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CREDIA OP ID: CK <br />CERTIFICATE OF LIABILITY INSURANCE <br />r DATE 0 DrYYYY) <br />08!12222!12 <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 WAIVED, 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 817- 332-4677 <br />Granger Group, Inc. 817 - 332 4742 <br />715 Jones Street, Suite 100 <br />Fort Worth, TX 76102 <br />Commercial Lines <br />CON <br />NAMME: Carol Kennedy <br />PHOr� 81732 -4677 <br />rC No Ex : Arc No): 817- 332 -4742 <br />ADDRESS: carol@grangergroupfw.com <br />INSURER(S) AFFORDING COVERAGE <br />NAIC S <br />INsuRERA:Hartford Insurance Company <br />38261 <br />INSURED Credit Systems International <br />1277 Country Club Lane <br />Fort Worth, TX 76112 -2304 <br />INSURER B: <br />DAMAGE TO RENTEU_ <br />PREMISES Ea occurrence <br />INSURER C: <br />INSURER D: <br />INSURER E : <br />INSURER F : <br />$ <br />COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: <br />THIS IS TO CERTIFY 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 MAYHAVE BEEN REDUCED BY PAID CLAIMS. <br />INSR <br />LTR <br />TYPE OF INSURANCE <br />INS <br />WVD <br />POLICY NUMBER <br />MMIDDIYW <br />MMIDDIYYYY <br />LIMITS <br />GENERAL LIABILITY <br />EACH OCCURRENCE <br />$ <br />DAMAGE TO RENTEU_ <br />PREMISES Ea occurrence <br />$ <br />COMMERCIAL GENERAL LIABILITY <br />MED EXP (Any one person) <br />$ <br />CLAIMS-MADE 0 OCCUR <br />PERSONAL & ADV INJURY <br />$ <br />GENERAL AGGREGATE <br />$ <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />PRODUCTS- COMP /OP AGG <br />$ <br />POLICY PRO- <br />JECT LOC <br />$ <br />AUTOMOBILE <br />LIABILITY <br />COMBINED SINGLE LIMIT <br />Ea accident <br />$ <br />BODILY INJURY (Per person) <br />$ <br />ANY AUTO <br />ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />BODILY INJURY (Per accident) <br />$ <br />NON -OWNED <br />HIRED AUTOS AUTOS <br />PROPERTY DAMAGE <br />Per accident <br />$ <br />UMBRELLA LIAB <br />OCCUR <br />EACH OCCURRENCE <br />$ <br />AGGREGATE <br />$ <br />EXCESS LIAB <br />CLAIMS -MADE <br />DED I I RETENTION $ <br />$ <br />A <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUnVE YIN <br />OFFICER/MEMBER EXCLUDED? <br />NIA <br />6WBCZQ3588 <br />06/17/12 <br />06/17113 <br />X W C STATU- OTH- <br />E.L. EACH ACCIDENT <br />$ 1,000,00 <br />E L. DISEASE - EA EMPLOYEE <br />$ 1,000,00 <br />(Mandatory In NH) <br />If yes, describe under <br />DESCRIPTION OF OPERATIONS below <br />E.L. DISEASE - POLICY LIMIT 1 <br />$ 1,000,00 <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />The Workers' Compensation policy includes an endorsement providing that 30 <br />days notice of cancellation will be furnished to the certificate holder. <br />a.r-rc I rrrn.ra r r_ nULurrc t- 1AN%.CLLii I IUrl <br />CITMARC <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />CITY OF SAN MARCOS ACCORDANCE WITH THE POLICY PROVISIONS. <br />MS. CHERYL PANTERMUEHL <br />RFP #1212 -028 <br />ALrTHORIZEDREPRESENTArnE <br />630 E HOPKINS ST �tLit% <br />!SAN MARCOS. TX 78666 -6314 <br />O 1988 -2010 ACORD CORPORATION. All rights reserved. <br />ACORD 25 (2010105) The ACORD name and logo are registered marks of ACORD <br />