Austin Place-CS 961001__
..........................
..........................
DATE (MMIDDlYY)
INSURED
AUSTIN BRIDGE A ROAD, INC.
11143 GOODNIGHT LANE
DALLAS, TEXAS 75229
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.
COMPANIES AFFORDING COVERAGE
COMPANY
A BRITISH AMERICAN INSURANCE COMPANY
COMPANY
B
COMPANY
C
COMPANY
D
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 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 POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO TYPE pF INSURANCE POLICY NUMBEA POLX:Y ~~
DATE (MMIDD/IPf) ~ POLK:Y EXPIRATX)N
DATE (MMlDD/YY) LIMBS
LTR
GENERAL LIABILRY 10/01/96 10/01/97 GENERAL AGGREGATE $ 0~
/, CGL-0104297
J( COMMERCIAL GENERAL LIABILITY PRODUCTS - COMPIOP AGG S 2000 000
CLAIMS MADE ~ OCCUR PERSONAL & ADV INJURY $ 1000 000
OWNER'S & CONTRACTOR'S PROT EACH OCCURRENCE $ 1000 000
FIRE DAMAGE (Any one fire) $ 100 000
MED EXP (Any ane person) S 10000
A AUT OMOBILE LuelLm CAL-0104297 10/01/96 10/01/97 COMBINED SINGLE LIMIT $
1
000
000
ANY AUTO ,
,
X ALL OWNED AUTOS BODILY INJURY $
SCHEDULED AUTOS (Per person)
X HIRED AUTOS BODILY INJURY $
Y NON-OWNED AUTOS (Per accident)
PROPERTY DAMAGE $
GARAGE LABILITY AUTO ONLY - EA ACCIDENT $ _ _
ANY AUTO OTHER THAN AUTO ONLY:
EACH ACCIDENT $
AGGREGATE $
EXCESS IJABNJTIf EACH OCCURRENCE $
UMBRELLA FORM AGGREGATE $
OTHER THAN UMBRELLA FORM $
WORKEAS COMPENSATK)N AND WC STATU- 0TH-
TORY LIMI ER
A EMPLOYERS' LIABRRY WC-0104297 10/01/96 10101/97 EL EACH ACCIDENT $
THE PROPRIETOR/ INCL EL DISEASE -POLICY LIMIT $
PARTNERSiEXECUTNE
OFFICERS ARE:
EXCL
EL DISEASE - EA EMPLOYEE
$
oTHEn
, ~.___ _
pESCRFTION OF OPERATIONSA.OCATIONS/VEHK:LES/SPECIAL REMS ~,~ ~ ~ .~i ~t`a, QC ~ 1
~~1~~ ~i~. ARKS _
SHOULD ANY OF THE ABOVE DESCRBED POLK:NIS BE CANCELLED BEFORE THE
CITY OF COPPELL
EXPIRATK)N DATE THEREOF, THE ISSURIG COMPANY WILL ENDEAVOR TO MAIL
PUBLIC WORKS DEPARTMNT
~0- DAYS WRRTEN NOTK:E TO THE CERTIFICATE HOLDER NAAED TO THE LEFT,
P.O. BOX 478
BUT FAILURE TO MAIL SUCH NOTICE SHALL MPOSE NO OBLIGATION OR LJABILfTY
COPPELL, TEXAS 75019-0478
OF ANY KIND UPON THE COMPANY, ITS AGENTS OR ESENTATNES.
AUTHORED REPRESENTATIVE ~~ „ _ - _ _ . _ _ /_ s _