Northlake WE P10B-CS 940428 .~ C : U ~: DATE (MI~DD/YY}
'i,ROO~"~r~ ~IS CERTIFICATE IS ISSUED A$A MA~ER OF INFORMATION
~ ILLI~IS, I~. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, E~END OR
230 ~T H~ STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
CHICG, IL ~6-4~ COMPANIES AFFORDING COVERAGE
AT~: E~ZA ~TZZ ~MPANY
A C~TZ~NT~ Z~~E CO~NY
I~D COMPANY
CEBC~ ~VZCE C~P~ATZ~ B
3~ ~ AM, ~ZTE ~9 cou~.v
CHZCA~, ZLLZ~ZB 60606 C
~MPANY
D
THIS IS TO CERTI~ THAT THE ~LICIES OF INSURANCE LISTED BELOW HAVE BEEN iSSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NO~ITH~ANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CO~RACT OR OTHER D~UMENT WITH RESPECT TO WHICH THiS
CERTIFICATE MAY BE ISSUED OR ~Y PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED ~EREIN IS SU~ECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
P~CY E~E~E POLICY ~RA~ON
CO ~PE ~ I~CE P~CY NUMBER LIM~S
L~ DA~ (M~D~ DATE (MM/~/~
, QE~E~L ~BI~ GENERAL AGGREGATE
C~MERCIAL GENE~L LIABILI~ PRODUCTS-COMP;OP AGG $
~ ~ C~IMS MADE . ' ~CUR PERSONAL & ADV INJURY $
OWNER'S & C~ PROT EACH ~CURRENCE $
I FIRE DAMAGE (Any one fire) $
MED EXP (Any one pe~n) $
~BI~ U~I~ COMBINED SINGLE LIMIT
; ~Y A~O
~ ALL OWNED AUTOS BODILY INJURY $
' (Per
i ~HEDULED AUTOS
HIRED A~OS BODILY INJURY $
N~WNED AUTOS (Per ac~dent)
PROPER~ DAMAGE $
, QARAQE L~I~ AUTO ONLY - EA ACCIDENT $
~Y A~O OTHER THAN AUTO ONLY:
: " EACH ACCIDENT $
; AGGREGATE $
~C~ ~ , EACH OCCURRENCE $
-
UMBRE~ F~M AGGREGATE $
I OTHER TH~ UMBREL~ FORM .
A w~~~ ~K~d~ ,'0191 7/1/9~ 7/1/94 STATUTORY LIMITS
i EACH ACCIDENT I $ 100~
· THE PROPRI~OW ~ INCL ' DISEASE' POLICY LIMIT
PAR~ER~ECUTIVE : 1OO~
OFFICE~ ARE: EXGL DISEASE- EACH EMPLOYEE I $
CO~R~ ~PLIEB ~Y TO CEBC~ E~OYEES C~TR~TED HITH T~ ENTITY
~R~ ~ ~RA~A~E~L~E~L ~
S & S U~[~[~Y CO~C~Z~G CO. R~: ~OR~B~ ~OOD~DS ~S~ ~0 - CO~P~:
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
CITY OF COPPELL EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
255 PARKWAY BT.VD. 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
COPPELL, TEXAS 7 5 019 Bur FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
ATTN'. LARRY DAVIS OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTH ,DIED REPRESENTATIVE
.~ %~-..,_ , ~ ..,
lli[l~~u~:~.:~;~:~{,,!}~s~.~.~::~~~~~~q-,~.p:~~' '" ...... i~.::--~:t ~-~-"~s~'?'"~*~J~i~:."~:"~"'~:~;'~-~F~'~"~'~'~~ .... )~' ,.; ' .--:~-" ~: ...... i .............. "- ' :.:
PnOOUCE~ THIS ~ERTIFI~ATE IS I$SUEO AS A MATTER OF INFORMATION ONLY AND
CONFER5 NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAOE A~ORDEO BY THE
NOEL/GREAVES Incorporated POLICIES BELOW.
3100 Honticello, ~300, ~B 5
_... _ri=liB=, TX 75205 COMPANIES AFFORDING COVERAGE
COMPANY A
-LE~ER ~ Cigna Lloyds Insurance Company
COMPANY
~NSUSE~ ............. LE~ER B INA County Hutual Ins. Co.
COMPANY
S & S Utility Contracting Co. LE~ER C Texas Pacific Indemnity
Co.
1601 Tantor COMPANY D
Dallas TX 75229 LE~E~
COMPANY
LE~ER E
THIS 18 TO ~ERTI~ THAT THE POLI~IE8 OF INSURANCE LISTED BELOW HAVE BEEN I$SUED TO THE I~$URED NAMED ABOVE FOR THE POLICY PERIOD
I~DICATED, NO~ITHSTANDING ANY REQUIREMENT, TERM OR CONDITIO~ OF ANY CONTACT OR OTHER DOCUMENT WITH RESPEOT TO WHICH THIS
OERTIFIOATE MAY BE ISSUED OR MAY PERTAIN, THE INSU~CE AFFORDED BY THE POLICIES DESCRIBED HEREI~ IS SUBJE~T TO ALL THE TERMS,
EXCLUSION5 AND ~ONDITIO~S OF 8UCH POLICIES. LIMIT8 SHOWN MAY HAVE BEE~ REDUOED BY PAID CLAIMS.
POLICY EFFE~IVE POLICY EXPIRATION
~ TYPE OF INSURANCE ~LICY NUMBER LIMITS
L~: DATE (MM/DD~Y) DATE (MM/DD~Y)
~: OENE~AL LIABILITY ~CPD290024/2 8/0~/93 ~/~/9~ GENERAL AO~REOATE
~ 'X"'"" OOMMERCIAL OENERAL LIABILi~ PRODUOT~-OOMP/OP AOG.
: O~IM5 MADE .OOCUR. : PERSONAL & ADV. INJURY
O0
0'0'0'0
· OWNER'S & OONT~OTOR'8 PROT. :'EAOH OOCURRENOE
............ :'F]~ DAMAOE (A~y one fire) $ ~0000
: MED. ~NSE (~y ~e ~) $ ~ 0 0 0'
- ~000000
~ AUTOMOmLELIABILITY ~A~UUb~IBZU ~/U1/~ ~/U1/~ COMBINED SINGLE $
X' ' ANY AUTO LIMIT
' ALL OWNED AUTOS : BODILY INJURY
SCHEDULED AUTOS ' (Per person) $
........... HIRED AUTOS BODILY INJURY
NON~WNED AUTOS (Per accident)
~ ~ARAOE LIABILI~
........... PROPERTY DAMAOE
~:EXCEOSLIABILI~ ~q~ /~UZU~ ~/U1/~ ~/U~/~q EACH OCCURRENCE ' $ ~O000UU
~'Z- UMB;EL~ ~O;M AOOREO~TE ......... ~ I 0 0 0 O0 0
OTHER THAN UMBREL~ FORM :. ....................................................
~ STATUTORY LIMIT8
WORKER'8 COMPENSATION .........
' EACH ACCIDENT
AND · '
EMPLOYER~'
LIABILI~
OTHER
DE~GRIPTION OF OPERATIONEII.OCATIONi/VEHICLEI/IPE~IAL ITEMi
RE: Northlake i/oodland East, Coppell, TX
~ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
~, EXPIRA¥(~N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
CITY Or"COPP~.LL a MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
Attn: Larry Davis
I "" "r" .a BI v' ~ LEFT, BUT FAILUR~IO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR