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<br /> ,�+� /�T /� [��� /� cDATE fMM/DD/YY)
<br /> f,, AGORDM V�►������J"t#';� �/�.:�����'�+i�� ���:���i���i Ger�: 4'11',.._ 09/13/96
<br /> _:_....:.._
<br /> �.�.�._,_�,._.._..._�,.-------- �
<br /> ' aAooucea THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
<br /> Alexander&Alexander of Texas,Inc. i ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
<br /> 717 N.Harwood Street,Lock Boz k8 ' HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
<br /> ! ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
<br /> Dallas,Texas 75201 — — ---
<br /> (214)989-0000 ___ ___ COMPANIES AFFORDIN_G_ COVERAGE
<br /> Steve Fieszel COM�PANY TIG INSURANCE COMPANY
<br /> INSURED COMPANY
<br /> Parkway Construction Co.,Inc.;Prime-Con B TIG INSURANCE COMPANY OF TEXAS
<br /> Services,Inc.;National Gunite,Inc.
<br /> 1660 S.Stemmons,Suite 340 COMrP,ANY NATIONAL UNION FIRE INSURANCE COMPANY
<br /> Lewisville,TX 75067-
<br /> COMPANY TTG PREMIER INSURANCE COMPANY
<br /> � D
<br /> �-�
<br /> ,.
<br /> ''C(���RAt3�S , , ; ,:. , , ,
<br /> THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW 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 CLAIMS.
<br /> CO 7ypE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS
<br /> LTR DATE(MM/DD/YY) DATE(MM/DD/YY) i
<br /> GENERAL LIABILITY i, GENERAL AGGREGATE $ 2+���
<br /> A X COMMERCIAL GENERAL LIABILITY i PRODUCTS-COMP/OP AGG $ 2+�•�
<br /> X TG31359306 10/O1/95 10/O1/96 1,000,000
<br /> _ CLAIMS MADE OCCUR PERSONAL&ADV INJURY_ $
<br /> -- - —
<br /> OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 1+�+�
<br /> X $2,5�DEDUCT. FIRE DAMAGE(Any one fire) $ 50,�0
<br /> - - - - -
<br /> X PER CLAIM PD MeD EXP(Any on�erson _ g _ 5>�
<br /> —- --— ------- — � ---- -----------
<br /> AUTOMOBILE LIABILITY
<br /> B X CA31359307 10/�1�9$ 10/Ol/96 COMBINED SINGLE LIMIT $ 1 ��
<br /> ANY AUTO
<br /> ---- ----- �--
<br /> ALL OWNED AUTOS BODILY INJURY
<br /> X ' SCHEDULED AUTOS (Per person) $
<br /> � X HIRED AUTOS --- - ----- - - - - - -----
<br /> X BODILY INJURY $
<br /> NON-OWNED AUTOS (Per accident)
<br /> PROPERTY DAMAGE $
<br /> I - - ------- — ----------------------
<br /> ----
<br /> GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
<br /> -- — - --
<br /> � ANY AUTO OTHER THAN AUTO ONLY:
<br /> - ---- -- --- ---- -----
<br />' EACH ACCIDENT $
<br /> ---- - ------- -
<br /> -- ----- -- -- ------ — - -
<br />' AGGREGATE $
<br /> - ----- -- - - ---
<br /> EXCESS LIABILITY EACH OCCURRENCE $ 5>�+�
<br /> ' C X UMBRELLAFORM BE3098681 IO/OI/9S 10/O1/96 AGGREGATE $ 5+�+�
<br /> _ OTHER THAN UMBRELLA FORM $ _ _
<br /> D WORKERS COMPENSATION AND WCN80136212 lO/Ol/9S lO/Ol/96 X WC STATU OTH-
<br /> - EMPLOYERS'LIABILITY , i4RY LIMITS _-_ER n _
<br />� EL EACH ACCIDENT $ 5���
<br /> THE PROPRIETOR/ $QQ�QQQ
<br /> PARTNERS/EXECUTIVE INCL EL DISEASE-POLICY LIMIT_ $
<br /> OFFICERS AFiE: EXCL EL DISEASE-EA EMPLOYEE $ 5�.�
<br /> OTHER - -- - — --- ------ - - ----------
<br /> — -- --- — --- --- ---------- - ---- ---- - -- - --
<br /> DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
<br />' RE: City of Decatur,Rehab of Lower Broadway,BGM 95050C
<br /> The Certificate Holder and Bainbridge,Gee,Milanski&Associates are
<br /> added as Additional Insureds ATIIvfA.
<br /> — .� ....... ..............�.�.._____�. _. __.�.�.�_.__
<br /> , ;;
<br /> `. C�I3'F'iFtG�lT�:�?I�t17�Tft ..:':':::'.' ,.; ' .:, ... .:.G�N�f�#�/k'rt4'�:.::
<br /> �
<br /> ; SHOULD ANV OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
<br /> City of Decatur ; EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL
<br /> Attn: Kim Hart 3O DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,
<br /> One Gary K.Anderson Plaza ; BUT FAIt,URE TO MAIL SUCHIJOTICE SHALL IMPO N OBLIGATION OR LIABILITY
<br /> Decatur,IL 62523 oF ' � uP rF`�THE�COMP NY,_ IT � i_S_OR REPRESENTATIVE_S,_,,,
<br /> � . �_.
<br />' �; AUTHO IZED EFRE�HNTATIVf�.-� .'A.'^
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<br /> S F,.� ,f y...�.A�
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<br /> _aco����t���__----�--- , ; �� �._ -_���__..._��_ ... _ _ _ -__ .�_nco��co��or�a�rro��sse
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