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<br />, )jY THE IL\HTFORD
<br />
<br />'~ , INSUHAN<.E GHUUI'
<br />~-~ ~..lQT"ORO. C()o'o,l....e:Cl.cuT
<br />
<br />~ []J Harlrord Fire Insurance Company
<br />U ~ HBrtrord Accidenl and Indemnity Company
<br />.:j ill Hanrord CBsualry Insurance Company
<br />
<br />i ~ r-;ew York Under.....rlters Insurance Company
<br />~ lL T.....in City Fire Insurance Company
<br />
<br />'-'
<br />
<br />I Co. (06 drl
<br />This is 10 ce~l1fy that the company designaled
<br />herein bv Co Code has issued to the named insured
<br />the pol,;ies enumcr<lled belm\'.
<br />
<br />Named I Jlsured <lnd Address
<br />
<br />\.~~ . I
<br />, \. ~ .
<br />
<br />Waterloo Electric, Inc.
<br />11707 North Lamar
<br />Austin, Texas 78753
<br />
<br />The policies indicated herein apply with respect to the hazards and for the coverages and limits of liability indicated by
<br />specific entry herein but this certificate of insurance docs not amend, extend or otherwise alter the terms and conditions
<br />of the insurance coverage in the policies identified herein.
<br />
<br />I (SINGLE LIMIT) (DUAL LIMITS)
<br /> \ Bodily Injury and
<br /> ~~ Policy Number Property Damalle Liability Bodily Injury Liability Property Darnalle Liability
<br />Hazards and
<br /> Policy Term each each a~ll...e~a te each a~~re~ate
<br /> occu rrence .a~cregate occurrence occurrence
<br />General Liability 65 TMP 600970
<br />Prem ises-Operatlons 5/25/8 O-~__.___ $ ,000 ,000 $ 5 0 0 ,000 XXXX $ 25 0 ,000 $ 250 ,000
<br /> -~
<br />I ndependent Con tractors
<br /> $ ,000$ ,000 $ ,000 XXXX $ ,000 $ ,000
<br />Completed Oper<ltions,
<br />Prod ucts $ ,000 ,ODD $ ,000 $ ,000 $ ,000 S ,ODD
<br />Contractual (as described
<br />below) $ ,ODDS ,000 $ ,000 XXXX $ ,000 $ ,000
<br />
<br />Covera~es and Limits of Liability
<br />
<br />Coverages and Limits of Liability
<br />(SINGLE LIMIT) I (DUAL LIMITS)
<br />
<br />Hazards
<br />
<br />Policy Number
<br />and
<br />Policy Term
<br />
<br />Bodily Injury and
<br />Property Damalle LlabllJry
<br />
<br />Dodlly IDiur)' Llablllr)'
<br />
<br />Properly Damalle LlabJllr:r
<br />
<br />*e.ach
<br />occurrence
<br />
<br />agC,regale
<br />
<br />Lach person
<br />
<br />"each
<br />occurrence
<br />
<br />.each
<br />occurrence
<br />
<br />ac'llrellale
<br />
<br />Automobile Liability
<br />Owned Automobiles
<br />
<br />Hired Automobiles
<br />
<br />65 PNC 250292
<br />5/25/80-81
<br />
<br />$
<br />
<br />,ODD
<br />
<br />xxx x
<br />
<br />S 250 ,000$ 500,000$
<br />
<br />100 ,ODD XXXX
<br />
<br />"
<br />
<br />s
<br />
<br />,000
<br />
<br />XXXX
<br />
<br />S 250 ,ODD $
<br />
<br />500 ,000 S
<br />
<br />100 ,ODD XXXX
<br />
<br />Non-Owned Automobiles
<br />
<br />"
<br />
<br />s
<br />
<br />,000
<br />
<br />XXXX
<br />
<br />$ 250 ,000 S
<br />
<br />500 ,000 $
<br />
<br />100,000 XXXX
<br />
<br />
<br />men's Compensation
<br />and
<br />
<br />Employers' Liability
<br />
<br />65 WE 850918
<br />5/25/80-81
<br />
<br />Compensation - Statutory
<br />
<br />Employers' Liability
<br />
<br />s
<br />
<br />1 0 0 000
<br />
<br />Umbrella Liability
<br />
<br />s
<br />
<br />,000,000
<br />
<br />'Jf with respect to Automobile Liability the Pollc)' N umber entered above mc\udes the symbol GB, AZ, MVP, MAG or PGB, the word "occurrence"
<br />
<br />]s amended to rcad "'lccident".
<br />
<br />Location and descriptiun of operations, automobiles, contracts, ete.
<br />date. )
<br />
<br />(For contracts, indlcate type of agreement, party and
<br />
<br />Project: Electrical and Pump Installation for Main Lift Station Improvements
<br />
<br />]f policy is canceled, Ten Days
<br />written notice will be given to:
<br />
<br />City of San Marcos
<br />630 E. Hopkins
<br />San Marcos, Texas 78666
<br />
<br />D:J.te
<br />
<br />October 3, 1980
<br />
<br />By
<br />
<br />~JLA~h:n':ed RepreJe1ltaiwe
<br />
<br />Furrn .....L-12-3 Prillll:"d in U ~. A.
<br />-
<br />
<br />.
<br />
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