WA9601B-CS 981230FOXCON1 ~ ~ ~
iii; i:C IFICA~ OF INSURANC 7.;:!; ~;i 1~./30/98
ACORD,, ERTii : i !!!; ~ i i iE i!
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
Cadenhead Shreffler Insurance ONlY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
P.O. BOX 1119 ALTER THE COVE~GE AFFORDED BY THE POLICIES BELOW.
Bedford, TX 76095 ,
COMPANIES AFFORDING COVE~GE
COMPANY
; AAmerican Cas. Co. of,Rg~d~ng PA
..............
INSURED
COMPANY
Fox Contractors, Inc. ~ BContinental Casualty Company
PO Box 951
COMPANY
Midlothian, TX 76065-0951 cTransportation Insurance Company
COMPANY
i DTranscontinental Insurance Co.
THIS IS TO CERTIFY THAT THE POLICIES OF INSU~NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED N~ED ABOVE FOR THE POLICY PERIOD
INDICATED, NOrTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTACT OR OTHER DOCUMENT WITH RESPECT TO ~ICH THIS
CERTIFICATE MAY BE ISSUED OR ~Y PERTAIN, THE INSU~NCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHO~ MAY HAVE BEEN REDUCED BY PAID C~IMS.
I
POLICY EFFEC~VE ] POUCY EXPI~ON
CO ~PE OF INSU~NCE POLICY NUMBER LIMI~
Lm DA~ (MM/DD~) ~ DATE (MMIDD~)
A '~.~,..,~,~ PKG~07B~B999~ 05/~0/~e ]0S/~0/~ ~.~.~ ~2~,000,000
.
X COMMERCIAL GENERAL LIABILI~ PRODUCTS-COMPIOP AGG 1s2 000_, 000
i I .___
; ~C~,~S~DE ~'~OCCu. .E.SO.~L~DV,HJU.~ ~Sl, 000,000
~ OW.E.'S ~ CO.T.~CTO.'S P.OT ~CH OCC~..E.CE j~_Q9_ Q~_,O,O 0
X Blkt WOS/AI/10 ~ ~EDEXP<~.~o~.o.~ jS 5,000
B ~UTOMOS.LSUAB.U~ BUA1073639988 S05/10/98 05/10/99 qCO~S,.EDS~.GLEU~T ~$1 000 000
X ANY AUTO :
ALL OWNED AUTOS , BODILY INJURY
.... ~ (Per pemon) ~ $
SCHEDULED AUTOS , ~, __
,
~ HIRED AUTOS BODILY INJURY $
~ NON~WNED AUTOS (Per accident)
.9~G~ LIABILI~ L~UTO ONLY-EA ACCIDENT $
AN OTHER THAN AUTO ONLY: ~
, , Y AUTO
;~ EACHACCIDENT
,
, ::::GATE
EXCESSUABILI~ C~0560582~7 05/~0/98: 05/~0/99 EACH OCCUR ~ / 000 000
~ OTHER ~AN UMBREL~ FORM ~
D WORKERS COMPSNSA~ON AND ~WC1073625024 M05/10/98 05/10/99 _.I_STAT~q~!~'TS ~?~
EMPLOYERS' LIABIU~ .E~q~CJJDENT ~Q~J
THE PROPRIETO~ 'l INCL , D SEASE-POLICY LIMIT i$5
PARTNERS/EXECUTIVE ' ' :
i OFFICERS ARE: ~ EXCL ~lkt HOS DISEASE-EACH EMPLOYEE i$500 t
OTHER , ,
I
iI
DESCRIP~ON OF OPE~ONSILOCA~ONSNEHICLESISPECIAL ITEMS
Re: Sandy Lake Road Waterline. Project ~WA96-01A. Certificate Holder is
included as Additional Insured on the General liability policy.
SHOULD ANY OF THE ABOVE DESCRIBED POUCIES BE CANCELLED BEFORE ~E
C i ty O f COpDe 11 EXPI~ON DA~ ~EREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Attn: Mr. Ken Griffin ] Q DAYSWRI~ENNO~CETO~ECER~FICATEHOLDERNAMEDTO~ELE~,
~ O B O~ ~ ~ 8 BUT FAILURE TO MAIL SUCH NONCE SHALL IMPOSE NO OBLIGA~ON OR LIABILI~