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11/15/2010 12:52 2813480869 OSULLIVAN INSURANCE PAGE 05/05 <br /> • <br /> Commercial fie ti✓ of Insurance fop f�P +Cq P A R M E R s <br /> Agency , Christopher O'Sullivan , - <br /> Narn • 20202 Highway 59 N Ste 305 Issue Date (MM/DD/DO 11/15/2010 <br /> & • Humble, TX 77338 -2403 <br /> Address a 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 tiro <br /> 374 coverage afforded by the policies shown below. <br /> St. 19 Dist, 2 5 . Agent <br /> Companies Providing Coverage.: <br /> Insured Company A Thick insurance Exchange <br /> . FRI.SBIE- JONES, ANITA Loner <br /> N • A &W JONES COLLISION company B Farmers Insurance Exchange <br /> Lam- <br /> & • 1603 W MAIN ST Company C Mid- Century Irlstrrance Company <br /> Address • LA PORTE, 7'X 77571 triter <br /> Company <br /> Lotor <br /> Coverages <br /> This is to certify that the poflcim of insurance listed below have been issued to the insured named above for the policy period indicated. Notwithstanding <br /> any regvirement, term or condiiiotl of any contract or other document with respect to which this certificate may be issued or may pertain, the insurance <br /> ' afforded by the policies described herein is subject to all the tel «7s, exclusions and conditions of such policies. Limits shown may have been reduced by <br /> paid claims. _ <br /> c o' <br /> Type of Insurane�i Folic N vartber Policy Effective Policy Expiration Policy Limits <br /> Ltr. 9p Y Date (MMlD011'Y) Date iMNt/DD/YY) <br /> ' <br /> General Liability General Aggregate $ <br /> Commercial General Products- Cornp /OPS <br /> Liability A § <br /> Personal & <br /> - Occurrence Version Advertising Injury $ <br /> Contractual - Incidsirltai Each Ocnir•cncc $ <br /> Only Fire Damage <br /> (Any one lire) $ <br /> Owners & Contractors Prot. Medical Expense <br /> (Any one person) $ <br /> • <br /> A Automobile Liahili , Combined Single <br /> 604863824 1, 1 /15/2010 11/15/2011 Limit <br /> All Owned Commercial $ <br /> Autos Bodfy Injury <br /> i Scheduled Autos - (Per person ) $ <br /> Hired Autos Bathly Injury <br /> ?c Non -Owned .Autos (Per acddentl $ <br /> x Garage Liability Properly Damage $ <br /> _ Garage Aggregate $ 2,000,000 <br /> Umbrella Liability Limit • $ <br /> Workers' Compen i ation Statutory <br /> and Each Accident $ <br /> Employers' Liability <br /> • Disease • Each Employer 3 <br /> Disease - Policy Limit $ <br /> Description of Operations/Vehicles/Restrictions/Special items!. . <br /> Location: 1603 W Math St La Porto TX 77571 <br /> Garage K£epers Pol#6048153824 Ea 11/15/10-11/15/11 $ 100,000 pct location/ Deductible $500 per auto/ $2500 per incident <br /> Certificate Holder Cancellation <br /> . City of La Porte Should any of the above described policies be cancelled before the expiration date <br /> Name . 604 West Fairmont Parkway thereof, the issuing company will endeavor to mail 30 days written notice to the <br /> & • La Pone 'IX 77571 certificate holder named to the left, but failure to mail such nonce shall impose nt <br /> Address obligation or liability of any kind upon the • - r• : • - , . or representatives. <br /> e <br /> L_ <br /> Authorized Rspresentadye <br /> 58-24.32 4-9 Copy Distribution: Service Center Copy and Agent's Copy N. <br />