WA0101-CS050525 (2)0000003 0000029
05/18/2005
UNITRIN
UNITRIN SPECIALTY LINES
P 0 BOX 223687
DALLAS TX 75222-3687
0000003 02 SP 0600 *'SNGLP T1 I 7489 75019 C03
CITY OF COPPELL
255 PARK WAY
COPPELL TX 75019
Enclosed are your copies of the insurance documents issued on the date of this letter.
FORM: FORMS COVER
000OO03-0000031
Unitrin County Mutual Insurance Company
Administrative Offices Located At:
Executive Center Il, 8360 LBJ Freeway
Dallas, TX 75243
Certificate Commercial Auto Policy
New Declarations
Summary
UNITRIN
Named Insured(s)
ARNOLD BORING & CONSTRUCTION
2200 CHADBOURNE
PLANO TX 75023
Your Agent/Broker
BRADLEY INS AGENCY
1415 SUMMIT AVE
FT WORTH TX 76102
817-332-8288
Policy Number
FCNCCV7878041-00
Renewal of Policy Number
Policy Period
From 05/06/2005 to 05/06/2006 12:01 a.m. standard time
at the address of the named insured as stated herein.
Discount(s)/Surcharge(s) Applied To This Policy
Persistency
Endorsements Attached to Policy at Date of Issue
ILO021 (03/92)
TEO017 (03/92)
TEOO39B (12/92)
TEOO40B (02/03)
TEO406B (03/92)
TE9926B (03/92)
U-769 (02/03)
Nuclear Energy Liability Exclusion
Common Policy Conditions
Amendatory Endorsement
Amendatory Endorsement
Mexico Coverage - Limited
Combined Liability Limits
Notice of Terrorism Insurance Coverage
Total Premium and Fees
Public Utility Fee
Policy Fee
Automobile Theft Prevention Authority Pass-Through Fee (see enclosed explanation)
See Attached Vehicle Schedule
Total for this Policy Term
Date: 05/18/2005
O00Ou03 0000032'
Unitrin County Mutual Insurance Company
Policy Number: FCNCCVT$7@041-00 Your Agent: BRADLEY INS AGENCY
Policy Effective Date: 05/06/2005 817-332-8288
Coverage for 1994 PETERBILT TRUCK, VIN 1XPCDR9X8RD338031
Coverage is provided where a limit of liability and a premium are shown for the coverage.
UNITRIN
Coverage Limit
Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500~010 Combined Single
Limit
Not Applicable
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage each person
No Coverage each person
Not Applicable
Not Applicable
Part C - Uninsured ! Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person
each accident
each accident
Not Applicable
Not Applicable
$250
Part D - Coverage For Damage To Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 1994 PETERBILT TRUCK
This vehicle is principally garaged at the address of the named insured unless otherwise stated (No., Street, Town or City, State, Zip Code}:
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 00
Vehicle Symbol 7
0000003-0000033
Unitrin County Mutual Insurance Company
Policy Number: FCNCCV7878041-00
Policy Effective Date: 05/06/2005
Your Agent:
BRADLEY INS AGENCY
817-332-8288
Coverage for 1997 TALBERT MFG IN TRAILER, YIN 40FW050B6T1014658
coverage is provided where a limit of liability and a premium are shown for the coverage.
UNITRIN
Coverage Limit Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500,010 Combined Single Not Applicable
Limit
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage each person Not Applicable
No Coverage each person Not Applicable
Pad C - Uninsured ! Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person Not Applicable
each accident Not Applicable
each accident $250
Part D - Coverage For Damage To Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 1997 TALBERT MFG IN TRAILER
This vehicle is principally garaged at the address of the named insured unless otherwise stated (No,, Street, Town or City, State, Zip Code):
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 99
Vehicle Symbol 7
Unitrin County Mutual Insurance Company
Policy Number: FCNCCV7878041-O0 Your Agent: BRADLEY INS AGENCY
Policy Effective Date: 05/06/2005 817 332-8288
Coverage for 1998 FORD TRUCK, VIN 1 FTHX25F9VEC73648
coverage is provided where a limit of liability and a premium are shown for the coverage.
UNITRIN
Coverage Limit
Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500,010 Combined Single
Limit
Not Applicable
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage each person Not Applicable
No Coverage each person Not Applicable
Part C - Uninsured ! Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person
each accident
each accident
Not Applicable
Not Applicable
$25O
Part D - Coverage For Damage To Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 1998 FORD TRUCK
This vehicle is principally garaged at the address of the named insured unless otherwise stated (No., Street, Town or City, State, Zip Code):
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 99
Vehicle Symbol 7
0000003 -0000035
Unitrin County Mutual Insurance Company
Policy Number: FCNCCV7871~041-00 Your Agent: BRADLEY INS AGENCY
Policy Effective Date: 05/06/2005 817-332-8288
Coverage for 1998 MACK TRUCK, VlN 1 M2AA13YOWW081 822
coverage is provided where a limit of liability and a premium are shown for the coverage,
UNITRIN
Coverage Limit
Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500,010 Combined Single
Limit
Not Applicable
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage each person
No Coverage each person
Not Applicable
Not Applicable
Part C - Uninsured / Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person
each accident
each accident
Not Applicable
Not Applicable
$250
Part D - Coverage For Damage To Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 1998 MACK TRUCK
This vehicJe is principally garaged at the address of the named insured unless otherwise stated (No., Street, Town or City, State, Zip Code):
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 04
Vehicle Symbol 7
0000003 -0000036
Unitrin County Mutual Insurance Company
Policy Number: FCNCCV7@TB041-00 Your Agent: BRADLEY INS AGENCY
Policy Effective Date: 05/06/2005 817-332-8288
Coverage for 1999 FRUEHAUF CORP TRAILER, VIN 1JJF452FgX52
Coverage is provided where a limit of liability and a premium are shown for the coverage.
UNITRIN
Coverage Limit
Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500,010 Combined Single
Limit
Not Applicable
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage
No Coverage
each person
each person
Not Applicable
Not Applicable
Part C - Uninsured / Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person
each accident
each accident
Not Applicable
Not Applicable
$250
Part D - Coverage For Damage To Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 1999 FRUEHAUF CORP TRAILER
This vehicle is principally garaged at the address of the named insured unless otherwise stated (No., Street, Town or City, State, Zip Code):
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 99
Vehicle Symbol 7
0000003 -0000037
Unitrin County Mutual Insurance Company
Policy Number: FCNCCV7878041-00 Your Agent: BRADLEY INS AGENCY
Policy Effective Date: 05/06/2005 817-332-8288
Coverage for EMPLOYER - NON-OWNER
Coverage is provided where a limit of liability and a premium are shown for the coverage.
UNITRIN
Coverage Limit Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500,010 Combined Single
Limit
Not Applicable
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage
No Coverage
each person
each person
Not Applicable
Not Applicable
Part C - Uninsured / Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person
each accident
each accident
Not Applicable
Not Applicable
$250
Part D - Coverage For Damage 'Fo Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 2005 EMPLOYEE NON-O ENO
This vehicle is principally garaged at the address of the named insured unless otherwise stated (No., Street, Town or City, State, Zip Code):
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 99
Vehicle Symbol 9
0o~oo3
Unitrin County Mutual Insurance Company
Policy Number: FCNCCV787@0ztl-00 Your Agent:
Policy Effective Date: 05/06/2005
Coverage for HIRED CAR COVERAGE
BRADLEY INS AGENCY
817-332-8288
Coverage is provided where a limit of liability and a premium are shown for the coverage.
UNITRIN
Coverage Limit
Deductible
Premium
Part A - Liability Coverage
Bodily Injury/Property Damage
$500,010 Combined Single
Limit
Not Applicable
Part B1 - Medical Payments
Part B2 - Personal Injury
Protection
No Coverage each person
No Coverage each person
Not Applicable
Not Applicable
Part C - Uninsured / Underinsured Motorists
Bodily Injury No Coverage
No Coverage
Property Damage No Coverage
each person
each accident
each accident
Not Applicable
Not Applicable
$250
Part D - Coverage For Damage To Your Auto
Other Than Collision No Coverage
Collision No Coverage
Limited Specified Perils No Coverage
Additional Coverage(s)
Towing & Labor Costs No Coverage per disablement Not Applicable
Custom Equipment No Coverage See Part D
Total Premium for 2005 HIRED CAR COVE HIRE
This vehicle is principally garaged at the address of the named insured unless otherwise stated (No., Street, Town or City, State, Zip Code):
Loss Payee:
Rating Information: Rating Territory 18
Sub-Class 99
Vehicle Symbol 8