Waters Edge P2-CS 940404PRODUCER
NOEL/GREAVES Incorporated
3100 Monticello, #300, LB
Dallas, TX 75205
· INSURED
CERTIFICATE OF INSURANCE ,ss,,E OATE
4/04/94
I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
l CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW·
5
COMPANIES AFFORDING COVERAGE
S & S Utility Contracting Co.
1601Tantor
Dallas TX 75229
COMPANY A
LETTER Cigna Companies
COMPANY B
LETTER Cigna Companies
COMPANY C
LETTER Texas Pacific Indemnity Co.
COMPANY D
LETTER
COMPANY E
LETTER
COVERAGES
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 OFINSURANCE
LTR
POLICY EFFECTIVE POLICY EXPIRATION LIMITS
POLICY NUMBER DATE (MM/DD/YY) DATE (MM/DD/YY)
A GENERAL LIABILITY LCPD30535716 8/01/93 8/01/94
X COMMERCIALGENERALLIABILITY
CLAIMS MADE OCCUR.
OWNER'S & CONTRACTOR'S PROT.
AUTOMOBILE LIABILITY CRLMUb551920 8/01/93 8/01/94
$
ANY AUIO
ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
HIRED AUTOS BODILY INJURY $
NON-OWNED AUTOS (Per accident)
GARAGE LIABILITY PROPERTY DAMAGE $
GENERAL AGGREGATE $ 2 0 0 0 0 0 0
PRODUCTS-COMP/OP AGG. $ 2 0 0 0 0 0 0
PERSONAL & ADV. iNJURY $ 1 0 0 0 0 0 0
EACH OCCURRENCE $ 1000000
FIRE DAMAGE (Any one fire) $ 50000
MED. EXPENSE (Any one person) $ 5000
COMBINED SINGLE 1000000
LIMIT
t C EXCESS LIABILITY 9487002098 8/01/93 8/01/94 EACH OCCURRENCE
X UMBRELLA FORM AGGREGATE
OTHER THAN UMBRELLA FORM
STATUTORY LIMITS
EACH ACCIDENT $
DISEASE--POLICY LIMIT $
DISEASE--EACH EMPLOYEE $
1000000
WORKER'S COMPENSATION
AND
EMPLOYERS' LIABILITY
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVEHICLES/SPECIAL ITEMS
RE: WATERS EDGE PHASE II, COPPELL, TEXAS
CERTIFICATE HOLDER
CITY OF COPPELL
C/O LARRY DAVIS
255 PARKWAY BLVD
COPPELL, TX 75019
ACORD ,25-S (7/90)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRA-~I(~N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL __ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE~O MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
/
3- 20
,' A(. (tltlt.
iPRODUCERSEDGWICK JAMES OF ILLINOIS, INC.
230 WEST MONROE STREET
CHICAGO, IL &O&O&-4998
ATTN= LYDIA ORTIZ
CERTIFICATE OF INSURANCE 4/4/94DATE<MM'DD'YY'
lTHIS 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
iNSuRED
CEBCOR SERVICE CORPORATION
300 WEST ADAMS, SUITE
CHICAGO, ILLINOIS 60606
COMPANY
A CONT I NENTAL
COMPANY
B
COMPANY
C
COMPANY
D
INSURANCE COMPANY
COVERAGES
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)
GENERAL LIABILITY
COMMERCIAL GENERAL LIABILITY
, CLAIMS MADE OCCUR
OWNER'S & CONT PROT
AUTOMOBILE LIABILITY
ANY AUTO
~ ALL OWNED AUTOS
i SCHEDULED AUTOS
i HIRED AUTOS
NON-OWNED AUTOS
GARAGE LIABILITY
i ANY AUTO
EXCESS LIABILITY
UMBRELLA FORM
OTHER THAN UMBRELLA FORM
~--~ WORKERS COMPENSATION AND i SRW31701c~l 7/1/c/3 7/1/94
EMPLOYERS' LIABILITY
THE PROPRIETOR/ ix : INCL
PARTNERS/EXECUTIVE ·
OFFICERS ARE: EXCL
OTHER ~
GENERAL AGGREGATE
PRODUCTS-COMP/OP AGG
PERSONAL & ADV INJURY
EACH OCCURRENCE
FIRE DAMAGE (Any one fire)
MED EXP (Any one person)
COMBINED SINGLE LIMIT
BODILY INJURY
(Per person)
BODILY INJURY
(Per accident)
PROPERTY DAMAGE
AUTO ONLY - EA ACCIDENT
EACH ACCIDENT $
AGGREGATE I-S-
EACH OCCURRENCE ! $
A_GGBEGATE $ __
$
_ I STATUTORY LIMITS
EACH ACCIDENT $ 1000000
DISEASE- POLICY LIMIT $ 1000000
DISEASE- EACH EMPLOYEE $ 1000000
~ITH THE ENTITY
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
S & S UTILITY CONTRACTING CO.
RE:
WATERS EDGE PHASE II
C0PPELL, TX
CERTIFICATE HOLDER
CITY OF COPPELL
255 PARKWAY BLVD.
COPPELL, TX 75019
ATTN: Larry Davis
ACORD 25-S (3t93)
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
30 DAYS WRI'FI'EN NOTICE TO TIlE CERTIFICATE HOLDER NAMED TO THE LEFT,
AUTHO ED REPRES TA~ii~a, ~
~) ACORD CORPORATION 1~