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Home My WebLink AboutInsurance Coverage Rimrock Corporationl'dicy Ser>Aces Pollac6807 Oew.laul OH 44101 Requested policy documents 0 Verifiraion of Insurance Fax Transmittal To: ATIN: Card Cotter RE: Mic.key Fishbed: Fax#: 979-764-6377 PROGREIIIVE. DIRECT Policy number: 36115911-4 Underwittei by: Jtogrmve Coonty "'11Ua t!SJrillce Co. l'diqnaders: Rd>Ert fi91bedc Mid:ey fi91bedc April 27, 200i Paje 1 ct 2 CusiDmer Senric::e 800-1181-776' 24 hairs a day, 7 days a V«!t'.k Mailing Adchss: l'ro!JleS'lt! Drect POb31260 TiYllpa, fl 33631-3260 CITY OF COLLEGE STATION CONTRACTS INSURANCE COVERAGE & LIMIT REQUIREMENTS EFFECTIVE 10-1-02 GJ Commercial General Liability, (a.k.a.) Public Liability Coverage limit should be $2 million aggregate with $1 million per occurrence. J I • IJ' J.P ,.. ) This coverage should provide liability coverage fo r the fo llowing: Fire Damage Liability, $100,000 minimum Medical Expense, $5,000 minimum Personal & Advertising Injury ,~J \ ~) ~~~~i:~,t~l~:d Operations wiili Separate Aggregate ~'JJA),_ J-, ;) Explosion, Collapse, Underground v-1' ~ I rVJ 1 J)-' J-l ) GJ Business Auto Liability fvV'"' j<.· ~ ~ Coverage limit $1 million combined single limit ~ -0 ~ Thi s coverage should provide liability fo r the following: Any Auto All Owned Autos Scheduled Autos Hired Autos Non Owned Autos, (includes rented & leased vehicles) D Workers Compensation~~ N..,i / tf iJ,f').S' Coverage Limit Texas Stat7 tory ~ ._ D Employers Liability Coverage Limit $1,000,000/ $1,000,000/ $1,000,000 This coverage should provid e li ability for the fo llowing: E.L. Each Accident E.L. Disease-Each Employee E.L. Disease-Policy Limit D Professional Liability $1,000,000 $1,000,000 $1,000,000 Coverage Limit $2 million Aggregate with $1 million per occurrence* Claims made policies are acceptable on this line of coverage* Must have an Extended Reporting Period Endorsement* D Pollution Liability Coverage Limit minimum $1 million or $5 million depending upon DO'I Classification of materials being transported. (Can be endorsed onto Business Auto form MCS-90 Endorsement-Motor Carrier Policies for insurance for Public Li D Umbrella I Excess Liability Coverage Limit mm1mum should be equal to or Greater occurrence/aggregate when combined with the lowest primary liability c MUST follow form. (Coverage Limit Requirement as Determined by the City's Risk Ma D Builders' Risk (Coverage Limit Requirement as Determined by the City' D Performance Bonds & Payment Bonds $5million per This coverage Required on construction projects at $100,000.0 and above. However, City has the option to have a performance bond on projects below$ 0,000.00 dollars. Payment bonds are also required on projects at $25,000.00 and abov. D Commercial Crime/Fideli (Coverage Limit Requirement as etermined by the City's Risk Manager) D D Required for Ten t's renting/leasing City of College Station Building I Office Space (Coverage Li it Requirement as Determined by the City's Risk Manager) D red when renting or leasing City of College Station buildings or offices. (C verage Limit Requirement as Determined by the City's Risk Manager) 2 CERTIFICATE OF INSURANCE This certifies that 0 STATE FARM FIRE AND CASUALTY COMPANY, Bloomington, Illinois 0 STATE FARM GENERAL INSURANCE COMPANY, Bloomington. IUinois 0 STATE FARM FIRE AND CASUAL TY COMPANY, Scarborough, Ontario 0 STATE FARM FLORIDA INSURANCE COMPANY, Winte.-Haven, Flortda 181 STATE FARM LLOYDS, OaHas, Te>ca5 insures the following poficyhokler for the oowrag" indicated below: Poflcyholder FISHB£CX, MICKEY DBA RINROCX CONSULTING CO Address of policyholder Location of operations Description Of operations 2222 WES~ TRAILS BLVD STE 103 AUST.Ill, TX 78745-1601 CONSUt.TillG The policies listed below have been Issued to the poiicyholder for the poDcy periods shown. The insurance described in these p01icies is subject to all the terms. exclusions. and conditions of those policies. The limits of llablity shown may have been reduced by any IJElid claims. POLICY PERIOD POLICY NUMBER lYPE OF INSURANCE Eff8diw Date : Expinition Date 90-61-0515-1 L Compruhensive 07/11/2004 ; 07/ll/200S Business Uabilify : -iilis~inciU<ieS:·· ·o-ProciUCiS·:·c.omPietBd-~ns----------·-----------v··-· 0 Contractual Liability 0 Per.;onal lnjwy 0 Advertising Injury 0 0 0 EXCESS LIABILITY 0 Umbrella 00ther Worf(ers' Compensation and Employers Liablllly POLICY PERIOD Err.ct.tve Dale i ~Dam POLICY PERIOD Effecttva Date l . 0.. LIMITS OF LIABILITY (at beginning of poflc:y period) General Aggregate BODILY INJURY AND PROPERTY DAMAGE $ l.,000,000 $2,000,000 Products -Cornpletecj $ Ooerations Aggregate BOOIL Y INJURY AND PROPERTY DAMAGE (CQmblned Single UJnit) Each Occurrence $ Aggregate $ Part I -Workers Compens:;dion -Statutoly Part II -Employers Liability each Accident s Disease -Each Employee $ Disease -Policy Limit $ LIMITS OF UABIUTY POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD Et'fec:tlYe Diide ; -O... (at beginning of pOflcy petlod) THE CERTIFICATE OF INSURAHCe IS NOT A CONTRACT OF INSURANCE AND NEITHER AFRRllATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS ntE COVERAGE .APPROVED BY ANY POLICY DESCRIBED HEREIN. Name and Address of Certificate Holder CI'l'Y OF COLLEGE STATION PO BOX 9960 co~ STATION, TX 77842-0930 ATTN: CAROL COTTBR. 10 39tld SNI ~Ia Signature of Autiortzed R~ 04/27/05 AgantNarne Telephone Nurnbet 51.2-441-1082. _____ _ 8PL6£PP 0p:90 ~00l/8l/P0 A'~w CQJnty Mitua lnsmr1ce Co. P.O.BOX31260 TAMPA. Fl 33631-3260 Verification of Insurance for PROGRHIIVE" DIHECT Policy number: 36115Hl-ol Underwitten by: Frog~ve County Mitua tismr1ce Co. April27,2005 P•2 of 2 Robert Fishbeck and Mickey Fishbeck Please a((ept this letter as verifraion of insurance for the vehicle listed belCMt. ~~-~~~~ .. ~.ir.~ .P~~q.~~.~~~r: ........................ ~~~.~~~~-~-......................................................... . ~~.i9.'.~~: ....................................................... !~.~······································································ Pdicyholders: Robert Fishbeck ....................................................................... ~!~¥.~~~·~······················································ Vehide: 2005 Toyot S-ienna Ce/lsv Vitf·································································smiAi3ci5s280946············································· Lienh<*ler: University Fcu PoBox 9350 AUS'tin, 1X 78766 ~~~~~:!~~~~:::::::::::::::::::::::::::::::::::::::::::::~:~:~~fa.!~:::::::::::::::::::::::::::::::::::::::::::::::::: ~~.i9.'.!~!".'. ....................................................... ~.~.~!.~~ ..... ~~ .. ~! .. ?~~~······································ ~.ff.:~~.~~.~: .................................................... ~!.?!~.~~~~················································ ......... . ~~i~.~~~!Y..~.~~-~~.~~~~·········· ............... ?~~~~~1·~·~························· ................................. . Collisioo Deductible: 250 Comprehensive Oedudtllle: 250 tf you have questions, please call Custooier Service.