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Wells Fargo Brokerage Services, LLC, <br />public Finance Division <br /> 0 Broadway, 2~a Floor <br /> ~ver, Colorado 80274-8733 <br /> <br />Coverage is provided for the following Named Insured: <br /> <br />Certificate of <br /> Insurance <br /> <br />Name of Insured <br />CRV of San Mareos <br /> <br />Street Address City State <br />630 E. Hopkins San Marcos Texas <br /> <br />Zip <br />78666 <br /> <br /> DETA1LED DESCRIPTION AND LOCATION OF PROPERTY COVERED <br /> Self Contained breathing apparatus & breathing air station <br /> <br /> DESCRIPTION OF COMPREHENSIVE GENERAL LIABILITY INSURANCE <br />Insurance Company (not agency) [ Policy number 1 Effective date [ Expiration data <br /> <br />BODILY INJURY LIABILITY <br /> <br />PROPERTY DAMAGE LIABILITY <br /> <br />Wells Fargo Brokerage Services, LLC, its successors and assigns, is endorsed as an Additional Insured on the Comprehensive General <br />I fility insurance described above: X Yes No <br /> <br />Insurance Company <br /> <br />DESCRIPTION OF PHYSICAL DAMAGE INSURANCE <br /> <br />Policy number [ Effective date I Expiration date <br /> <br />The Physical Damage Insurance issued in the amount of $128,823.00 consists off <br /> <br />Fire and Extended Coverage including Vandalism, Malicious Mischief and Theft <br /> <br />All Risk Insurance with the following exceptions: <br /> <br /> Wells Fargo Brokerage Services, LLC, is successors and assigns, is endorsed as Loss Payee on the Physical Damage <br />Insurance described above: X Yes __No <br />The Policy, as to the interest of Loss Payee, shall not be invalidated by any act of omission or commission or neglect or <br />misconduct of the Named Insured at any time, not by any foreclosure or other proceeding or notice of sale relating to the insured <br />property, not by any change in the title or ownership thereof or the occupation of the premises for purposes more hazardous than are <br />permit:ed by the Policy, provided, that in case the Named Insured shall fail to pay any premium due under the Policy, Loss Payee may, <br />at its option, pay such premium. <br />The Policy may be canceled at any time by either Insurer or Named Insured according to its provisions, but in any such case <br />the Policy shall continue in fifll force and effect for the exclusive benefit of Loss Payee for ten days after written notice to Loss Payee <br />of such cancellation and shall then cease. <br />Lease No. 1626-001 <br /> <br />Agency name <br /> <br />t Address <br /> <br />City State Zip <br /> Agent telephone number Date <br /> <br />Signature of Agent <br /> <br /> <br />