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TR0301-CS070307 ACDRQ. CERTIFICATE OF LIABILITY INSURANCE I DATE CMMlDDIYYYYI 03/1412007 PRODUCER (817) 868- 7979 FAX (817)267-5223 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brooke Agency Services Company LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 700937 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dallas, TX 75370 INSURERS AFFORDING COVERAGE NAIC# INSURED Roadway Solutions Inc INSURER A: Tudor Insurance Company 2524 N IH 35 East INSURER B: Unitrin Insurance Company Carrollton, TX 75006 INSURER C: Texas Mutual Insurance INSURER D: INSURER E: -- THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTV\llTHSTANDING 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, AGGREGATE LIMITS SHOIMl MAY HAVE BEEN REDUCED BY PAID CLAIMS. ~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFEC'nVE POLICY EXPlRAnON LIMITS GENERAL LIABILITY GLO 0005125 03/1512007 01/1512008 EACH OCCURRENCE $ 1.000.00 >- X COMMERCIAL GENERAL LIABILITY I ~~~~~~JO RENTED $ 50. OOC - =:J CLAIMS MADE [8] OCCUR MED EXP (Anyone person) $ EXCLUDE[ A ~ Blanket Add' I Ins PERSONAL & ADV INJURY $ 1,000,00C ~ Blanket Waiver GENERAL AGGREGATE $ 2,000,00C GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $ 2,000,00C I POLICY m j~8T n LOC AUTOMOBILE UABlLITY CAP0013035 01 03/1512007 03/1512008 COMBINED SINGLE LIMIT - $ ~ ANY AUTO (Ea accident) 1 , 000 , OOC ALL OWNED AUTOS BODILY INJURY - (Per person) $ B - SCHEDULED AUTOS X HIRED AUTOS BODILY INJURY - $ ~ NON-OWNED AUTOS (Per accident) - PROPERTY DAMAGE $ (Per accident) RGE UABlLlTY AUTO ONLY - EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ :J OCCUR 0 CLAIMS MADE AGGREGATE $ $ R DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSA noN AND TSFOO01166385 03/0712007 03/0712008 X I T~~T foI,\;!;, I IOJ~- EMPLOYERS' UABILlTY E.L. EACH ACCIDENT 1,000,00 C ANY PROPRIETORlPARTNERlEXECUTIVE $ OFFICERIMEMBER EXCLUDED? E.L. DISEASE - EA EMPLOYEE $ 1,000.00 ~~EMLP"R~V1s1ONS below E,L. DISEASE - POLICY LIMIT $ 1,000,00 Ol11l;R CAP0013035 01 03/1512007 03/1512008 Leased/Rented Equipment B EqUipment Floater $50,000 $1.000 Deductible DESCRIPTION OF OPERAnONS I LOCA nONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS City or Coppe I I 255 Parkway Blvd, Cappel I , TX 75019 SHOULD ANY OF l11E ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRAnoN DATE THEREOF, l11E ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NonCE TO THE CERTIFICATE HOLDER NAMED TO l11E LEFT, BUT FAILURE TO MAIL SUCH NonCE SHALL IMPOSE NO OBLIGATION OR UABILlTY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTA nVES. AUTHORIZED REPRESENTAnvE ~~ @ACORDCORPORATION1988 ACORD25(2001/08) FAX: (972)245-2299 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(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, and 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) AC.ORQ. CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDDlYYYYI 03/07/2007 PRODUCER (817)868-7979 FAX (817)267-5223 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Brooke Agency Services Company LLC ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR PO Box 700937 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Dallas, TX 75370 INSURERS AFFORDING COVERAGE NAIC# INSURED Roadway So I ut ions Inc INSURER A: RISC Inc. 2524 N IH 35 East INSURER B: Un i tr i n Carrollton, TX 75006 INSURER C: Texas Mutual Insurance INSURER D: INSURER E: 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 V\lHICH 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. AGGREGATE LIMITS SHO\I\IN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR !ADD'I TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS GENERAL LIABILITY CAPOOOO0697402 05/03/2006 03/15/2007 EACH OCCURRENCE $ 1 ,000. OOC - DAMA~~!O RENTED 50 , OOC ~ COMMERCiAl GENERAL LIABILITY $ :J CLAIMS MADE 0 OCCUR MED EXP (Anyone person) $ EXCLUDEr A X Blanket Add' I Ins PERSONAL & ADV INJURY $ 1 ,000, ooe X Blanket Waiver GENERAL AGGREGATE $ 2,000,00C - 2.000,Ooe GEN'LAGGREGATE LIMIT APPLIES PER: PRODUCTS - COM PlOP AGG $ I POLICY rxl ~~g: n LOC AUTOMOBILE UABlLITY CAP0013035 03/15/2006 03/15/2007 COMBINED SINGLE LIMIT - (Ea accident) $ 1 , 000 , OOC X ANY AUTO - ALL O\MllED AUTOS BODILY INJURY - (Per person) $ SCHEDULED AUTOS B - X HIRED AUTOS BODILY INJURY - (Per accident) $ X NON-O\MIlED AUTOS - - PROPERTY DAMAGE $ (Per accident) GARAGE UABlUTY AUTO ONLY - EA ACCIDENT $ =l ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA UABlLlTY CUL01019006 08/15/2006 03/15/2007 EACH OCCURRENCE $ 1,000,OOC ::!J OCCUR D CLAIMS MADE AGGREGATE $ 1,000,00e A $ ~ DEDUCTIBLE $ X RETENTION $ 10,OO( $ WORKERS COMPENSATION AND TSFOO01166385 03/07/2007 03/07/2008 X I T~~T~J,~;.I IOJ~- EMPLOYERS' UABlUTY E.L. EACH ACCIDENT $ 1,OOO,00e C ANY PROPRIETORJPARTNERlEXECUTIVE OFFICERlMEMBER EXCLUDED? E.L DISEASE - EA EMPLOYEI $ 1,000,00< If ~es, deIatbe under E.L. DISEASE - POLICY LIMIT $ 1.000,00( S ECIAl PROVISIONS below OllfliR CAP0013035 03/15/2006 03/15/2007 Leased/Rented Equipment B qUlpment Floater $50,000 $1,000 Deductible DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS I AT.nt.l SHOULD ANY OF llfE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL ~ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Cappel I BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBUGATlON OR UABILlTY 255 Parkway Blvd, OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. Cappel I , TX 75019 AUllfORlZED REPRESENTATIVE ~-=- RODer Cunninaham/ROXX ACORD25(2001/08) FAX: (972)245-2299 @ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed, A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(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, and 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)