Verizon-CS100729' ° RO® CERTIFICATE OF LIABILITY INSURANCE F DATE (MM /DD/YY
7/29/2010 0
PRODUCER (501) 376 -0716 FAX: (501) 376 -2118 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
The Cashion Company, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
P O Box 550 HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Little Rock AR 72203
INSURED -- - -
Klaasmeyer Constr.Co., Inc.
PO Box 847
C0VFROrAFC
AR 72033
INSURERS AFFORDING COVERA NAIC #
INSURER A: Hartford Underwriters 30104
INSURERS: Hartford Insurance Company of 37478
INSURER C: National Union Fire Ins. Co. 19445
INSURERD:TWin City Fire Insurance Co. 29459
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.
Attn: Keith Marvin
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
INSR DD'L POLICY EFFECTIVE POLICY EXPIRATION
P POLICY NUMBER E MM D E (MM/DDNYYYI
LIMITS
Coppell TX 75019
GENERAL LIABILITY
EACH OCCURRENCE
$ 1
X COMMERCIAL GENERAL LIABILITY
-
E TO RENTED
PREMISES Ea occurrence
_
$ 300,000
A ICLAIMS MADE EX OCCUR 38CQT2475 8/1/2010 8/1/2011
MED EXP(Any one person)
$ 10,000
PERSONAL & ADV INJURY
$ 1,000 000
GENERAL AGGREGATE
$ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG
$ 2,000,000
POLICY EX7 PRO- LOC I
— _ -- -- _-
AUTOMOBILE LIABILITY
X ANY AUTO
COMBINED SINGLE LIMIT
(Ea accident)
$ 1, 0 0 0, 0 00
B
ALL OWNED AUTOS SURNQT2476 8/1/2010 8/1/2011
BODILY INJURY
$
SCHEDULED AUTOS
(Per person)
HIRED AUTOS
BODILY INJURY
$
NON -OWNED AUTOS
(Per accident)
'RE GARAGE LIABILITY
$
PROPERTY DAMAGE
(Per accident)
AUTO ONLY - EA ACCIDENT
$
OTHER THAN EA ACC
$
ANY AUTO
$
AUTO ONLY: AGG
EXCESS /UMBRELLA LIABILITY
EACH OCCURRENCE
$ 15,000,000
X OCCUR n CLAIMS MADE
AGGREGATE
$ 15, 000, 000
_
�E
C
DEDUCTIBLE
7227407
8/1/2010
8/1/2011
$
X RETENTION $ 10,000
$
D
WORKERS COMPENSATION
WC STATU- OTH-
X MI
AND EMPLOYERS' LIABILITY Y / N
E.L. EACH ACCIDENT
$ 1, 000,000
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? N
E.L. DISEA - EA E MPLOYE
$ 1,0
(Mandatory in NH)
If describe
3 8WZQT2474
8/1/2010 8/1/2011
yes, under
SPECIAL PROVISIONS below
- - -- --
E.L. DISEASE - POLICY LIMIT
- -._-
$ 11000,000
OTHER
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
° U - IV01 - ZUUV AGUKU UUKNURATION. All rights reserved.
INS025 (2oo9O1).0 The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
Ci ty of CO ppell Texas
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
Attn: Keith Marvin
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
255 Parkway Blvd
REPRESENTATIVES.
Coppell TX 75019
AUTHORIZED REPRESENTATIVE
Jim Allbritton /MJC001 'oe
° U - IV01 - ZUUV AGUKU UUKNURATION. All rights reserved.
INS025 (2oo9O1).0 The ACORD name and logo are registered marks of ACORD