Northlake WE P10B-CS 940802 - ..... ~'~~' ""*~'~: ~" --~'*'*'"~ TM "~':"~g .... ' ....................... · .... ISSUE DATE (MMIDD/YY)
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PRODUCER 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
NOEL/GREAVES I n c or p or a t e d POUCIES BELOW.
3100 Monticello, #300, LB 5
Da l las, TX 7D~05 COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A
Travelers Llouds
COMPANY
INSURED LETTER B Travelers Indemnitu Ins. Co.
COMPANY C
S & S Utilitu Contracting Co. LETTER Travelers Indemnitu Ins. Co.
1&01 Tantor COMPANY
Dal las TX 7D22`9 LETTER D
COMPANY
LETTER
E
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THIS IS TO CERTIFY THAT 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. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
LTR DATE (MM/DDIYY) DATE (MM/DD/YY)
A GENERAL LIABILITY LSCP647K2251 8/01/'94 8/01/99 GENERAL AGGREGATE $ ::)O00000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMPIOP AGG. $ ~..000000
CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ 1000000
OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE $ 1000000
FIRE DAMAGE (Any one fire) $ 90000
. MED. EXPENSE (A~y one person) $ ~,~000
J:~ AUTOMOBILE LIABILITY CAP647K2263 8/01/`94 8/01 /`99: COMBINED SINGLE 1000000
$
X"ANYAUTO Auto Physical Damage LIMIT
ALL OWNED AUTOS Co 11 i S i on Dod uc t ib l · $1,000 BODILY INJURY S
SCHEDULED AUTOS Spec i F i ed Per i 1 S (Per person)
'X HIRED AUTOS Compreh ens ive - Sc hed u 1 ed Au rCS BODILY INJURY
X NON-OWNEDAUTOS Co,lip. Deal. - $1OO' (Per accident)
GARAGE LIABILITY
PROPERTY DAMAGE $
C EXCESS LIABILITY CUP647K227D 8/01/94 8/01/`95 EACH OCCURRENCE $ 1000000
X UMBRELLA FORM AGGREGATE S 1OOOOOO
OTHER THAN UMBRELLA FORM .... ?.--S--;;;: ...... .. "-"i-"-'i- '"' '" ' ....
: STATUTORY LIMITS
WORKER'S COBPENSATION ........
EACH ACCIDENT $
AND DISEASE--POLICY LIMIT $
EMPLOYERS' LIABILITY OiSEASE--EACH EMPLOYEE
OTHER
DESCRIPTION OF OPERATIONB/LOCATIONS/VEHICLES/BPECIAL ITEMS
RE: New.blake 14~o~lland East, Coppell, TX
L,~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
'~!:' EXPIRATION DATE THEREOF. THE ISSUING COMPANY WILL ENDEAVOR TO
CITY
OF
COPPELL
MAIL 10 DAYS WRI'I-rEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn Larrg Davis
~--~ : 'ii! LEFT, BUT FAILURE TO MAIL. SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
~-';:);:) Par k~ag ti lvd. !~.~ LIABILITY OF ANY KIND U;~HE COMPANY ITS AGEN.,T,~ OR REPRESENTATIVES.
Coppell, TX 7501`9
':~'2'~:~ AUTHORIZED REPRES~ATy
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