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11/16/2010 12:52 2813480859 OSULLIVAN INSURANCE PAGE 05/5 <br /> 1 <br /> Commercial Certificate of Insurance >✓ A R M E R 5 <br /> Agency . Christopher O'Sullivan <br /> Name . 20202 Highway 59 N Ste 305 Issue Data (MM/DD/f) 111/1512010 <br /> • <br /> & • Humble, TX 77338-.2403 <br /> Address ' 281- 548 -0868 This certificate is issued as a matter of information only and confers no right <br /> upon the certificate holder. This certificate does .not amend, extend or alter t,ha <br /> 5t, 19 ;Dist. 25 .®.. Agent <br /> 374 coverage afforded by the policies shown below. <br /> Companies Providing Coverage: <br /> Insured Company A Truck Jnsurancc Exchange <br /> . F.RI.SDIE JONES, ANITA Lotter <br /> Name • A&W JONES COLLISION pany B Farmers Insurance Exchange <br /> & • 1603 W MAU't ST Company C 1V39d- Century Insurance Company <br /> Address • LA PORT E, TX 77571 beer y D <br /> Low Coverages <br /> This is to certify that the policies of insurance iistcd blow have been issued to the insured named above for the policy period indicated. Notwithstanding <br /> any regvirement. term or condition of any contract or other document with respect to which this certificate may be issued or may pertain, the Insurance <br /> a fforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. Limits shown may have been reduced by <br /> paid claims. <br /> Co. Policy e of' Insurance Policy Number Policy Effective Policy Expiration Policy Limits <br /> 1-n% yp Y Date (MM/DDNY) Date (IvfM/DDMl) <br /> General Liability General Aggregate $ <br /> Products- Camp /OPS <br /> Commercial General Aggregate $ <br /> Liability Personal & <br /> - Occurrence Version Advertising injury $ <br /> Contractual - Incidental Each Oc urr ncc $ <br /> Fire Damage <br /> Only • (Any one lime) $ <br /> Owners & Contract= Prot. Medical Expense <br /> , (Any one pram) $ <br /> A Automobile Liability 604863824 11/15/2010 11/1512011 Combined Single <br /> All Owned Commercial Limit $ <br /> Autos Bodily, Injury <br /> m- <br /> X Scheduled Autos - (Per per) $ <br /> Hired Autos Bodily Injury $ <br /> c Non -Owned Autos (Per acddent) <br /> xc Garage Liability Property Damage $ <br /> Garage Aggregate $ 2,000,000 <br /> Umbrella Liability Limit • $ <br /> Workers' Compen ation Statutory <br /> and Each Accident $ <br /> Employers' as ers' Liabilitc Disease • Each Emr ptaym $ <br /> _l Disease - Policy Limit $ - ._ . <br /> Description of Operations.../Vehicles/Restrictions/Special Items: . <br /> Lnce.tion: 1603 W Math St La Porte TX 77571 <br /> Garage Keepers Pol#6048153824 Eff 11/15110-1.1/15/11 $100,000 per location/ Deductible $500 per auto/ $2500 per incident <br /> Csrti irate Holder Car c&J tion <br /> . City of La Pilate Should any of the above described policies be tancelied before the expiration date <br /> NaTna . 604 West Fairmont Parkway thereof. the issuing company will endeavor to mail 30 days written notice to the <br /> & • La Porte TX 77571 certificate holder named to the left. but failure to mail such notice shall impose of <br /> Addre& • obligation or liability of any kind upon the =ova or representatives. <br /> on <br /> Authorized Rapnsentative <br /> CS -2 4-E)4 Copy Distribution: Service Center Copy and Agent's Copy H. <br />