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CERTIFICATE OF INSURANCE I DATE(MM /DD/YY) <br />PRODUCER THIS CERTIFICATE IS ISSUEDAS A MATTER OF INFORMATION ONLY <br />AND CONFERS NO RIGHTS IIPQN THE CERTIFICATE HOLDER. THIS <br />CERTIFICATE DOES NOT AMEOD EXTEND OR ALTER THE COVERAGE <br />AFFORDED BY THE POLICI"ELdW• <br />INSURER-.+ F DING COVERAGE <br />INSURED INSURER A: <br />INSURER B: <br />INSURER C: �. <br />INSURER D: <br />INSURER E: <br />COVERAGES <br />THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE F(3ITHE Pt �Y PERIOD INDICATED. NOTWITHSTANDING ANY <br />REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPE,TO WWYTfI f ",CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, <br />THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALLHE(� T S, 1 LUSIONS AND CONDITIONS OF SUCH POLICIES. <br />AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.:_ <br />INSR POLICY EFFECT I1iE Y / TION <br />LTR TYPE OF INSURANCE POLICY NUMBER DATE (MM /DD/YYh E (MM /D0IYY) LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE $ 1,000,000 <br />A COMMERCIAL GENERAL LIABILITY FIRE DAMAGE (Any one fire) $ 50,000 <br />mCLAIMS MADE NDCCUR MED EXP (Any one person) $ 5,000 <br />El OWNER'S & CONT. PROT PERSONAL & ADV INJURY $ 1,000,000, <br />GENERAL AGGREGATE $ 1,000,000 <br />❑ OWNER'S PROTECTIVE LIABILITY " <br />G PRODUCTS — COMP /OP AGG $ 1,000,000 <br />EN'L AGGREGATE LIMIT APPLIES PER: <br />❑ POLICY ■ PROJECT LOC <br />El, <br />AUTOMOBILE LIABILITY .u.' ; z COMBINED SINGLE LIMIT $ 1,000,000 <br />ANY AUTO (Ea accident) <br />B ALL OWNED AUTOS ��s BODILY INJURY $ <br />SCHEDULED AUTOS ` -. (Per person) <br />HIRED AUTOS BODILY INJURY <br />NON -OWNED AUTOS it (Per accident) $ <br />%. PROPERTY DAMAGE <br />(Per accident) $ <br />GARAGE LIABILITY AUTO ONLY -EA ACCIDENT $ <br />❑ ANY AUTO OTHER THAN EA ACC $ <br />AUTO ONLY AGG $ <br />v,. <br />EXCESS LIABILITY EACH OCCURENCE $ <br />K <br />AGGREGATE $ <br />C <br />❑ OCCUR ❑ CLAIMS MADE <br />❑ f <br />DEDUCTIBLE T i� $ <br />❑ RETENTION $ y $ <br />y- <br />WORKERS COMPENSA T/Q1A'N ; -, '. WE STATU- IT OTHER <br />TORY LIMITS <br />D EMPLOYER'S LIABILITY m <br />' E.L. EACH ACCIDENT $ 500,000 <br />E.L. DISEASE -EA EMPLOYEE $ <br />E.L. DISEASE- POLICY LIMIT $ <br />OTHER $ 500,000 <br />Professio,W Li It PER CLAIM /AGGREGATE $ 500,000 <br />DESCRIPTION OF OPEFiti[NS' / 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 7 ADDITIONAL INSURED; INSURER LETTER: CANCELLATION <br />City of San Marcos SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BY CANCELLED BEFORE THE <br />Attn: Capital Improvements EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 <br />p p DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT <br />630 E. Hopkins THE IUN TO DOITSOAAGENTS OR REPRESENTATIVES. ION OR LIABILITY OF ANY KIND UPON <br />San Marcos, Texas 78666 AUTHORIZED REPRESENTATIVE <br />ATTACHMENT "D" -THE CITY OF SAN MARCOS INSURANCE REQUIREMENTS <br />