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I @ CO~1MERCU-~ENERAL LIABILITY COVERAGE PAR1~¿ClARATIONS S-blftl i '. ruE 0010 ~S~LTY INSUMNCE COOAANY Pol icy No. BTO 5068 97 05 (94) Renewal of Number NEW NAMED INSURED AND MAILING ADDRESS AGENCY NAME AND MAILING ADDRESS . MINEOLA VALVE AND HYDRANT DUNAHOE INSURANCE AGENCY, INC. P. O. BOX 747 814 E. BROAD S1. MINfOLA. TX 75773 MINECLA. TX 75773 (903)569-6137 42 01 6415 Policy Period: From 11/10/93 to 11/10/94 at 12:01 A.M. Standard Time at your mailin9 address shown above. IN RETURN FOR THE PAYMENT OF THE PREMIUM, AND SUBJECT TO ALL THE TERMS OF THIS POLICY, WE AGREE WITH YOU TO PROVIDE THE INSURANCE AS STATED IN THIS POLICY. =z=======3====================:====================================================~==================================== LIMITS OF INSURANCE ----------------------------------------------------------------------------------------------------------------------- General Aggregate Limit (Other Than Products - Completed Operations) $ 500,000 f Products - Completed Operations Aggregate Limit $ 500,000 Personal and Advertising Injury Limit $ 300,000 ; Each Occurrence limit $ 300,000 I Fire Damage Limit $ 50,000 Any One Fire Medical Expense Limit $ 5,000 Any One Person ,n ----------------------------------------------------------------------------------------------------------------------- f RETROACTIVE DATE (CG 00 02 only) r ----------------------------------------------------------------------------------------------------------------------- Coverage A of this Insurance does not apply to "bodily injury" or "property damage" which occurs before the Retroactive e Date, if any, shown here: . s s ----------------------------------------------------------------------------------------------------------------------- ,f DESCRIPTION OF BUSINESS AND LOCATION OF PREMISES Y ----------------------------------------------------------------------------------------------------------------------- h Form of Business: [] Individual [] Corpora t i on [ ]Organization (Other than Partnership or Joi~ Venture) .0 [X]Partnership []Joint Venture "O! ,f . Business Description: .'. WATER METER REPAIR . VI, Location of All Premises You Own, Rent or Occupy: O!d SEE ATTACHED SCHEDULE :d =d ----------------------------------------------------------------------------------------------------------------------- ne PREMIUM ----------------------------------------------------------------------------------------------------------------------- 1 I RATES I ADVANCE PREMIUMS I I 1-------------------------1------------------------------ I 1 I I PRODUCTS/ I , PRODUCTS/ I I PREMIUM I All I COMPLETED I ALL I COMPLETED CLASSIFICATION CODE I BASIS I OTHER I OPERATIONS I OTHER I OPERATIONS ----------------------------------------------------------------------------------------------------------------------- SEE ATTACHED SCHEDULE $ 1,892 S 797 , .atal Advance Premium $ 2,689 '---------------------------------------------------------------------------------------------------------------------- . --.. ~ORMS AND ENDORSEMENTS :f ----------------------------------------------------------------------------------------------------------------------- Forms and Endorsements applying to this Coverage Part and made part of this policy at time of issue: CGOOOI 1188,CGOIO3 1185.CGO300 118S,CG2l47 0989,CLO175 0286.ILOOO3 l185,ILOO17 118S,ILOO2l l18S,IL0275 1187 .==..=====.=..==.==.==..===.===..==.=====.==.==..====:=========:===....=..=:======.==.========..=.===.==.===.==..=.==:=. 'I Countersigned By " THESE DECLARATIONS TOGETHER WITH THE COMMON POLICY CONDITIONS, COVERAGE PART DECLARATIONS, COVERAGE PART COVERAGE J FORM(S) AND FORMS ANO ENDORSEMENTS, IF ANY, ISSUED TO FORM A PART THEREOF, COMPLETE THE ABOVE NUMBERED POLICY. : BW!LC i Dec 02, 1993 (ORIGINAL) ] . 1 : : i~~~: ,i~~~~~¥t~~~~~-~.~~¡;}:dÔ~~~~~~~.~~"~4~<1~";k<\i4.W,4~.;:~ :\"~, ',' " ,-