|
� aer ,M[�a rrtT tt rlv.3 "I
<br />CERTIFICATE OF LIABILITY A-2016-01 � N 1.5t2 016
<br />THIS CERTIFICATEIS ISSUED AS A TATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER_ THIS
<br />CERTIFICATE DOES NOTAFFIRMPATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE. COVERAGE AFFORDED BY THE POLICIES
<br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
<br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER
<br />IMPORTANT: If the Certahcate holder is an ADDITIONAL INSURED, the olio ies must have ADDITIONAL INSURED provisions or be endorsed,
<br />If SUBROGATION IS WAIVED, subjetA to flee terms and conditions of the Policy, certain Policies may require an endorsement. A statement on this
<br />certificate
<br />does not confer rights to the certificate holder in lieu of such endorse e"s).
<br />......_ _� r�tarrrei:r
<br />vnr:tt
<br />_
<br />PA C1 �� INSURANCE AGENCY INC '-E't,3r.x�r �wc ra, {�f f3) 443-61.11.2
<br />21.0705 c '. .�
<br />PHONE
<br />1
<br />- o.n e ,
<br />F: ( 88) 443-611.2
<br />�.
<br />PO BOX 33015-
<br />..... __ _......
<br />SAN ANTONIO T X '78205nuusLrl m
<br />N'7dF7ELF fNASLusiER €5
<br />PAR'I"PvrW,RS INr CON'iR01. lNC DBA ENTER -'FUSE, � r�;lsrnc
<br />MFUF01 Di
<br />210, (30C)DARf3 sae
<br />__._ ........................ — __
<br />TRVTNE CA 9261.8 �T��
<br />_._ __.__ __n__..., .. ............. .......... _.....
<br />COVERAGES CERTIFICATE NUMBER: REVISIONNUMBER-
<br />THIS IS TMJ CFRIIF4 THAT THE POLICIES Of INSURANCE I,'ISTED BELOW HAVE BEEN JSSt)E.D 10 THE INSURED, NAMED ABOVE FOR FPIE. POLICY PERIOD '.
<br />INDICATED. NOI'WIIHSTANDING ANY fiEOLARE.MENT, TERM OR CONDITION 4')T ANY CONTRACT OR 01HER DOCDMENT W1'1H RESPECT TO WHICH TANS r
<br />CERTIFICATE MAY BF ISSUED OR MAY PERTAIN, THE INSIJRANCAE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUWFC1 TO ALL THE I
<br />_Y- .
<br />TE7iA.lSl XC<I_L3S1IONS AND K C)i+il7TTIS7N;r Cil SUiri 16 POLICIES, E.II�4I1 S SHOWN MAY HAVE. OFEN N lib E7[dC E. C1 BY PAT[) CLAIMS.
<br />lkkt! Tl f,"�.i7 �Pt�tt 'il 117d kJe P^�t Orr fa ,fl;n^5
<br />C7N.11d...... 4L EAd R:�.L LiABtLt i"'Y �, t6lrt.. x. ___..._,........ _,_.... _,_. __,.__, ..__f fu,P 17r, 7;... }1 .f,bl5..%,,.:,31:1:LP r ,.___. .,,, „_ r .,, ., ...._.1
<br />I N = A.;P t =-C'RRENC F i
<br />aAM AGI .1 RLNT 1 C� .. , .....
<br />9 I IJ- ._.__ 1 f'F1'FW E (Ea cm, .nene '
<br />. � d
<br />PL -, , ram & r,rNv INJURY i
<br />NERAL. AG1. iFG ,ATF ,
<br />i �.Gz..�E rer;�F4a�,Taru�ll aI c L E� r r��� I
<br />f .UL t_:V
<br />t' 0C i *erO N5 JMSt 1 AG �
<br />JF. C 3
<br />1 Y 6 "
<br />I _, W. . -._ ...,_,_... .....
<br />_ �.AUTOAii�C7k3ILE LIAMI. N(EL �'ht old G}A,�if
<br />S %cG;C1
<br />ii
<br />I t 11'N Ai'"Q
<br />I W"J"� N URY n<t r mrh rra
<br />ALI lrT
<br />nlrrl
<br />rax INN 0 R TY D A MA G E
<br />t ---- _m
<br />r t------------
<br />I EXCESS atT tatr,R ar err � MRENCE �
<br />uMB.
<br />I
<br />i rtaC=
<br />r
<br />{ E'
<br />a_.,.._�..-...W.._.................._ _ ._. -_-_ _.__�,.......,—
<br />T-
<br />voV111 0 719 Il.wP17dV 1'
<br />� awrr- Rlr we ra �,A r o .ua1wLY raCHACCIDEN7
<br />-r!°,�rrrrA,cw�-sFr1,.�C.Tat�Fc.1 r I[k ___
<br />tiJ b f f
<br />1., iwO, 0d'oC�,_-
<br />a 0 CI , 0 J r
<br />OF vr'LrA fION., ✓ LOCA TIONSI V0Ps, ..._,. RD 101, aAddnirana9 l� offr �lNfca Schedula, onsr be attachad it rnar � , . ... l,. .....,_. ...._._......._,._.___._......_..............._..�..._._..�.
<br />9 � i+ � af�accr is aaq��u7ees'fl
<br />f
<br />sl e u 1:#.& to the TI)s11 &;r.d , s CT -ra r.a �atr� . "PCJt r..-:. C' r7 (,'an C:..� " C} 1 m^1' �..., i,7 J
<br />x04 3e(,1 i n t3cco r da.rice w -'L t. hr FC) .i11 ' C 9 9 03 1 cati'_i.a c,"IIC,01 i 0 'l.Ci_„ pc) ,. v {
<br />B !
<br />CERTIFICATE HOLDER CANCELLATION Y '�_ �
<br />TC t. T.,iT -- — SHC�IJLD ANY OF THE ALIC9VC: DESCRIBE P -?) CIES RE CANCELLED
<br />r
<br />I.. ( I -
<br />T kc13EFORE THE EXPIRATION DATE I"HEREOF, NOTICE WILL BE
<br />5 Maria ernen tl: S e r'v C. C: fit. r=t; t DELIVERED IN ACCORDANCE WIT I TN'EPOLICY PROVISIONS.
<br />N C �- r r � r'_..._..�
<br />1.O BOX 1 9 S 6 � ✓ �
<br />SANTA ANA,
<br />_._d.......
<br />(P 1988-201 a ACORD CORPORATION. All ratlhts reserved.
<br />ACORD 25 ( 01 103) The ACORD name and ]ago are registered marks of ACORD
<br />
|