 9 enc y LLC
<br />2416 Gravel Dr
<br />Ft Worth, TX 76115
<br />.._- .__._,.._ __
<br />ENSURERA AIG
<br />PDLIQY EFFECTIVE TPOLICY
<br />r1sL!R�Re Commerce & Industry Ins. Co./ I(
<br />LIMITS
<br />Texas Mutual Insurance Co
<br />0412
<br />!NS:IRF? C, Hanover Insurance Co.
<br />240
<br />.N. °,URcR E
<br />01/26/2010
<br />rlSVFDAGFS
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING
<br />ANY REQUIREMEN T, TERM OR CONDITION OF ANY CONTRACT OR OTHER DC?CLWlENT WITH RESPECT: TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE iNSURANCE AFFORDED BY THE POLICIES DESCRIBED HERFfN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAMS,
<br />INSR
<br />I
<br />......._ .......... _.
<br />TYPE OF INSURANCE
<br />POLICY NUMBER
<br />PDLIQY EFFECTIVE TPOLICY
<br />EXPIRATION
<br />LIMITS
<br />Santa Anna, LA 92707
<br />GENERAL LIA91Lti Y
<br />PROPIS012218
<br />01/26/2009
<br />01/26/2010
<br />EAJ„H`JCCI;RRENCE
<br />s 1 000,000
<br />X ".°, ". ?M A. ^,E.`.F.RAL IABL:','Y
<br />GAMPGE 'O RF.NtEu
<br />i 3OO 00-
<br />r .- .....__ IYt;, z,•A(]E I°UR
<br />I
<br />MEO EJ(P fAAV am Cerro I
<br />5 2S.00
<br />PERSONAL S ADV e4,AJRY
<br />-
<br />1,000,000 0
<br />A
<br />-..
<br />GENERAL AG;REGA:`E
<br />$ 2,000,00
<br />AIK':.fES PER
<br />PRODUCTS A171,
<br />5 2,000,000
<br />lOC
<br />AUTOMOBILE LIABILITY
<br />CA7573729
<br />01/26/2009
<br />01/26/2010
<br />sXJCL?-z :M --
<br />X ?+ Auro
<br />i =a accrienlJ
<br />3
<br />1,000,000
<br />GODILY INJURY
<br />S
<br />B
<br />C"E,O
<br />U JOILV Ifv,AJ ?Y
<br />S
<br />X I1YR -E D A.1-1-1&
<br />X N- :u •_VVNF=J '.L: J
<br />sr acciden
<br />. - -- . .
<br />r Q')PFRI DAMAGE
<br />...... ,.._�.
<br />GARAGE LIABILITY
<br />i A'.1'(; ^tit. Y • EA A' —X7Z*:
<br />S
<br />....__..._ ............ ..............._....._,..._.___
<br />EAACC
<br />{THR IfA:`: _._ ..................
<br />$
<br />.... ... ...... _.�.
<br />A"YP-.1TO
<br />AIiT,..- .. :i.Y A: a
<br />S
<br />EXCESS;UMBRELLALIABILITY
<br />PROU15012296
<br />01/26/2009
<br />01/26/2010
<br />EA(OPIOC :G :1RgENC�E
<br />% 5,Q00,000
<br />l:-AIMS klAA3=
<br />A %i :aRE'_A`E
<br />a S'000'000
<br />A
<br />"......
<br />s
<br />CI
<br />X 10,00
<br />i
<br />WORKERS COMPENSATION AND
<br />TSFOQ01177724
<br />- 03/10/2009
<br />03/10/2010
<br />X v:•c sTATU 0TH.
<br />- --�
<br />EMPLOYERS" LIABILITY
<br />'IEf- -
<br />E.L EACij ACCIDENT
<br />i 1,000,00
<br />Ai.' PR7 '_;F'PA "r'RiF(CC "i3Vc
<br />.,ASF- FAEMPOYE
<br />CL. .X �
<br />S 1,000,000
<br />. CF'r ICEkM MhFk EACI— DELI'?
<br />ryes I ,e :ee
<br />SPt. +A, r'. =K
<br />L. OISEASE•PULK;Y :!%T
<br />__ ....... ... ....
<br />$ 1 000 000
<br />_
<br />' <. THER
<br />it-ontractors Equipment
<br />_
<br />RHD862227900
<br />01/26/2009
<br />01/26/2010
<br />$125,000 Leased /Rented
<br />0
<br />$1,000 deductible
<br />OESCR PTION OF OPERATIONS 1 LOCATIONS (VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT J SPECIAL PROVISION5
<br />CERTIFICATE HOLDER CANCELLATION
<br />ACORD 25 (20DIlos) FAX: 714.647. 5741 ®ACORD CORPORATION 1988
<br />APPROVED AS 'TO(a1tM
<br />1,
<br />Laura Stitt theedy
<br />Assistant City Attorne i
<br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />Santa Anna
<br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />F
<br />Fire De partment
<br />Fire Department
<br />10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br />Attn : William Watson
<br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
<br />1439 South Broadway
<br />OF ANY KIND bPON THE INSURER, ITS AGENTS OR REPRESENTATIVES
<br />AV;nUMLZtU KtYHtStNI Al IYt
<br />Santa Anna, LA 92707
<br />Olivia Andrus
<br />ACORD 25 (20DIlos) FAX: 714.647. 5741 ®ACORD CORPORATION 1988
<br />APPROVED AS 'TO(a1tM
<br />1,
<br />Laura Stitt theedy
<br />Assistant City Attorne i
<br />
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