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Home My WebLink AboutFJW COMPANY - INSURANCE CERTIFICATEAC ?M CERTIFICATE OF LIABILITY INSURANCE 06/08/z 0 ) PRODUCER (817) 261 -1101 FAX (817) 261-1120 Apex Insurance Agency, Inc. 1420 North Cooper, Suite 100 P Arlington, TX 76011-5556 Lynda Hawkins THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. INSURERS AFFORDING COVERAGE NAIC # INSURED FJW Company I nc 905 West M i tche I I Arlington, TX 76013 INSURER A: American Casualty Co. of Reading Pa. INSURER B: Val ley Forge 20508 INSURER C. INSURER D. INSURER E: CnVFRA[AFR THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWNTHSTANDIN( 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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR DD' TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (mminntyyi POLICY EXPIRATION DATE mmmnmi LIMITS GENERAL LIABILITY TCP2070891879 06/08/2004 06/08/2005 EACH OCCURRENCE $ 1 , 000, 00 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 50 , OO CLAIMS MADE M OCCUR MED EXP (Any one Person) $ 5 , OO P ERSONAL & ADV INJ URY $ 1,000,00 A X $4,000 PD DEDUCT. GENERAL AGGREGATE $ 2 , OOO , OO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG $ 2,000,00 POLICY X PROJECT El LOC AUTOMOBILE X LIABILITY ANY AUTO BUA2070891882 06/08/2004 06/08/2005 COMBINED SINGLE LIMIT (Ea accident) $ 1,000,00 BODILY INJURY (Per Person) $ B ALL OWNED AUTOS SCHEDULEDAUTOS HIREDAUTOS NON-OWNEDAUTOS X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHERTHAN EA ACC S ANY AUTO $ AUTO ONLY: AGG EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ WORKERS COMPENSATION AND WC2070891 $96 06/0812004 06/08/2005 X We srTMI oTH- B EMPLOYERS' LIABILITY ANY PROPRIETORIPARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED? E.L. EACH ACCIDENT $ 1 , OOO, OO E.L. DISEASE - EA EMPLOYEE $ 1,000,00 If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE -POLICY LIMIT $ 1 , OOO , OO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS BLANKET ADDITIONAL INSURED AND BLANKET WAIVER OF SUBROGATION, PER WRITTEN CONTRACT APPLICABLE TO ENERAL LIABILITY AND AUTOMOBILE POLICIES. BLANKET WAIVER OF SUBROGATION, PER WRITTEN CONTRACT, APPLICABLE TO WORKER'S COMPENSATION POLICY. CERTIFICATF HOLDER CANCFLLATIAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATKIN DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, City of Fort Co I I i ns BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY P . 0. BOX 580 OF ANY KIND UPON THE INSURER ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE Jerry O'Rear/LYNDA ci�lpV94, Fort Co I I i ns, CO 80522 ACORD 25 (2001108) ©ACORD CORPORATION 11988