ST8402-CS 891128 (2) COLLIER COBB & AS
OF DALLAS, INC.
SUITE 308, PINELAND PLACE, 5750 PINELAND DRIVE
{114} 739-4991
ES
, TEXAS 75231
November 28, 1989
City Texas
P.~ 478
)ell, Texas 7501~
L. H. Lacy Company
Project: 1) Denton Tap,
2) Denton Tap,
from Belt Line to Sandy Lake
from Sandy Lake to Denton
Dear Reci
Attached is a certificate of insurance evidencing renewal o£
workers' compensation coverage for the period 11/30/89 to 11/30/90
for the referenced insured.
The General Liability, Automobile Liability and Umbrella Liability
policies have been extended to expire 12/31/89. The insurance
carriers, policy numbers and any other information for these
policies reflected on the certificate currently in your possession
remains the same until 12/~1/89.
Upon completion of renewal negotiations and prior to 12/31/89,
a certificate of insurance evidencing renewal of these coverages
will be issued; meanwhile~ if you have any questions or I may
be of further assistance, please do not hesitate to contact me.
Yours truly,
Jerry P. Rose
President
JPR:jt
Att.
ee:
L. H. Lacy Company
P. 0. Box 541297
Dallas, Texas 75354-1297
DEC 2 I 1989
INSURANCE ,, BONDS ,, RISK MANAGEMENT ', EMPLOYEE BENEFITS
TEXAS WORKERS' COMPENSATION
ASSIGNED RISK POOL
C/O THE TRAVELERS - P.O. BOX 660452
DALLAS, TX 75266-0452
PHONE: (214) 470-8797 COM,A.¥ A
L. H. LACY COMPANY L~. C
P. 0. BOX 541297
DALLAS, TEXAS 75354-1297 L~rER D
11/27/89
THIS 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
COMPANY
LEttER E
COMPANIES AFFORDING COVERAGE
THE TRAVELERS INDIGNITY
COMPANY OF RHODE ISLAND
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 RESPEC~ 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 AN~) CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
OTHER
A
GENERAL AGGREGA~ S
PRODUC~PiOPS AGGREGATE S
6EE-UB-927J8508
11/30/89 11/30/90
$ 500 (EACH A~IDEN1)
$ 500 (~ISSASE--~O~OY UMI~)
S 500 m$~.ASE--~AOR EMPLOYEE
1)
2)
CITY OF COPPELL, TEXAS
P. 0. Box 478
Coppell, Texas 75019
TEXAS
Denton Tap Road Improvements from Belt Line Rd. to Sandy Lake Road
Denton Tap Road Improvements from Sandy Lake Road to Denton Creek
: SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, THE I~UING COMPANY WILL ENDEAVOR TO
MAIL _~(~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR
t' KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES.