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CERTIFICATE OF INSURANCE <br />I DATE(MM /DD/YY) <br />PRODUCER <br />THIS CERTIFICATE IS ISSUED,,-A$ A MATTER OF INFORMATION ONLY <br />;. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.3 <br />AND CONFERS NO RIGHTS ; THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT ND OR ALTER THE COVERAGE <br />POLICY EFFE ;.a, <br />.*y.;:�,;: <br />AFFORDED BY THE POLL, :,_ <br />iNSUREF'. `,.. FO 7VERAGE <br />INSURED <br />INSURER A: „ .t <br />DATE (MWDD <br />,�,;, . <br />INSURER B: fib' <br />LIMITS <br />INSURER C: <br />GENERAL LIABILITY <br />INSURER D: <br />INSURER E: •311 <br />EACH OCCURRENCE <br />GOVEKAUtzb <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED „. VE P PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RE$ ERTIFICATE MAYBE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO Al, S, SIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.3 <br />INSR <br />POLICY EFFE ;.a, <br />YtON <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />DATE (MWDD <br />,�,;, . <br />E (MWEi <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ 1,000,000 <br />COMMERCIAL GENERAL LIABILITY <br />FIRE DAMAGE (Any one fire) <br />$ 50,000 <br />4: <br />`a<r <br />MED EXP (Any one person) <br />$ 5,000 <br />MCLAIMS MADE EDCCUR <br />PERSONAL & ADV INJURY <br />$ 1,000,000, <br />❑ OWNER'S & CONT. PROT <br />titan <br />��� <br />`: <br />GENERAL AGGREGATE <br />$ 1,000,000 <br />❑ OWNER'S PROTECTIVE LIABILITY <br />PRODUCTS — COMP /OP AGG <br />$ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />❑ POLICY ■ PROJECT LOC <br />AUTOMOBILE LIABILITY <br />'` ` <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />ANY AUTO <br />(Ea accident) <br />BODILY INJURY <br />$ <br />B <br />ALL OWNED AUTOSv <br />�< <br />x;? <br />SCHEDULED AUTOS' <br />:” <br />(Per person) <br />BODILY INJURY <br />$ <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />:� <br />F <br />�t <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />x <br />(Per accident) <br />GARAGE LIABILITY <br />AUTO ONLY -EA ACCIDENT <br />$ <br />OTHER THAN EA ACC <br />$ <br />❑ ANY AUTO <br />^' <br />V <br />ti <br />AUTO ONLY AGG <br />EXCESS LIABILITY <br />EACH OCCURENCE <br />$ <br />AGGREGATE <br />$ <br />C <br />,. <br />❑ OCCUR ❑ CLAIMS MADE <br />❑ DEDUCTIBLE <br />$ <br />❑ RETENTION $ a.4: <br />$ <br />WORKERS COMPENSATI( <br />WC STATU- LJ OTHER <br />D <br />EMPLOYER'S LIABILITY <br />TORY LIMITS <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />E.L. DISEASE -EA EMPLOYEE <br />$ <br />E.L. DISEASE - POLICY LIMIT <br />$ <br />OTHER <br />$ 500,000 <br />Professi <br />PER CLAIM /AGGREGATE $ 500,000 <br />� A:.,;: �,�: ��: <br />DESCRIPTION OF OPE j r „ION / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />City of San Marcos is namectional insured on all Commercial General Liability and Automobile Liability policies. General Liability, <br />Automotive Liability and Wes Compensation policy to include a Waiver of Subrogation in favor of the City of San Marcos. (All <br />Endorsements must be submitted with the certificate) <br />CERTIFICATE HOLDER ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />City of San Marcos SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BY CANCELLED BEFORE THE <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 <br />Attn: Capital Improvements DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />630 E. Hopkins FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />I� THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />San Marcos, Texas 78666 AUTHORIZED REPRESENTATIVE <br />ATTACHMENT "D” -THE CITY UY SAN N1AKU(JS INNUKAtNk;E KLk2UIKL1vll1'N 1� <br />