ST9302-CS020611PRODUCER
HRH Dallas
5520 LBJ Freeway, Suite 600
Dallas, TX 75240
DATE MM DD/YY)
. ,:::...ii.`:{ 't, ~. :":':::ii;:??i6'<i:;:i::2:?:::.'~~?::' `?i:?;:?:';G:;4i$:i:i<:?:?ii:k:i:i:. I
. 06/11/
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIDN
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
AEmulovers Mutual Casualty Compan
NsuRED coMPaNY
Mel's Electric Service, Inc. B
Tim Keierleber, Individual
COMPANY
1810 S. Akard c
Dallas, TX 75215
COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEROD
INDICATED, NOTWITHSTANDING ANV REQUIREMENT, TERM OR CONDITION OF ANV 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 P,ND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS _
"O ~~ TYPE OF.NSU RAN CE PO LICY NUMBER PO LICY EFF ECTIYE, PO LICY EXPIRATION LIMITS
tTR ', DATE IM M/DD/YV) ' DATEIM M/DD/YYI
A IGEN1ERALLaBILTY 2D25359 07 /O1/O1 07/01/02 GENERALaGGREGATE ';$2,000,0
~', X ICO4iMEFG.A L..^v EN ERAL LIAeI LITT PRODUCTS-COMP/OP AGG $2 OOO O
`? ~ ~ ~ PERSONALRADV INJURY $1 OOO D
I_- ~ OLA'.MS MADE ~ OCCUR ~ _L-_
IowNER s s coNrRacTOR s PROr EacH occuRRENCE _ $1, 0 0 0~
''~ 'FIRE DA MAGE(Any one Pyre) $3OO OOO
-1 - --_
MED EXP!Anv me Dersonl $5 . O O O
A '. AUTO MOBILE L'AB'LTY
X ~!~ AVY AUTD
I
~, A'_~_OWNED ALTOS
- ~~ SC~!EDUI. ED AJ~"OS
~,.. X '.. !~. ~ F ]Ali'-OS
X NUN-OW\ED ALTOS
PROPER-`/DAMAGE $
f ~~ GA RAGELUBI LITY ( AUTO ON LY-EA ACCIDENT $ _
~__
OTHER THAN AUTO ON LY:
_
.
:..~
.
' EACH ACCIDENT II
$
_
_ - _
~ I- ~--
Excess caBILTY
J25359
07 O1 O1
/ /
07/01/02 AGGREGATE
RR ENCe
EacHOCCU I$
00 000
$1 O O
{
X ~ JMPEELLA FORM
~ I', AGGREGATE $lO OOO, OOO
~
,
j i, O"HER THAN'JMBRELLA FORM Retentlon $lO OOO
I A YJORK ERS COMPENSATION AND 2H25359 07 /O1/O1 '.07 /01/02 suTUTORY ~IMITs
EMPLOYERS L'ABLTY ' EACH ACCIDENT $SOO OOO__
{ ~~, -~ROPRc"CiRI ~~ NGL ~~~ DISEASE-POLICY DMIT $SOO, OOO
% i ~A-,NERSIEX EC J-IVE
~~. 0°rIC ERS AR E: EXCL
DISEASE-EACH EMPLOYEE $5OO OOO
-A OTHER Inland
Marine X25359 07/01/01 07/01/02 I $50,000 Leased or
Rented Equipment
$500 Deductible
OESCRIPT.ON OF OPERAT'ONS(LOCATIONSjV EM'.CLES/SPECIAL ITEMS
Project: Sandy Lake Road, Coppell
City of Coppell is additional insured with a waiver of subrogation
F~rovided for the General Liability Policy.
City of Coppell
Engineering Department
255 Parkway Blvd.
Coppell , TX 75019
E25359 07/O1/011107/O1/02 coMe'NEDSINGLELIMIT I(I$-1,000,000
BO DILY INJURY j
(Per person) '$
--~-_
~BO'DILYIN.:UF.Y ~I
((Per accident; ~$
AUTHOR( ED yR/LEPR E9 ENTATIVE ~G.~~,®"
SHOULD ANY OF THE ABOVE DESCRIBED PO L'. CI ES BE CANCELLED BEFDRETHE
EXPIRATION DATE TH ER EOF, THEIS9UING COMPANY WILL ENDEAVOR TO MAIL
DAYS WRITTEN NOTICE TO TH E CERTIFICATE HOLDER NAMED TO THE L EFT
BUT FAILURE TO MAIL SUCH NOTICESHALL IMPOSENO OBLIGATION OR LABILITY
OF ANY KIND UPON THE COMPANY, :TS AG ENT9 OR REPR ES ENTATIY ES.