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APPLICATION FOR CERTIFICATE <br />PAGE 4 <br />State the name and address of the person who will be in active charge and control of <br />the limousine business. <br />P box X511 Sc,,r 10"1"-054 TX <br />5712 -q30- yyy <br />9. Sec. 90.055 of the San Marcos City Code requires the applicant to file with the City <br />Secretary a certificate of insurance verifying the following levels of coverage: <br />Bodily injury per person $100,000 <br />Bodily injury per occurrence $300,000 <br />Property damage per occurrence $100,000 <br />The company affording the coverage must be authorized to do business in the State <br />of Texas. <br />The applicant, in submitting this application, verifies under oath that all information <br />contained in it is true and correct, and if the applicant is a partnership or corporation, the <br />submission of the application is a duly authorized act of the partnership or corporation. <br />Signature of Applicant or Applicant's <br />Representative <br />Typed or printed name <br />Title <br />