Laserfiche WebLink
ACC>JZbr CERTIFICATE OF LIABILITY INSURANCE <br />DATE(MMIDDIYYYY) <br />li*�'. <br />11/17/2016 <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES <br />BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED <br />REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. <br />IMPORTANT., If the certificate holder Is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WANED, subject to <br />the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the <br />certificate holder In lieu of such endorsement(s). <br />PRODUCER <br />NAME: <br />Marsh Sponsored ProgramsONE <br />a division of Marsh USA Inc. <br />800-338-1391 FA <br />C o Ext: A/C No 888-621-3173 <br />Dom! •acecclientre neat@marsh.com <br />PO Box 14404 <br />Des Moines IA 50306 <br />INSURERS AFFORDING COVERAGE NAIC# <br />INSURERA:Twin City Fire Insurance Company 29459 <br />INSURED <br />Alan Plummer and Associates, Inc. <br />INSURER 8: <br />INSURER 0: <br />1320 South University Drive <br />Fort Worth, TX 76107 <br />INSURER D; <br />INSURER E: <br />INSURER F: <br />, %0VGnMVC0 L-EKIIriuAICnlumur-K: REVISION NUMBER. <br />I HIS Is To CEK nFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD <br />INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS <br />CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, <br />EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCEDBY PAID CLAIMS. <br />LTR TYPE OF lNBURANCE <br />QDLr <br />�� <br />POLICY NUMBER M DDI W <br />1GY EXP <br />MM,ID <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE Is <br />COMMERCIAL GENERAL LIABILITY <br />DAMAGE <br />REMI - Is <br />CLAIMS -MADE 0 OCCUR <br />Is <br />MED EXP (Any one person) <br />PERSONAL 8 ADV INJURY $ <br />GENERAL AGGREGATE $ <br />GENLAGGREGATE LIMIT APPLIES PER: <br />PRODUCTS -COMPIOPAGO $ <br />POLICY PRO LOC <br />$ <br />AUTOMOBILE LIABILITY <br />SINED <br />ANY AUTO <br />130DILY INJURY (Per person) $ <br />ALL OWNED 8CHEDULED <br />BODILY INJURY (Per accident) $ <br />AUTOS AUTOS <br />NON ED <br />HIRED AUTOS AUTOS <br />PRO RTY DAMAGE $ <br />e <br />$ <br />UMBRELLA LIAR <br />OCCUR <br />EACH OCCURRENCE $ <br />EXCESS LIAR <br />CLAIMS -MADE <br />AGGREGATE $ <br />DEC I I RETENTION $ <br />$ <br />A WORKERS COMPENSATION <br />84WBGCB6868 01/01/2016 <br />01/01/2017 <br />X WC sTATU- MHT <br />AND EMPLOYERS' LIABILITY Y I N <br />IORY LIMITS ER <br />E.L EACH ACCIDENT $1,000,000 <br />ANY PROPRIETORIPARTNERIEXECUTIVE <br />OFFICER/MEMBEREXCLUDED? <br />NIA <br />E.L. DISEASE -EA EMPLOYEE $1,000,000 <br />(Mandatory In N <br />If yes, describe under <br />E.L. DISEASE -POLICY LIMIT $1,000,000 <br />DESCRIPTION OFOPERATIONS below <br />DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />RE: San Marcos Columbia Street Wastewater <br />APAI B 2016-232-01 <br />TION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />City of San Marcos <br />AUTHORIZED REPRESENTATIVE <br />630 E. Hopkins 00,Y <br />San Marcs, Texas 78666 'gV <br />4D 1988-2010 ACORD CORPORATION. All rights <br />AGORD Z5 (201 aros) The ACORD name and logo are registered marks of ACORD <br />