PA9601-CS 970709AellelL CERTIFICATE OF INSURANCE
PRODUCER
Cadenhead Shreffler Insurance
P.O. Box 1119
Bedford, TX 76095
INSURED
Pavement Constr &Mtnce, Inc.
PO Box 535457
Grand Prairie, TX 75053-5457
DATE (MMIDDIYY)
07/09/97
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,
COMPANIES AFFORDING COVERAGE
COMPANY
AMaryland Lloyds Insurance Company
COMPANY
BMaryland Insurance Company
COMPANY
C
COMPANY
D
IHIS IS TO CERTIFY THAT THE POLICES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVEFORTHEPOLICYPERiOD
INDICATED, NOllVrIHSTANDING ANY REQUIREMENT. TERM OR CONDffION OF ANY CONTRACT OR OTHER DOCUMENT WrTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HEREIN kS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDfflONS OF SUCH POLICES. LIMff$ SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE OF INSURANCE
LTR
A CEjERALLIABILITY
X COMMERCIAL GENERAL LIABILITY
OWNER'S & CONTRACTOR'S PROT
AUTOMOSILE LIABILITY
ANY AUTO
ALL OWNED AUTOS
SCHEDULED AUTOS
HIRED AUTOS
NON -OWNED AUTOS
POLICY NUMBER
EPA29579753
POLICYEFFECTIVE POLICYEX}=IRATION LIMITS
DATE(MMIDD/YY) OATE(MM/DDIYY)
07/01/97 07/01/98 CENERALASGREGATE $2 , 000 , 000
PRODUCTS-COMPIOP AGG $1 , 000 , 000
PERSONAL & ADV INJURY $1,000,000
EACH OCCURRENCE $1 , 000 , 000
FIREDAMAGE(AnyOneflre)$ 300t000
MEDE)e(Anyoneperson) S 10 1000
COMBINEDSINGLELIMIT $
BODILY INJURY $
(1}erperson)
BODILY INJURY
(Per accident) $
PROPERTY DAMAGE $
B OTHER Scheduled ECA29584134
Equipment
o7/ol/97 o7/o1/9e
AUTOONLY-EAACCIDENT $
EACH ACCIDENT $
AGGREGATE
EACH OCCURRENCE
AGGREGATE
EACH ACCIDENT
DiSEASE-POLICYLIMIT
DISEASE-EACHEMPLOYEE
$500,000
$1,000 Deductible
DE~RI~ION OF OPERATIONS/LODATIONS/VEHICLES/SPECIAL ITEMS
RE: Copperstone Trail, Project # PA 96-01, Coppell TX
City of Coppell
C/O Purchasihg Agent
255 Parkway Blvd.
Coppell, TX 75019
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES EE CANCELLED BEFORE THE
E)OalRATION DATE THEREOF, THE ISSU INC COMPANY WILL ENDEAVOR TO MAIL
~ 0 DAYSWRITTENNOTICETOTHECERTIFICATEHOLDERNAMEDTOTHELEFT,
BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABIUTY
OF ANY KIND UPON ITS AGENTS OR REPRESENTATIVES