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CERTIFICATE OF INSURANCE DATE (MM/DDIYY) <br />PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICIESBELOW. <br />INSURERO',,' FORDINdCOVERAGE <br />INSURED INSURER A: <br />INSURER B: <br />INSURER C: <br />INSURER D: <br />INSURER E'' <br />COVERAGES 9 <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO <br />THE INSURED NAMED ABOV "J POLICY PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER <br />DOCUMENT WITH RESP "HIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN <br />IS SUBJECT TO ALL IFR S EXCLUSIONS AND CONDITIONS OF SUCH POLICIES, <br />AGGREGATE LIMITS SHOWN WN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br />, <br />�� ���� / / %/ <br />INSR <br />POLICY EFFECTIVFJ �Y EXPIRATION <br />%0/ ,TE <br />LTR <br />TYPE OF INSURANCE POLICY NUMBER <br />DATE (MMID -" (MMIDDIYY) <br />"�r . LIMITS <br />GENERAL LIABILITY <br />AN ����,��' "' EACH OCCURRENCE $ 1,000,000 <br />�YI <br />A <br />/ <br />COMMERCIAL GENERAL LIABILITY <br />/f FIRE DAMAGE (Any one fire) $ 50,000 <br />CLAIMS MADE CUR <br />rr %��� <br />� „� i I MED EXP (Any one person) $ 5,000 <br />❑ OWNER'S & CONT. PROT <br />i� � - PERSONAL 8 ADV INJURY $ 1,000,000, <br />R <br />❑ OWNER'S PROTECTIVE LIABILITY <br />1 GENERAL AGGREGATE $ 1,000,000 <br />GEN'L AGGREGATE LIMIT APPLIES PER: <br />/ 1p <br />PRODUCTS - COMP /OP AGG $ 1,000,000 <br />❑ POLICY m PROJECT LOC <br />„ <br />h °e <br />AUTOMOBILE LIABILITY <br />! <br />COMBINED SINGLE LIMIT <br />$ 1,000,000 <br />ANY AUTO <br />ALL OW NEDAUTOS <br />i <br />(Ea accident) <br />BODILY INJURY <br />$ <br />/�/ <br />SCHEDULED AUTOS <br />(Per person) <br />HIREDAUTOS <br />NON-OWNEDAUTOS <br />�,, <br />� <br />i��.,, <br />BODILY INJURY <br />$ <br />j <br />(Per accident) <br />PROPERTY DAMAGE <br />$ <br />��ll1111rr. <br />(Per accident) <br />GARAGE LIABILITY <br />� <br />AUTO ONLY -EA ACCIDENT <br />$ <br />THAN EA ACC <br />$ <br />❑ ANY AUTO <br />$ <br />AUTO ONLY AGG <br />EXCESS LABILITY <br />MD <br />EACH OCCURENCE <br />$ <br />C <br />❑ OCCUR ❑ CLAIMS MADE r <br />ii 01 <br />i� a <br />AGGREGATE <br />$ <br />$ <br />❑ DEDUCTIBLES'/ <br />$ <br />❑ RETENTION $ <br />1p „ <br />$ <br />ENSATION AND �- <br />'S <br />WCSTATU- OTHER <br />EMPLOYERWORKERS <br />LICOMPABIUTY <br />TORY LIMITS <br />E.L. EACH ACCIDENT <br />$ 500,000 <br />E.L. DISEASE-EA EMPLOYEE <br />E.L. DISEASE-POLICY LIMIT <br />OTHER <br />$ 500,000 <br />7� <br />Professional LlaVlh <br />PER °LA'M /AGGREGATE <br />$ 500,000 <br />DESCRIPTION OF OPERATIONS I LOCATION / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS <br />City of San Marcos is named as additional insured on all Commercial General Liability and Automobile Liability policies. General Liability, <br />Automotive Liability and Worker's 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 I ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />City of San Marcos <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BY CANCELLED BEFORE THE <br />Attn• Capital Improvements <br />p p <br />EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 <br />• <br />DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />630 E. Hopkins <br />FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON <br />THE INSURER, ITS AGENTS OR REPRESENTATIVES. <br />San Marcos, Texas 78666 <br />AUTHORIZED REPRESENTATIVE <br />ATTACHMENT "D" -THE CITY OF SAN MARCOS INSURANCE REQUIREMENTS <br />