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HomeMy WebLinkAboutCertificate of Insurance i Sb�iad 1,DUYVP ORN® AC f M /DD/YYYY) CERTIF�ATE OF LIABILITY IN DATE (M SCE 9/18/2012 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: AGENCY IS CSR Beal & Winn Insurance Agency, LLC (A/C. Nn. a :tl: (979) 268 -1500 I A/C. No); (979) 946-197 9 1500 University Drive East ADDRESS: Suite 101 INSURER(S) AFFORDING COVERAGE NAIC # College Station TX 77840 INSURERA:Hallmark Specialty Ins. Co. INSURED INSURER B :Employers Assurance Co . Riviera Roundevoux, LLC, DBA: The Social INSURERC: 3815 Stony Creek Ln. INSURERD: INSURER E : College Station TX 77840 INSURERF: COVERAGES CERTIFICATE NUMBER:CL129180 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AWL SUBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER (MM /DD/YYYY) (MM /DYYYYI GENERAL LIABILITY EACH OCCURRENCE $ 1000000 DAMAGE TO RENTED 100000 X COMMERCIAL GENERAL LIABILITY PREMISES (Ea occurrence) $ A CLAIMS -MADE X OCCUR X TXG323315 7/18/2012 7/18/2013 MED EXP (Any one person) $ 5000 PERSONAL & ADV INJURY $ 1000000 GENERAL AGGREGATE $ 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP /OP AGG $ 2000000 x l POLICY n 7,?-. n LOC $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) $ ANY AUTO BODILY INJURY (Per person) $ — ALL OWNED SCHEDULED BODILY INJURY (Per accident) $ AUTOS _ AUTOS NON -OWNED Pe rry accident) $ HIRED AUTOS _AUTOS — $ UMBRELLA LIAB _ OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS -MADE AGGREGATE $ DED RETENTION $ $ B WORKERS COMPENSATION x WC STATU- OTH- AND EMPLOYERS' LIABILITY TORY I IMITS FR ANY PROPRIETOR /PARTNER /EXECUTIVE Y/ N E.L. EACH ACCIDENT $ 1000000 OFFICER /MEMBER EXCLUDED? N / A 7/18/2012 7/18/2013 EIG 15327990 00 (Mandatory in NH) E.L. DISEASE - EA EMPLOYEE $ 1000000 If yes, describe under DESCRIPTION OF OPERATIONS below E.L. DISEASE - POLICY LIMIT $ 1000000 DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) City of College Station is listed as additional insured on general liability. CERTIFICATE HOLDER CANCELLATION (979) 764 - 3496 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of College Station ACCORDANCE WITH THE POLICY PROVISIONS. 1101 Texas Avenue South College Station, TX 77840 AUTHORIZED REPRESENTATIVE D Andrew Winn /ANDREW 20/0• d/,1e v ACORD 25 (2010/05) ©1988 -2010 ACORD CORPORATION. All rights reserved. INS025 (201005).01 The ACORD name and logo are registered marks of ACORD