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GENERAL33171
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GENERAL33171
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Last modified
8/24/2016 7:55:18 PM
Creation date
11/23/2007 7:32:43 AM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
C1981035
IBM Index Class Name
General Documents
Doc Date
1/23/2006
Doc Name
Certificate of Insurance
Permit Index Doc Type
Insurance
Media Type
D
Archive
No
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DATE(MM/DD/YYYV) ' <br />ACCORD,,. CERTIFICATE OF LIABILITY INSURANCE 0l/17/zoo6 <br />~ <br />PROOUCaR <br />Aon R~i sk Services of Texas, Inc THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />1330 PDSt Odk B1 Vd. AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />suite 900 CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE <br />Houston 1'x 77056-3089 USA COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> INSURERS AFFORDING COVERAGE NAICp <br />PxoNE- 866 283-7124 FAx- 866 430-1035 <br />BvSURED IN$DRER A: Ndtl OOal union Fire ins Co of pi ttsbu rgh 19445 <br />NKC Acquisition, uc INSURER6 Westchester Fire insurance Co 21121 <br />4424 county Road 120 <br />Hesperus CO 81326 USA EvsuRERa ~~ <br />. .. _ ,.. INSURER D: ' V ' <br /> MSURER E. ~ '~ ~- ~ - <br />COVERA ES SIR Ma A <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO T}IE INSURED NAMED ABOVE FOR THE POLICY PERIOD I .NOTWITHSTANDING <br />ANY REQUIREMENT, TERM Oft CONDITION OF ANY COMRAC7 OR OTHER DOCUMENT WITH RESPECT TO WH }LTHIS CERTIFICATE MAY BE ISSUED OR MAY <br />PERTAIN, THE MSURANCE AFFORDED BY THE POLICIES DESCRIBED HERE M IS SUBIECT TO ALL THE TERMS. F1~I}p~ ~~O}~DITIONS OF SUCH POLICIES. <br />I~~OIdIS <br />G <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ° <br />eOI <br />INSR <br />LTR ADD' <br />INS <br />TYPE OF INSURANCE <br />POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION <br />LIMITS <br /> DATE(MM\DD\W) DATE(MM\DD\YY) <br />A GL0714135 04/13/05 04/13/06 EACH OCCURRENCE 000 <br />41 <br />000 <br /> :eneRAL LUBD,m , <br />, <br /> x COMMERCIAL GENERAL LIABIWTY DAMAGE TO RENTED 550,000 <br /> PREMISES (Ea eccurence) <br /> CLAIMS MADE X^ OCCUR hffiD (Anv ooe Personl <br /> PERSONAL&ADV MRIRY $1,000,000 <br /> ~~ <br /> GENERAL AGGREGATE $2,000,000 <br /> <br /> GEML AGGREGATE LIMIT APPLIES PER'. <br />PRODUCTS-COMP/OP AGG <br />- ,52,000,000 <br /> r <br />~ POLICY ^ <br />^ LOC <br /> ` <br />lECT <br />A AUT OMOBILE LIABILITY CA 720-50-55 04/13/05 04/13/06 COMBMED SMGLE LIMIT <br /> x ANY AUTO (Ea accident) $1,000,000 <br /> ALL O WNED AUTOS BODILY MNRY <br /> SCHEDULED AUTOS (Pmperson) <br /> x HBU O AUTOS <br />BODILY MNRY <br /> NON OWNED AUTOS (Per accidml) <br /> f1000 Carp ced PROPERTY DAMAGE <br /> id <br /> 11000 Coll Ded (PCr acc <br />mp <br /> GARAGE LLYBILITY AUTO ONLY - EA ACCIDENT <br /> ANY AUTO <br />OTHER TNAN EA ACC <br /> AUTO ONLV <br /> AGG <br />B sxceSSNMBRELLA LUBn.m 621985661001 09/01/05 09 O1 06 EACH OCCURRENCE <br /> - CLAIMS <br />MADE <br />IJ OCCUR --O AGGREGATE $10,000,000 <br /> . <br />_ <br />. _ ____ -- _.. _~ - _ _ _- ~. _ _ _ <br /> <br /> <br /> DEDUCTIBLE <br /> DD <br /> X RETENTION ElO, O <br />A WC 4 )( WC STATU- OTH- <br /> WORKERSCOMPENSATTONAND RY LN E <br /> CMPLOYER$'LIABILm E.L. EACH ACCIDENT $1,000,000 <br /> .4NY PROPRIETOR/PARTNER/EXECUTIVE <br /> OFFICER/MEMBER EXCLUDED? E.L. DISEASE-EA EMPLOYEE $1,000,000 <br /> if yes, descdbe under SPECIAL PROVISIONS EL. DISEASE-POLICY LIMIT 51,000,000 <br /> ixlow <br /> DTHER <br />DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BYENDORSEMENT/SPECIAL PROVISIONS <br />see Attached: <br />CERTIFICATE HOLDER CANCELLATION ~~ <br />DI VI SI On Of Ml nerdl5 and GEOIOJy SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br />137.3 Sherman street, ROOM 214 DATB THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL <br />Denver CO 50203 USA 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMEDTO THE LEFT. <br /> BUT FAILURE TO DO 50 SHALL IMPOSE NO OBLIGATION OR LIABILITY <br /> OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br /> AUTHORIZED REPRESENTATIVE <br />~Sb«o ~ca6 $exaz'cca ab `r'axad. 9.mG. <br />ACORD :;S 2001/08 AC R CO P RATION 1988 <br />d <br />k <br />c <br />a_ <br />9 <br />x <br />rh <br />N <br />O <br />f. <br />r <br />~~ <br />r <br />
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