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DATE (MMIDDIYYYY) <br />CERTIFICATE OF LIAMLITY INSURANCE <br />T� 08/23/2011 <br />_,iS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OFF NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />SELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />PEIPRESENTATIVE OR PRODUCE, AND THE CERTIFICATE HOLDER. <br />IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to <br />the terms and conditions of the policy, Certain policies may require an endorsement. A statement on this Certificate does not Confer rights to the <br />certificate holder in lieu of such end'orsement(s). <br />;RODUCER NAME Amy Martin <br />HO <br />Alpha -omega Insurance Group LP JAN CCa Est. 281.897.9393 x205 aic,No):2SL 97.84,9 <br />E-MAIL <br />11330 West Load ADDRESS: <br />Houston, TX 77065 INSURER(S) AFFORDING COVE RAGE NAIC4 <br />Amy Martin INSURER A: Plaza Insurance Company <br />;vSulzEn La Porte Tatlaii3g Inc NsuRERB: <br />La Porte Automotive INSURERC: <br />PC Box 87 INSURER D : -...-.......... <br />La Porte, TX 77572 INSURERE: <br />CERTIFICITE-11UMVET. 2011-2012 REVISION NUMBER: <br />THIS 1S TO CERTIFY THAT THE POLICIES OF (NSUROICE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />+Z31 ` TYPE OF INSURANCE <br />_ R INSR WVD'.� <br />POLICY EFF <br />POLICY NUMBER (MMIDDIYYYY) <br />POLICY EXP LIMITS <br />(MMIDDtYYYY) -- <br />GENLRALLIABILMY <br />g <br />PT{�IT�I{1�(}2 3.. ^g 0911a12011 <br />09i15.l2012 EACHOCCURRENCE:. <br />$ 1,000,0001 <br />COMMERCIAL GENERAL LIABILITY <br />PREMISES {Ea ©occurrence) <br />100,000 <br />$ 5,000 <br />1TCLAIMS-MADE � OCCUR <br />MED EXP (Any one person) <br />$ 1. , 000 , 000 <br />A <br />PERSONAL & ACV INJURY <br />$ 2,000,000 <br />GENERALAGGREGATE <br />$ 11000,000 <br />GENT AGGREGATE LIMIT APPLIES PER: <br />I <br />PRODUCTS - COMPIOP AGO <br />POLICY 7 PR1-7LOC E <br />-PTOWK002..039-01 <br />$ <br />,y_^ ADINED <br />UTOMOBILE LIABILITY <br />09115/2011 <br />SINGLE LIMIT <br />0911512012 COM (Ea accident) <br />$ 1.,000,000 <br />$ <br />ANY AUTO <br />... g ALL OWNED y SCHEDULED <br />I AUTOS I AUTOS <br />NON -OWNED <br />Al HIRED AUTOS AUTOS <br />BODILY INJURY (Per person) <br />BODILY INJURY (Per accident) <br />PROPERTY DAMAGE <br />(Per accident) <br />$ <br />$ <br />$ <br />- <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE <br />EXCESS LIArs <br />CLAIMS -MADE <br />N/,+ <br />AGGREGATE <br />_( _WC <br />$ <br />DED I I RETENTIONS <br />$ <br />WORKERS COMPENSATION <br />AND EMPLOYERS` LIABILITY YIN <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICERJMEMP,ER. EXCLUDED? N I A <br />(Mandatory in NH) <br />N/ <br />STATU- I JOTH- <br />I TORY LIMEa____L RR <br />E.L.EACHACC-IDENT <br />E.L. DISEASE - EA EMPLOYEE <br />$ <br />$ <br />if yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />EL. DISEASE -POLICY LIMIT <br />$ <br />actor Truck Cargo <br />PTOWK002039-0109/1512011 <br />09115/2012 $50,000 Limit/$1,000 fled <br />A, Farage Keeper Legal <br />$SO,000 Limit/$500 [led <br />,ESCRSPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD iOl, Add flonall Remarks Schedule, if mare space Is required) <br />992 Ford # 2306, 2006 Ford #23239, 1998 Bodge #62171, 2008 Ford #52480 <br />forage lot location - 202 North 11t , La Porte TX <br />0 day notice of cancellation <br />a <br />Cw'R�TlFICATE HOLDER <br />PorteCity of La <br />604 West FairmontPklmy <br />LaPorte, <br />25 (2010105) <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS.. <br />AUTHORIZED REPRESENTATIVE <br />lGary Norris/AMY <br />(D .1988-2010 ACORD CORPORATION <br />The ACORD name and R ­ go are registered marks of ACORD <br />