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ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DDIYYYY) <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF IN__ <br />NFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.TSHIS013 <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 <br />Bell Insurance Agency NAME: Candy Goehring <br />16980 Dallas Parkway A/ /CC No Ext : 972.581.4915 ac, No: <br />Dallas, TX 75248 AoDRESS: cgoehri ng @bel l group. com <br />INSURED Halff Associates, Inc. <br />1201 N. Bowser <br />Richardson, TX 75081 <br />COVERAGES CERTIFICATE NUMBER: <br />ru,n <br />A <br />INSURER A : <br />INSURER B <br />INSURER C : <br />INSURER D: <br />INSURER E: <br />INSURER F: <br />3 Master 1MT1 <br />,N,URER(S) AFFORDING COVERAGE <br />NAIC # <br />Hartford Accident &Indemnity <br />22357 <br />Hartford Casualty Ins. Co. <br />29424 <br />Hartford Underwriters <br />30104 <br />ACE American Ins. Co. <br />22667 <br />17.+nf ry �...�.�... <br />'w 1" NO1 u r i S I I DI I ULICIES OF INS URAN ELI TED B LOW 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 MAY HAVE BEEN REDUCED BY PAID CLAIMA <br />TYPE OF INSURANCE <br />GENERAL LIABILITY <br />X COMMERCIAL GENERAL LIABILITY <br />CLAIMS -MADE n OCCUR <br />X Contractual Liab. <br />GEN'L AGGREGATE LIMIT APPLIES PER <br />POLICY X PRI LOC <br />JECT AUTOMOBILE LIABILITY <br />X ANY AUTO <br />A ALL OWNED SCHEDULED <br />AUTOS AUTOS <br />X HIRED AUTOS X NON -OWNED <br />AUTOS <br />X UMBRELLA LIAB X OCCUR <br />B EXCESS LIAR CLAIMS -MADE <br />DED X RETENTION S 10,00 <br />WORKERS COMPENSATION <br />AND EMPLOYERS' LIABILITY <br />ANY PROPRIETOR/PARTNER/EXECUTIV �YIN <br />C OFFICER/MEMBEREXCLUDED7 i • i NIA <br />(Mandatory in NH) <br />rvco%,rc4r 1 iVN Vt UPERATIONS below <br />laims ro essional Lip Made Policy <br />m.vu r r r r <br />07/12/2012 <br />LIMITS <br />0CURRENCE <br />$ <br />1, 000 <br />(Ea occurrence <br />$ <br />] 000 <br />(Any one person) <br />70311 <br />$ <br />10 <br />L & ADV INJURY <br />S <br />11 000 <br />AGGREGATE <br />$ <br />2 r 000 <br />S - COMP/OP AGG <br />$ <br />2,000 <br />S <br />46UUNIYS 76 07!1212012 07/12/2013 <br />Ira aoc►cent) $ <br />BODILY INJURY (Per person) $ <br />BODILY INJURY (Per accident) $ <br />;Per accideni ­ � ` I S <br />46XHUIY6677 07/12l2a12 07M2l2013 EACH OCCURRENCE <br />AGGREGATE <br />46WENV609 07/12/2012 07112!2013 <br />EONG21673845 07/12/2012 07/12/2013 <br />S <br />1,000 <br />$ 5,000 <br />$ 5,000 <br />a <br />E.L. EACH ACCIDENT $ 1 ! 000 0 <br />E. L. DISEASE - EA EMPLOYEE $ 1 000 � 0 <br />E L. DISEASE - POLICY LIMIT $ 1 000 0 <br />$1,000,000 Per Claim Limit <br />$1,000,000 Aggregate Limit <br />DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more space Is required) <br />:ity of San Marcos is included as additional insured as respects general and auto liability if <br />,equired by written contract. Waiver of subrogation applies to the same as respects general and <br />uto liability and workers' compensation. 30 day notice of cancellation applies except for 10 <br />ay non payment. Forms attached. <br />CERTIFICATE HOLDER <br />City of San Marcos <br />Attention: Engineering and Capital <br />Improvements Department <br />630 E. Hopkins <br />San Marcos, TX 78666 <br />(Thomas J. Ashley ANDY <br />©1988 -2010 ACORD CORPORA' <br />The ACORD name and logo are registered marks of ACORD <br />ACORD 25 (2010105) <br />CANCELLATION <br />SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE <br />THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN <br />ACCORDANCE WITH THE POLICY PROVISIONS. <br />AUTHORIZED REPRESENTATIVE <br />f 41.4 '0 <br />All <br />