Asbury Manor-CS 980930AGO, rD. CERTIFICA'I,.. llLITY A,,
PROOUCa I,~' jlA~ THIS CER~FICATE IS ISSUED AS A MA~ER OF INFORMA~ON
BR~SH AMERICAN INSURANCE COMPANY ONLY AND CONFERS NO RIGHTS UPON THE CER~FICATE
(214) 55~7 (~)~242 HOLDER. ~IS CER~FICATE DOES NOT AMEND, EXTEND OR
DALES, TE~S 75~1~~ INSURERS AFFORDING COVERAGE
m~R= ~ ~1 INSU~R A:BRmS, AMERICAN INSURANCE COMPANY
11143 GOODNIGHT ~NE~ ~t INSU~ B:
DALES, TE~S 75~
COVERAGES ~ = a ~ ~ ·
THE POLICIES OF INSU~NCE LISTED ~L~W HAVE BEEN ISSUED ~URED NAMED ABOVE FOR THE POUCY PERIOD INDICATED. NO~ITHST~DING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONT~ OTHER D~UMENT WITH RESPECT TO WHICH ~IS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSU~NOE AF~RDED BY ~E POUCIES DESCRIBED HEREIN IS SU~ECT TO ALL THE TERMS, ~CLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGRE~TE UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID C~IMS.
IN~ ~Y ~yE ~Y ~RA~N
Lm ~ OF ~RANCE ~Y NU~ DA~ ;M~D~ DA~ ~M~DD~
A G~L ~ CGL~I~ 1~01~ 10/01~ ~CH OCCURREN~ S 1,~,~
X COMM~I~ G~ L~IL~ FI~ D~AGE (~y ~e fire) $ 1~,~0
~ c~ ~ ~ occu. ~ ~ ~ on~ .~.~ S ~0,~
P~ON~ & ADV I~RY $ 1,~
__ GENE~ AGG~GA~ $ 2,0~,~
GEH% AGGREGA~ LIM~ ~LI~ ~: PRO~C~ - COMP~P AGG $ 2,~,~
~ P~ICY ~~TPR~ ~ L~
A ~ ~ CAL~I~ 10/01~8 1~01~ COMBINED SING~ LIMIT
~ ~O (La accident) $
X ~ ~ED A~
BODILY I~
SCHEDU~D ~T~ (Per ~r~)
X HI~D ~TOS
BODILY I~
X N~-O~ED ~T~ (Per acc~ent)
~ER~ D~AGE
(Per acc~ent)
GAUGE ~ AUTO ONLY - ~ ACCIDE~ $
~Y AUTO O~ ~ ~ ACC $
AUTO ONLY: AGG
~C~ ~BI~ ~CH OCCURRENCE $
I c..
~DUC~LE $
R~ $
WC STA~-
A won~s co~ nN. WC~IM~ 1~01~8 10/01~ X TOR~ UU;~
~Y~S' ~1~
E.L. ~CH ACCIDENT $ 1,~,~
E.L. DIS~E - ~ EM~O~E $ 1~,~
E.L. ~S~- P~iCY ~;T S 1,~
O~
RE: ALL AUS~N BRIDGE & ROAD PR~ECTS WI~IN ~E CI~ UM~S OF ~E C~ OF COPPELL
~ ] A~NAL m~n~; ~N~n~ ~: CANCEL~ON
CER~FICATE
HOLDER
Cl~ OF COPPELL ~ou~ ANY OF ~E ~O~ ~RIB~ ~UCI~ BE CANC;;
PUBLIC WORKS DEPARTMENT ~A~ m~F, mE ~ ~ W~ ~=~VOR ~ ~[ ~ =A~S W.~
P.O. BOX 478 NO~E ~ ~E C~A~ ~ NAM~ ~ ~E ~, BUT FAILURE ~ ~ ~ ~A~
COPPELL, TEXAS 7~1~78 m~ NO OSUa~N OR ~s~ OF ~ m.~ U~N
I
ACORD ~S (7~
eACORD CORPORA~ON 19~