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ACORD.. CERTIFICA OF LIABILITY INSU N C I<<SR SI( ~NS-1 09/17/01 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. DATE (MMlDDIYY) PRODUCER Bayshore Insurance Agy., Inc. P.O. Box 1459 La Porte TX 11512-1459 Phone: 281-471-2111 Fax: 281-471-1315 INSURED INSURERS AFFORDING COVERAGE Main street Association P. O. Box 1794 La Porte TX 71572-1794 INSURER A: INSURER B: INSURER C: INSURER D: INSURER E: Scottsdale Insurance Co COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOlWlTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF NN CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN.lS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. II~f.r TYPE OF INSURANCE POLICY NUMBER &~~If~M1DDlYVj' DATEIMMID~ LIMITS ~NERAL LIABILITY EACH OCCURRENCE $ 1,000,000 A -~ fiMERClAL GENERAL LIABILITY CLS-0783807 10/01/01 10/01/02 FIRE DAMAGE (Anyone lire) $ _.-.s~"_OO.~_ CLAIMS MADE [!J OCCUR MED EXP (Anyone person) $ 1,000 .~ $500 Ded. PERSONAL & ADV INJURY $ 1,000,000 GENERAL AGGREGATE $1,000,000 - ilL AGGRn LIMIT APPLIES PER: PRODUCTS. COMPIOP AGG $ 1,000,000 X POLICY ~:8r n LOC ~OMOBJLE LIABILITY COMBINED SINGLE LIMIT $ AWY AUTO , , (Ee accident) ~ ALL OWNED AUTOS BODILY INJURY f-- $ SCHEDULED AUTOS (per person) I-- HIRED AUTOS BODILY INJURY f-- $ NON-OWNED AUTOS (per accicfent) I-- PROPERTY DAMAGE $ (per accident) ~GE LIABILITY AUTO ONLY. EA ACCIDENT $ AWYAUTO OTHER THAN EA ACC S AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ :::J OCCUR 0 CLAIMS MADE AGGREGATE $ $ ~ DEDUCTIBLE $ RETENTION $ $ WORKERS COMPENSATION AND I TORY LIMITS I lo~lt EMPLOYERS' LIABILITY E:.L. EACH ACCIOeNT C E.L DISEASE. Ell. EMPLOYEE S E.L DISEASE. POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONSlLOCATIONSNEHICLESlEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER I y I ADDITIONAL INSURED; INSURER LETTER: A CANCELLATION CITY-LP SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TQ THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL City of La Porte IMPOSE NO OBLIGATION OR LIABILITY OF ANY KINO UPON THE INSURER, ITS AGENTS OR P. O. Box 1115 La Porte TX 71512-1115 REPRESENTATIVES. ~t;;'I.'l.!JL.. ...e. ~!.l'%,-,~aQl, I Ken strum Insurance J ACORD 25-5 (7197) @ACORD CORPORATION 1988