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MA 09/10-CS100701w Aft Aft r%r. H t. Vhf L �M CERTIFICATE OF LIABILITY PRODUCER Bradley Insurance Agency 1415 Summit Avenue Fort Worth, TX 76102 DATE (MM /DD/YYYY) INSURTRANCE ISSUED As A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE INSURER A: COmpanl0n Property & Casua ty NAIC# 017- 332 -8288 ,ED Laughley Bridge & Constructi.on, Inc. Laughley, Charles P.O. BOX 123800 Fort Worth, TX 76121 817/ 401 -3306 i+n it n w n e-n INSURER B: Texas Mutual Insurance Company POLICY EXPIRATION DATE MM /DD/YY INSURER C: A INSURER-D: GENERAL INSURER E: DJG2084337 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 DD'L LTR NSRD I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/YY POLICY EXPIRATION DATE MM /DD/YY LIMITS A X GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE CI OCCUR DJG2084337 02/05/10 02/05/11 EACH OCCURRENCE $ 1 , OOO , OOO X PREMISES Ea occurence $ 100,000 MED EXP (Any one person) $ 5,000 PERSONAL &ADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'LAGGREGATE LIMIT APPLIES PER: X POLICY J CO JECT LOC PRODUCTS - COMP /OPAGG $ 2,000,000 AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS COMBINED SINGLE LIMIT (Ea accident) $ BODILYINJURY (Per person) $ BODILYINJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ EXCESS /UMBRELLA LIABILITY _10CCUR CI CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ B WORKERS COMPENSATION AND ANYANY PROPRIETOR/PARTNER/EXECUTIVE ERS'LIABILITY PRO OFFICEescrib u EXCLUDED? If yyes,describe under SPECIALPROVISIONSbelow OTHER SBP0001166538 03/06/10 03/06/11 TH X TORYLAMITS OER E.L. EACH ACCIDENT $ 500,000 E.L. DISEASE - EA EMPLOYE $ 500,000 E.L. DISEASE - POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/ LOCATIONS/ VEHICLES/ EXCLUSIONS ADDED BY ENDORSEMENT/ SPECIAL PROVISIONS CaR l IriGA I e MULDER CANCELLATION -- City of Coppell 255 Parkway Blvd. Coppell, TX 75019 ACORD25 (2001 /08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MA30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. , ,UTFORIZEED REPRESENTATIVEI' CORPORATION 1988 ACORDM CERTIFICATE OF LIABILITY INSURANCE DATE ' PRODUCER Clint Bradley Farmers Agency 1415 Summit Avenue Fort Worth, TX 76102 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/Yl' "1.7- 332 -8288 eD Laug ley Bridge & Construction, Inc. Laughley, Charles P.O. BOX 123800 Fort Worth, TX 76121 817/ 401 -3306 INSURERS AFFORDING COVERAGE INSURERA: Texas County Mutual NAIC# INSURER B: GENERAL INSURER C: INSURER D: INSURER E: $ 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 DD'L LTR NSRD TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM /DD/Yl' POLICYEXPIRATION DATE MM /DD/YY LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE C I OCCUR EACH OCCURRENCE $ WLL) PREMISES Ea nce $ MED EXP(Any one person) $ PERSONAL& ADV INJURY $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP /OP AGG $ A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 604720599 03/06/10 03/06/11 COMBINED (Ea acciden) INGLE LIMIT $ 1,000,000 BODILY INJURY (Per person) $ X gODILYINJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY ANY AUTO AUTO ONLY -EA ACCIDENT $ OTHERTHAN EA ACC AUTO ONLY: AGG $ $ EXCESS /UMBRELLA LIABILITY OCCUR CI CLAIMS MADE DEDUCTIBLE RETENTION $ EACH OCCURRENCE $ AGGREGATE $ $ WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICERIMEMBER EXCLUDED? If yes,describe under SPECIAL PROVISIONS below WC TORY OTH- TORYLIMITS ER E.L. EACH ACCIDENT $ E.L. DISEASE - EA EMPLOYE $ E.L. DISEASE - POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION City of Coppell 255 Parkway Blvd. Coppell, TX 75019 ACORD 25 (2001 /08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. i ©ACORV CORPORATION 1988