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ST07-01-CS090811°® CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) F8/11/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Bowen, Miclette & Britt Insurance Agency, LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1111 North Loop West HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR Suite 400 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Houston TX 77008 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA:Twln City Fire Insurance Comp L. H. Lacy Company, Ltd. INSURER B:HartfOrd Fire Ins Co. 19682 P.O. Box 541297 Dallas TX 75354 INSURER C:Ameri can Guarantee and Liabil 26247 F4 COVERAGES 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. INSR LT DD' POLICY NUMBER POLICY EFFECTIVE ATE MM POLICY EXPIRATION ATE M YY LIMITS A GENERAL LIABILITY 61CQT1323 2/1/2009 2/1/2010 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Ea occurrence $50,000 CLAIMS MADE Fx_] OCCUR 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 X PRO- LOC $ AUTOMOBILE LIABILITY ANY AUTO 61UENQT13 2 4 2/1/2009 2/1/2010 COMBINED SINGLE LIMIT (Ea accident) $1, 000,000 X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS X BODILY INJURY (Per accident) $ HIRED AUTOS NON -OWNED AUTOS X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG C EXCESS /UMBRELLA LIABILITY UC9309072-06 2/1/2009 2/1/2010 EACH OCCURRENCE $15,000,000 X OCCUR F -] CLAIMS MADE AGGREGATE $15,000,000 $ DEDUCTIBLE $ RETENTION $ DWORKERS COMPENSATION AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR/PARTNER/EXECUTIVE ❑ OFFICER/MEMBER EXCLUDED? 61WE Q T1322 2 / 1/ 2 0 0 9 2/ 1/ 2 010 WCSTATU- OTH- X T RY I T R E.L. EACH ACCIDENT $1,000, 0 0 0 E.L. DISEASE - EA EMPLOYEE $ 1,000, 000 (Mandatory in NH) If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $1, 000, 0 0 0 OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS ancellation Provision shown herein is subject to shorter or longer time periods depending on the jurisdiction of, and reason for, the cancellation. Re: Southwestern Blvd from South Coppell Road to Beltline Road hen required by written contract, those Parties listed in said contract, including the certificate holder, PW Commerce enter, L.P., a Texas Limited Partnership (Owner) and Owner - Relatedd Parties, the City of Coppell, Texas are added as ontinued... UtK I IPIUA I t MULUtK GANGELLATIUN for n t. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE PW Commerce Center, L.P., a Texas Limited CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO Partnership SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON 15350 S.W. Sequoia Parkway, #300 THE INSURER, ITS AGENTS OR REPRESENTATIVES. Portland OR 97224 AUTHORIZED REPRESENTATIVE ice. ACORD 25 (2009/01) ©1988 -2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD IMPORTANT If the certificate holder is an ADDITIONAL INSURED on this certificate does not confer rights to the certificate holder iinll lieu of such endorsement(s). WAIVED, require subject to the terms and conditions of the 4 an endorsement. A statement on this certificate does not holder in lieu of such endorsement(s). Policy, certain policies may confer rights to the certificate DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or ne 9 ative ly amend, extend or alter the coverage afforded by the policies listed thereon. 'ORD 25 (2- ppg1p�� an Additional Insured DESCRIP iO Named Insured under excludin NS Continue certifie said g Workers d, d her contract, Compensation and 1by written contracte Primary to 01 a d always subject to theployers Liaty )f Subro with the Named insurance available P °licy terms, but limited to the o (Owner) Subrogation is granted Insured, conditions and Perations of the 1 subcontr in favor of and always subject the Additional Insureds, exclusions. The consultants, actors, sub- subcontracert.f1Cate to the policies quired b se contractors, agents andr PW Commerce Center,tes' Oonditions to the extent re re Parate Y written contract but employees, Half L.P•. and exclusions• required to the policy limitedytoethe and & Associatesa Texas Limited Partnership Waiver Y terms, conditions the any of their subco and exclusions. °Perations Inc- ntractors, (the Architect of the Named Insured agents and employees Architect's under said contract, of each, and always hen Ys subject