Chesapeake-CS080226
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ACORD,. CERTIFICATE OF LIABILITY INSURANCE CSR SL I DATE (MM/DDIYYYY)
PETRA-1 02/26/08
PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
Baldwin Ins & Bonding Agency HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
1201 Kas Drive, Suite B ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
Richardson TX 75081
Phone: 972-644-2688 Fax:972-644-8035 INSURERS AFFORDING COVERAGE NAlC#
INSURED INSURER A: Commerce & Industrv
Petra Chemical Ac~isition
Corporation dba D C & Dolphin INSURER B: American Internat'l Specialty
Commercial Chemical, Inc. INSURER C: Texas Mutual Insurance Co
Mr. Cliff Musgrave
2929 Store?" Lane INSURER 0:
Dallas TX 5220
INSURER E:
COVERAGES
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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~~ ~~[ POLICY NUMBER PD~~~~~~rJ.r,w;E POLIC!(IEXPI~~N LIMITS
TYPE OF INSURANCE DATE MM/DD
GENERAL LIABILITY EACH OCCURRENCE $ 1000000
- ~~~~~~S (Ea occurence)
B X COMMERCIAL GENERAL LIABILITY EG5430781 02/26/08 02/26/09 $ 300000
- =:J CLAIMS MADE ~ OCCUR
- MED EXP (Anyone person) $25000
t PERSONAL & ADV INJURY $ 1000000
~ Pollutin elms mad GENERAL AGGREGATE $ 2000000
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $ 2000000
I !Xl PRO- nLOC
POLICY X JECT
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1000000
I---- i
A ANY AUTO CA7570575 02/26/08 02/26/09 (Ea accident)
I----
ALL OWNED AUTOS BODILY INJURY
e--. $
~ SCHEDULED AUTOS i (Per person)
X HIRED AUTOS BODILY INJURY
- (Per accident) $
~ NON-OWNED AUTOS
~ Blanket WOS i PROPERTY DAMAGE $
I X IAI per Contract I (Per accident)
I GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $
i; ANY AUTO OTHER THAN EA ACC $
r----l
i I AUTO ONLY: AGG $
EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 2000000
B ~ OCCUR D CLAIMS MADE EGU5430782 02/26/08 02/26/09 AGGREGATE $ 2000000
Umbrella $
~ DEDUCTIBLE $
X RETENTION $10000 $
WORKERS COMPENSATION AND I-'YS; :SIAl U- T IO~~-
X TORY LIMITS
C EMPLOYERS' LIABILITY TSFOO01050635 10/28/07 10/28/08 $ 1000000
ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT
OFFICER/MEMBER EXCLUDED? WAIVER OF SUBROGATI pN E.L. DISEASE - EA EMPLOYEE $ 1000000
~~~~I~tS~~~v~s16~s below E.L. DISEASE - POLICY LIMIT $ 1000000
OTHER
i
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS
CERTIFICATE HOLDER
CANCELLATION
CITYC-1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION
DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN
City of Coppell NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL
P.O. Box 9478 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR
Coppell TX 75019 REPRESENTATIVES.
V~NT~~
ACORD 25 (2001/08)
@ACORD CORPORATION 1988