1994-06-13 Regular Meeting - Laserfiche WebLink

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ISSUE DATE (MM/DD/YY) a/:111:11. CERTIFICA ; OF` INSURANCE 01 / 01 / 19 9 4 PRODUCER CERTIFICATE IS ISSUED A A MA OF INFORMATION ONLY AND S NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE EDOESOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE Calvin N. King Insurance Services S BELOW. 100 E . 15 t h Street, Suite 204 COMPANIES AFFORDING COVERAGE Fort Worth, Texas 76102 COMPANY A LETTER CREDIT GENERAL INS. CO. OF TEXAS COMPANY B INSURED LETTER Odyssey Services, Inc. COETTERYC 310 S. Industrial Blvd. COMPANYD Euless, TX 76040 LETTER Re:Furlow Services, Inc. COMPANYE I LETTER COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS I CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, i EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. i LTR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE (MM/DD/YY) DATE (MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE OCCUR. PERSONAL & ADV. INJURY $ OWNER'S & CONTRACTOR'S PROT. EACH OCCURRENCE S FIRE DAMAGE (Any one fire) $ MED. EXPENSE (Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ LIMIT ANY AUTO i ALL OWNED AUTOS BODILY INJURY $ 1 SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY 3 NON -OWNED AUTOS (Per accident) GARAGE LIABILITY PROPERTY DAMAGE $ j EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION EACH ACCIDENT S 1, 000, 000 A AND TW C 2 0 0- 0 0 9- 01 1/ 1/ 9 4 1/ 1/ 9 5 DISEASE —POLICY LIMIT $1 , 0 0 0, 0 0 0 EMPLOYERS' LIABILITY DISEASE —EACH EMPLOYEE $1 , 0 0 0, 0 0 0 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS CERTIFICATE" HOLDER U U, Z I U 6 CANCELLATION; SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Attn: Don Pennell EXPIRAT16N DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 1 " DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE City Of La Porte LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. P.O. Box 1115 La Porte, TX 7 7 5 7 2- 1 1 1 5 AUTHORIZE EP SENTATIVE V 1 n N. King w. ACORD 25-S (7/90) CACORD''CORPORATION 1990 I