Town Center L1B2-CS 970811PRODUCER 214-989-0000 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTiFiCATE
Alexander & Alexander of Texas, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Cityplace Center East COMPANIES AFFORDING COVERAGE
2711 North Haskell Avenue
Dallas TX 75204-2999 COMPANY
A AMERICAN MOTORISTS INS CO
INSURED RSndall,s Food and Drugs, Inc. doing business es: COMPANY
Tom Thumb Food ~ Ptmmmcy B
Attn: Jan Schilmoeller COMPANY
P.O. BOX 4506 C
Houston, Texas 77210 COMPANY
D
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.
POLICY EFFECTIVE POLICY EXPIRATION
CO TYPE OF INSURANCE POLICY NUMBER LIMITS
LTR DATE (MM/DD/YY) DATE (MM/DD/YY)
A GENERAL UABILITY 5YM963404-07 08/31/1997 08/31/1998 GENERAL AGGREGATE $ 11, 000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ =, 000,000
::: :: :::::i CLAIMS MADE OCCUR PERSONAL & ADV INJURY $ 1,000,000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1,000,000
X $250,000 SIR EACH OCC. FIRE DAMAGE (Any one fire) $ 50,000
MED EXP {Any one person) $ No Coverage
A AUTOMOBILE LIABILITY F5C079083-07 08/31/1997 08/31/1998
COMBINED SINGLE LIMIT $ :]., 000, 000
X ANY AUTO
ALL OWNED AUTOS BODILY INJURY
(Per person)
SCHEDULED AUTOS
X HIRED AUTOS BODILY INJURY $
(Per accident)
X NON-OWNED AUTOS
PROPERTY DAMAGE $
GARAGE LIABILITY AUTO ONLY. EA ACCIDENT
EACH ACCIDENT
AGGREGATE
EXCESS LIABILITY EACH OCCURRENCE
STATU-
I
OTH-
WORKERS COMFENSATION AND I I
ER
TO.Y L, ,TS
EMPLOYERS' LIABILITY EL EACH ACCIDENT
THE PROPRIETOR/ [~ INCL EL DISEASE - POLICY LIMIT
PARTNERS/EXECUTIVE
OFFICERS ARE: I I EXCL EL DISEASE - EA EMPLOYEE $
DESCRIPTION OF OPERATIONSILOCATIONSNEHICLESISPECIAL ITEMS
COVERAGE INCLUDES PROFESSIONAL LIABILITY COVERAGE FOR DRUGGISTS
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
City of Coppell 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P.O. BOX 478 ex(;~'PT 10 DAYS NOTICE FOR NON-PAYMENT,
Coppell,n, TX 75019 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATION OR LIABILITY
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENTATIVe)
, Roger W. Clark ~..~ LAJ, .~
(c~ds#68359