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..Indemnity Underwriters •Insuranc
<br />'- a Company.... .
<br />•. ~'. ; ; , ` ..... (918) 542-1671- • 515 East Central• • .~.
<br />•~;. =291.'7•" .'I - ~ P.O. Box,1225 . • Miami, Oklahoma:74355..• {d ~:~
<br />Po~~~ •• '_ (tti~r~if~tttt~ of J~t~~'~t ,~~~ . ,,~,,j ~~<~. ;,~, I..:; ~w .~.:-
<br />... , . Y Number , . ~• ~~Li, .. '
<br />1 ~ , ~. N
<br />• ,:: - :'.. ' ~ . :; fjsnaWal of • •ur~,ber
<br />t
<br />ACTING UPON YOUR INSTRUCTIONS and/or your representative's, and In accordance with
<br />authorization granted us, we have effected insurance with the Insurance-.company shown
<br />above for those coverages shown in Item 4 below and in accordance with all terms_.r~n~,~f:.
<br />bons, forms and endorsements attached to this certifi
<br />DECLAf1ATI0NS • ~ ~ •
<br />1: Named Insured and Mallinq Address; '
<br />Hughes Sand'Pits, Inc. Pit Operations, Inc. ~ " -
<br />• P . 0 . Box 1487 ~ '
<br />'v ~~"•`Pasadena, Texas 77502 •,° ' .
<br />2. Policy Period: ~ 09-15-88 09-15-89
<br />~~~~ ~~ 12.01 A.Y. STAMDAgO TtYE Ar IOCAiION Or U~SIIIIED /prYl~
<br />3. TM Named Insured Is: ^ - Indhddual • .. , • . , • ~ ;;
<br />. ~ Corporotlon O PartlTSnhlp ^ ,ignl venture O other: Insured'a euslrtess: Ldrtdfl•1.1
<br />~. Insurance is provided with r ~~ ~ : , .
<br />aspect to those coverapas and k! s of pr . •'' , ~~ ~ ; • : , I `: ~ ~ - • •
<br />endorsements made a rt hereof • 1 • ~• oP•rty to which a speclf~ ibnft of liability Is shown, subject )O all of the terl~, t~otldltlQne, forma and
<br />iECTIBN ^ PIIOPERTY COYERABE - If indlssted br ss X ~ LIMIT OF LIABILITY ' '
<br />4wrr be. IM. etre. Ne.
<br />Bulldin s uo• NE. ewe. ll., t,q, ~, ~. ~
<br />-. I ~ • - Personal Property of the Insured f _ ~ . , _ a' ~._ ' .,., . •,
<br />PRBPERTt• PeraonslPropertyofOthers _ _ _ `'' ~-~ _• :. ~ ~,...•
<br />CBYER~BE Additional Covers S t _ ' .. _~ ~ ~ : {; • ,, . 1,
<br />~ ( Pec fy)
<br />• .. ~ LIABILITY COVERAGE - If IndksW 1 sn X s _ t •. .
<br />Bodily Injury Liability LIMIT OF LIABILITY ~ ~ . • , . , .. , .~
<br />Property Darnape Liability : each occurrence = , :•• • agDropate
<br />II Bodily Injury and Pro rt : each occurrence =
<br />LIABILITY ~ Y OamaQa Liability Combined = each occurrence aQaregate
<br />CpYER~ Additional Coverage (Speciry) 0 = 50 00 .00 aggregate
<br />Audit ., ,.. ~ , ;~ ;! ~ , , ::... :,'.!
<br />• • Period: Mnual, unless otherwls0 stated: o Monthly ^ Quarterly ^ Seml•Annual ^ (Other)
<br />"`IN "" O OTHER COVERAGE - As'stated In the endorsement, made part of this Policy, N Indicated by X ~ ` ' ~ - -y V • • •
<br />.. 1 1 .J... t~ •
<br />5. Forms and Endorsements made part of this Policy at limo of Issue: IrrsEer No. Ano Earlon oATEI (Applicable to Sections indicated) Sa. Premiums applicable by sectbn
<br />~. Section I Only:
<br />Not Covered ~ ~ ,......::.., t. ,- ...
<br />b. sectbn n on : s • Not Covered.
<br />IUIC1001~7/86),IUIC1002(7/86),IUIC1003(1/86),IUIC1030(5/88) ~~~~~
<br />• ~ - ''Minimum &
<br />c. section ul ony: ~ ~ •- , , _ 9, 000.00 Depos i t
<br />Not Covered ~ ' " - ~ • -- ~ ~~
<br />..V
<br />d. Au Sections: ~ ' " • '' t ~ No t'~ CO ve red• `
<br />*25~ Minimum Earned Premium l ~ f- 9 000.00* M&D
<br />**Pol icy Fee Fully Earned ' " "~•
<br />Fee s__200.00*~_
<br />Insured Loacation: .2122 Genoa Red Bluff Rd• 4.62~s.l.Ta,< = 425.04 '-'~~
<br />L•.J',:I~ ,,,, ~ Stamping Fees 36.80
<br />~'• ~ ~' Houston, ''Texas 17034•- •' - - -• ~• _ ..
<br />,, , ~`~ ~., .- - : , •~,..I ~, ` : . ;. .. _ ., , . , ~ Total 9 66 ,
<br />American Underwriters A enc , •Inc. ~ ~'"•~'~• •.. _ ~ 1'•84
<br />8544 - ..;.... ~ 1. ., :.-.~., .
<br />lulc 8-87 Authorized Representative 09-28-88
<br />ApentM Dated WED/clh
<br />WHITE•INSURED OgEEN•AGENT
<br />CANARY•COPY PINK-COMPANY
<br />GOLD4ENERALAGENT
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