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APPLICATION FOR CERTIFICATE <br /> PAGE 4 <br /> 8. State the name and address of the person who will be in active charge and control of <br /> the limousine business. <br /> c\dcLrn Jes4\-q-- <br /> 21o1G QO\\;r 100.\cs Sar Nkurcioc [(X "ll4oli <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 /> Sak- v 3tS-11—tr <br /> Typed or printed name <br /> Title <br />