Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Sandy Lk Cross 2R-CS060403
4/3/2006 01:27 PM Sender's FaxlDiFrostlnsuranceAgen Page2of2 ACORD,. CERTIFICATE OF LIABILITY INSURANCE OP ID ~ DATE (MM/DDP~YY) DAVIS-FI 04/03/06 5710 LBJ Freeway Ste 460 F O Box 1169 Van Alstyne TX 75495 THIS CERTIFICATE ~S 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. INSURERS AFFORDING COVERAGE NAIC # COVERAGES ~% X CLP3216527 07/31/05 07/31/06 ~ '" imr 100,000 X i [~ 1,000,000 , r ~ r 2,000,000 X .\ X CAP3216257 07/31/05 07/31/06 X X A X CUP2576272 07/31/05 07/31/06 :1,000,000 10 000 1,000,000 WC3216526 07/31/05 07/31/06 ' 1000000 . 1000000 1000000 eTHER Equ~pmen~ Floater CLP3216528 07/31/05 07/31/06 Per Item 200,000 Leased/Rented EC~i ~/ax Limit 400,000 ESCRIPTON OF OPERATIONS / LOCATIONS / VEHICLES; E×CLUS ONS ADDED BY ENDORSEMENT / SPEC AL PROV SiONS CERTIFICATE HOLDER CANCELLATION CIT¥OC2 City of Coppell Attn: Engineering Department P.O. BOX 9478 Coppell TX 75019 ACORD 25 (2001/08) SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF THE ISSUING INSU~R WILL ENDEAVOR TO MAiL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL © ACORD CORPORATION 1988 4/3/2006 01 2 7 PM Sender's Fax ID Frost Insuranoe Agen Page 3 of 2 IMPORTANT If the certificate holder is an ADDITIONAL INSURED the policy(ies) must be endorsed A statement on this certificate does not confer right~ to the cedificate holder in lieu of such endorsement(s) If SUBROGATION ISWAIVED subject to the terms and conditions of the policy certain policies may require ars endorsement Astater"~ent en this certificate does not confer rights to the certificate holder ~n lieu of such endorsemernt(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s) authorized representative or producer end the certificate holder nor does it affirmatively or negatively amend extend or alter the coverage afforded by the policies listed thereon ACORD 25 (2001/08)