CF-Coppell Rd SC-CS010830ACORD CERTIFICATE OF LIABILITY INSURAN,.,E I OA ,M DD ,08/a0/2001
PRODUCER Serial # A1297 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
EMPLOYERS GENERAL INSURANCE GROUP, INC. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
123 NORTH CROCKETT, SUITE 600 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
SHERMAN, TEXAS 75090
INSURERS AFFORDING COVERAGE
INSURED INSURERA: OLD REPUBLIC INSURANCE
TEXAS UNIFIED CONSTRUCTORS, INC. ~NSURERB: OLD REPUBLIC LLOYDS OF TEXAS
803 E. MAIN INSURER C:
ALLEN, TX 75002 ~NSURERD:
I INSURER E:
COVERAGES
I THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTVVITHSTANDING
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.
i lNSR POLICY EFFECTIVE POUCY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE IMM/DD/YYI DATE fMM/DD/YY) LIMITS
~_~NE~L UAB~L,TY EACH OCCURRENCE ; 1,000,000
B I x~. ', COMMERCIAL GENERAL LIABILITY TCP-4464547* 09/01/2001 09/01/2002 FIRE DAMAGE (Any ~'~e flre) 100,000
I I0 *IMSMAOE I-- OOCUR MEDE×P< yo.eper,o., ,, 5,000
XOWN & CONT PROT. PERSONAL & ADV INJURY $ 1,000,000
X EXPL.COLLAP.UNDGR i GENERAL AGGREGATE $ 2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 1,000,000
I POLICY ~'~PRO'
~JE(;T ~ LOC
AUTOMOBILE LIABILITY BAA-4464564 09/22/2001 09/22/2002 COMBINED SINGLE LIMIT
B X I ANY AUTO (La accident) $ 1,000,000
iX ! ALL OWNED AUTOS BODILY iNJURY
i X i~ SCHEDULED AUTOS (Per person) $
X HIRED AUTOS BODILY INJURY
NON-OWNED AUTOS (Per accident) $
PROPERTY DAMAGE
I (Per accident) $
GARAGE LIABIMTY AUTO ONLY. EA ACCIDENT $
ANYAUTO OTHER THAN EAACC $
AUTO ONLY: AGG $
EXCESS LIABlUTY EACH OCCURRENCE $ 1,000,000
A X I OCCUR [-~ CLAIMSMADE UL-R461010 09/01/2001 09/01/2002 AGGREGATE $ 1,000,000
, X I RETENtiON $ 25,000
WC STATU-I OTH-
i WORKERSCOMPENSATION AND WC-1463937 09/01/2001 09/01/2002 X TORY LIM~TSI ER
A I EMPLOYERS' LIABlUTY EL. EACH ACCIDENT $ 500,000
E.L. DISEASE- EA EMPLOYEE $ 500,000
EL. DISEASE- POLICY LIMIT $ 500,000
OTHER
DESCRIPTION OF OPERATIONS,~LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/~PEClAL PROVISIONS
PROJECT: COPPELL FIELD SERVICE OFFICES AND MAINTENANCE FACILITY PROJECT
*POLICIES SHOW ADDITIONAL INSURED IN FAVOR OF CERTIFICATE HOLDER IS THERE IS A WRITTEN CONTRACT BETWEEN THE
ABOVE INSURED AND THE CERTIFICATE HOLDER REQUIRING THE ABOVE.
I I ADDITIONAL INSURED; INSURER LETFER:
CERTIFICATE
HOLDER
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
CITY OF COPPELL DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN
TOWN CENTER NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
255 PARKWAY BLVD. ,MPOSE NO OBUGATION OR UAaL,W OF A~, ,ND UPO~.~-~E ,~)r~U~F, ,TS AGENTS OR
P.O. BOX 478 REP~ESENTA'nVES.
I GARY JEFFERIE
ACORD 25-S (7/97) e ACORD CORPORATION 1988