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<br />ACORQ" CERTIFICATE OF LIABILITY INSURANCE I DATE (MMlDOIYYYY)
<br />01/0S/200S
<br />PRODUCER (979) 542-3449 FAX (979}542-0469 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMM1oN
<br />Siegeler Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br />HOLDER. THIS CERTIFICATE OOES NOT AMEND, EXTEND OR
<br />172 West Austin Street ALTER tHE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br />Giddings, TX 78942-3294
<br /> INSURERS AFFORDING COVERAGE NAlC #
<br />INSURED Hull 1/ Hull, Inc. . INSURER A: Mid-Continent Casualty 23413
<br />2223 Kelley Street INSURER B: American States of Texas 01
<br />Houston, TX 77026 INSURER c: Scottsdale Ins. CO.
<br /> INSURER 0: Texas Mutual Insurance CoqJany i
<br /> INSURER E: Great American I
<br />
<br />COVERAGES
<br />
<br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED N30VE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
<br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
<br />MAY PERTAIN, THE INSURANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN IS SUBJECT TO Al.L THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH
<br />POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REOUCro BY PAID CLAIMS.
<br />INi': ~9,;~ TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br /> GENERAL LIABILITY 04-GL-51517 10/31/2004 05/31/2005 EACH OCCURRENCE S 1,000,000
<br /> X COMMERCIAL GENERAlllABIUTY DAMAGE TO RENTED S 100,00(1
<br /> I CLAIMS MADE m OCCUR i! MED EXP (Anyone pefSCln) S excl udeCl
<br /> , I
<br />A \ PERSONAL & ADV INJURY S 1,000,000
<br /> -
<br /> , GENERAL AGGREGATE S 2,000,000
<br /> -
<br /> GEN.l AGGREGATE LIMIT APPLIES PER: PRODUCTS"COMP~PAGG S 2,000,000
<br /> -, POLICY n ~~& n lOC ,
<br /> AUTOMOBilE LIABiliTY 01-BA-397652-2 01/21/2005 01/21/2006 COMBINED SINGLE LIMIT
<br /> - (Ea accident). S
<br /> ANY AUTO 1,000,000
<br /> -
<br /> All OWNED AUTOS BODllof INJ(;RY
<br /> X S
<br /> SCHEDULED AUTOS (Per person),
<br />B X
<br /> HIRED AUTOS BODilY INJURY
<br /> Y (per aeeid~nQ $
<br /> NON.OWNED AUTOS
<br /> f--
<br /> I-- PROPERTY DAMAGE S
<br /> (per accident)
<br /> GARAGE LIABILITY AUTO ONLY' EA ACCIDENT S
<br /> =l ANY AUTO OTHER THAN EAACC S
<br /> AUTO ONLY: AGG S
<br /> EXCESSlUMBRELLA LIABILITY UMSOO16793 10/31/2004 10/31/2005 EACH OCCURRENCE S 1,000,000
<br /> :=J OCCUR o CLAIMS MADE , AGGREGATE S
<br />C . s
<br /> =1 DEDUCTIBLE . .. S
<br /> , '.
<br /> RETENTION $ S
<br /> WORKERS COMPENSATION AND SBP-0001l10361 10/31/2004 10/31/2005 l.rng!{ f:IU.;, I IO,llj"
<br /> EMPLOYERS' LIABILITY E.L. EACH ACCIDENT 1,000,00(1
<br />0 ANY PROPRIETORlPARTNERtEXECUlWE S
<br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE. EA EMPLOYE! S 1,000,00(1
<br /> It yes, describe unde, 1. 000 . 00(1
<br /> SPECIAL PROVISIONS below E.L. DISEASE" POLICY LIMIT S
<br /> OT~;R . IMP 62 91 10/31/2004 10/31/2005
<br />E B~u, ders R1Sk $1,000,000
<br />DESCRIPTION 0, OPERATIONS t lo.cA TI~NS t VEHICliS t EXCLU/>IOtlS ADDED BY l~RSEMENT t SPECIAL PROVISIONS
<br />~dditiona Insured,n avor 0 Cert,f,cate ho er on Auto, GL, BR and Unarella.
<br />Naiver of Subrogation in favor of Certificate holder on Auto, GL~ HR, Una and WC
<br />
<br />City of LaPorte
<br />604 W. Fairmont Pkwy
<br />LaPorte, TX 77571
<br />
<br />CANC LATION
<br />SHOULD ANY OF THE A~E DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br />EXPIRATION OATE'THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL
<br />..1Q.... DAYS WRITTEN NOTICE TO THE CERTIRCATE HOLDER NAMED TO THE lEFT,
<br />BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABiliTY
<br />OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
<br />AUTHORIZED REPRESENT~TIVE
<br />
<br />CERTIFICATE HOLDER
<br />
<br />
<br />, @ACORO CORPORATION 1988
<br />
<br />ACORD 25 (2001/08)
<br />
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