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<br /> UO-lu-~r Ul:~~~M ~ i\VM niL' l. K. r. UNU UHT ltJ 'J/ lJl~j~b~bJbjU¿ PUU¿¡UU'J Lf'1f <br /> ~ <br /> Certificate of Coverage <br /> This is to certify fut contrscts of co'Vcrage listed below have been issued to the member and are in effect at this time <br /> Notwithstanding any requirements. terms or conditions of any contracts or other documents with respect to whid <br /> this certificate may be issued or may pertain. the {'.overage afforded by the contracts described herein is subject to aI; <br /> the terms, exclusions and additions of such contracts. Coverage is continuous until cancelled. <br /> Contract Nu.mber~ 8475 <br /> Member: City of San ~farcos Company Texas Municipal League <br /> .-- ATTN: .Linda Spacek Affordinz Intergovenunental Risk Pool <br /> ' <br /> 630 East Hopkins Coverage: P.O. Box 149194 <br /> San l\>f.arcos, TX 78666 Austin, Texas 78714-9194 <br /> (512) 491-2300 or (800) 537-6655 <br /> Fax (512) 491.2404 <br /> REAL AND PERSÖNALPRÓÞ.ERTY <br /> Limits of Coverage S Effecti ve Date / / <br /> Deductible Per Occurrence $ Anniversary Date I / <br /> MOBILE EO UIP.IvlENr. .. . . ..' <br /> .. .. .. <br /> .. <br /> Limits of Cove raga : S 1,544,927 Effective Date .. : 10101196 <br /> Deductible Per Occurrence S 2,500 Anniversary Date : 10101/97 <br /> . ... <br /> BOfLER & MACHINERY - BRQAD FORM <br /> Per Accident Limit S Effective Date I I <br /> Deductible Per Occurrence S Armiversary Dare I / <br /> _. <br /> DESCR.J1>TION: <br /> 1997 John Deere Model 6675 Skid Steer Loader sin: TBD Value - $1 S, 614 <br /> \ <br /> ! <br /> -. <br /> Cancellation: Should any of the above described policies be cancdled bd'ort! the anniversary date thereot~ the issuing <br /> company will endeavor to mail 30 days written notice to the above named certificate holder, but failure to mail such <br /> notice shall impose no obligation or liability of any kind upon the company. <br /> Date Issued: 6/10/97 Authorized Representative: <-P~ Ç2. c.n¡ ~ <br /> Texas Municipal League Intergovernmental Risk Pool <br /> ! <br /> I <br /> ; <br /> Certificate Holder; í Ye:; No <br /> Ame~can Bank Mortgagee 0 [gJ <br /> PO Box: 847 Loss Payee [8J 0 <br /> Houston, TX 77001-0847 Loan Number <br /> XIO8 <br /> 717.5196 <br />