ST9604-CS 980624 (2)CERTIFICATE OF INSURANCE
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
t CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
POLICIES BELOW.
Dodson-Bateman i coM.A.,Es AFFO.O,. COVE.AGE
& C O M P A N Y COMPANY St. Paul Insurance Company
COMPANY St. Paul Mercury
REBCON, INC.LEI~ERCOMPANY C
1868 W. Northwest Highway
Dallas, Texas 75220 COMPANY
~EUER D
COVERAGES
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
[NDICATED~ 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~C. ONDITIONS OF SUCH POLICIES LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS
POLICY EFFECTIVE IPOLICY EXPIRATION
TR DATE (MM/DD/YY} DATE (MM/DD/YY)
~ GENERAL LIABILITY KK09100575 2/18/98 2/18/99 GENERAL AGGREGATE $ 2,000,000
X DOMMERCIAL GENERAL LIABILITY PRODUCT~OMP/OPAGG. $ 2,000#000
~LAIMSMADE ~ X OCCUR PERSONAL&ADV INJURY $
1
000
000
DWNE~ S' & CONTRACTORS'~ PROT'1 EACH OCCURRENCE $ 1# U%;U r uO0__
~ Additional insured and waiver ofI FIRE DAMAGE (Any one fire) $ SO,O00
subrogation if requir.,d by contract MED EXPENSE(An¥0~e~e~0nI $ 5~000
3 I%UTOMOBILE LIABIUTY KK09100575-1 2/18/98 2/18/99 COMBINED SINGLE
X %NY AUTO LIMIT $ 11, 000 ~ 000
3CHEDULED AUTOS (Pe~ pe~sor~)
X ~iRED AUTOS BODILY INJURY $
X qON OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
I~ D(CESS LIABILITY KK09100575 2/18/98 2/18/99 EACH OCCURRENCE $ 5,000~ 000
X UMBRELLA FORM AGGREGATE $ 5,0001000
OTHER THAN UMBRELLA FORM
I
UMITS
3THER r
DESCRIPTION OF OPERATIONS/LOCATIONS/~EHICLES/SPECIAL ITEMS Re: At-Grade Railcrossing and Traffic Signal
Installation Fairway Drive @ Beltline Road, City of Coppell.
OVER)
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
DART EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL~%~LY~I~
Attn: Jan Seidner MAIL 30 DAYS WRI]~EN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
P O SOX 660163 LEFT,
Dallas, TX 75266-7210 X~ _~~X
AUTHORIZED REPRESENTATIVE
ISSUE DATE (MM/DD/YY)
CERTIFICATE OF INSURANCE [~ 6/24/98
:THIS CERTIFICATE IS ISSUED AS A MA'I FER OF INFORMATION ONLY AND
CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
P~LICIES BELOW.
Dodson-Bateman
& C 0 M P A N Y COMPANY
LETTER B St. Paul Mercury
REBCON, INC. LETTER C
1868 W. Northwest Highway
Dallas, Texas 75220 LETTER D
LETTER E
COVERAGES
A iENERAL LIABIMTY KK09100575 2/18/98 2/18/99 GENERAL AGGREGATE $ 2.000.000
~LAIMS MADE ~OCCUR PERSONAL & ADV INJURY $ 1, 000 1000
X Additional insure s and waiver of FIRE DAMAGE (Any one fire) $ 501000
S AUTOMOBILE LIABILFrY KK09100575-1 2/18/98 2/18/99 COMBINED SINGLE $
X ~NY AUTO LIMIT 1 ~ 000,000
A EXCESS UABILITY KK09100575 2/18/98 2/18/99 EACH OCCURRENCE $ 5~000,000
X UMBRELLA ECRM AGGREGATE $ 5 t 0001000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS Re: At-Grade Rail Crossing & Traffic Signal
Installtion Fairway Drive @ Beltline Rd., City of Coppell
CERTIFICATE HOLDER CANCELLATION
City of Coppell EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
LI^BILITY OF A.V KI.O UPO" THE COM.~V, 'TS AG~.TS~ REPRESE.TATIVES.
PRODUCER '~JlS CERTIFICAIE IS ISSUED AS A MATIER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Frank Siddons Ins. Agency, Inc HOLDER. 3HIS CERTIRCATE DOES NO_T_AM~ND, EXTEND OR
701 Brazos (Austin Centre}f900 ALTER 3HE COVERAGE AFFORDED BY THE POLICIES BELOW.
P O Box 2125 COMPANIES AFFORDING COVERAGE
Austin TX 78768
COMPANY
A TEXAB BUILDERS INSUP. ANCE
Rebcon Inc. B
1868 West No~'w/est Highway C
Dallas 'tX 75220
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HA~E 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 POUOIEa. LIMITS SHOWN MAY RAVE BEEN REDUCED BY PAID CLAIMS.
OTHER THAN UMBRELLA FORM $
WC STATU- I O~TaH -
WORKERS COMPENSATION AND X J T~Y LIMITS J
WC2280 02/15/98 02/18/99 EL EAC~ ACCIDENT $ I ,000,000
~ESCRIPT~ON OF OP~.,RATION,~&OCATIONS/VEHIgLES/SP,EgI,~L ITEMS
E: At-Grade Hail grossing ana/ralllC SignaJ Installation.
OERTIRO^TE HOLDER CANCELLATION
~ City of Ooppell EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
Mr, Kenneth Griffin 30 DAYS WRrTTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
P. O. BOX 478 BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY
Coppell TX 75019-4409
OF ANY KIND UPON THE C~ANY~TS.AGENTS OR REPRESENTATIVES.