HomeMy WebLinkAbout150-10 RESOLUTIONSep 22 2010 5:11PM DRC Construction
09/22/2010 14:56 4797560177
ACL,r CERTIFICATE
PROOUGER
479-451-9636
JBIAGENCYINC
page 2
PAGE 01
OF LIABILITY INSURANCE 46/ er s«124 0
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
ONLY AND
THIS CER CERTIFICATE GOES NOT OAMEND, EXTEND OR
ALTER THE C0VERAGLA,FORDED BY THE POLICES BELOW.
JOE DROWN INSURANCE AGENCY, INC.
1177 West Sunsdt #4
Springdale, AR 72764
(479) 756-6799
INSURE°
INSURERS AFFORDING COVERAGE
RO INSON DANNY
DANNY ROBINSON CONSTRUCTION,LLC
14965 WILKERSON RD
GA -YIELD, AR 72732
1479-451--0133
COVERAGES
It+BURBR A: TRAVLER8 NCC=
NAIC/1
MIRE* B, WESTERN HERITAGE
INSURER G PROOBJSSZVE
INSURER D; 00KtpH
INSURER E:
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDASOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS C EHTWICATE MAY BE ISSUED OR
MAY PERTAIN. THE INSURANCE AFFORD D BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES. AGGREGATE LNAITS SHOWN MAY HAV! BEEN REDUCED SYPAID CLAIMS.
1N11t Iii
tf �Te u . l
Lm Mae
TYPED, EISURANCE
GENERAL LIABILITY
RCOMMCRCIALGENLRAL (Minor
CLAIMEMAOE Li occIJA
GEHL AGGREGATE LIMIT APPLIES PER;
It1POLICY(uj4PpnLAC
POLICY NUNaDR
=SW1.111E1109
fiLLUTOMOBILE LMBILITY
ANYAIETD
ALL OwNED AUTOS
SCHEOULEOAUTOS
HIREOAUTOs
NON.ONSDAUTOS
GARASE LIABILITY
ANYAUTO
A
EXCESSIUMBRELLA LIABILITY
+ OCCUR C' CLAIMBMAOE
DEDUCTIBLE
RETENTION $
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
ANY PTD,RRTOR9ARTNERIF.KL'CIAIVE
teftncER/TFIMEEER G ?
xu DI
IIL
3PECIALPR0VI IS °INS Wow
OTHER
D PROPERTY/3•R.
05481712
AIWA
LIMITS
09/22/10
09/22/11
06/28/10
EACH OCCVRRENCE $ 000 000
MI'8S true oEeVLE1es) s 100 , 900
MEC EXP( (INNNS% E 5.000
1.000,000
2,000,000
PRODUCTS-COMPIOPAGO $ 2.000,000
PERSONAL1ADV/NJURY
GENERAL AGGREGATE
8
06/25/11
COMNNEO SINGLE LIMIT
IEEEontlrM)
$ 1,000,0-0;1
BDDILyINJURY
IPE poncA)
$ODILY INJURY
(PErwe$ent)
PROPERTY DAMAGE
(PereosusnII
AUTO ONLY. EA ACCIDENT
OTHER THAN
AUTOONLY:
$AACC
EACH OCCURRENCE
AGG
1
1
AGGREGATE
i
F
6XUB-98711409- 8-10
HR69083667
00/16--10
12/03/09
08/06/x1
.x. I T C VTI IIT- r".
EA., EACH ACCIDENT
s 100,000
EL, DISEASE • 6A EMPLOYEE
E.L. DISEASE- POLICYLIMIT
100,000
a
500.000
12/03/10
$627,000 - 81000 DSD.
DESCRIPTION OF OPERATIONS) LOCATIONS /VEHICLES t EXCLUSIONSA0DfD EY ENDORSEMENT /Boom PROVISION&
JOB-W!L8ON PARR TRAIL RENOVATION AND LIGHTING
CERTIFICATE HOLDER
CANCELLATION
CITY OF FAYETTEVILLE.
113 Ili . MOUNTAIN ROAD
FAXETTEVILLE, AR. 72701
FAX 575-8257
ATTENTION: ANDREA FORN
1GORD2S(2001108)
BHOVI,O AMY OF THE AE DYE DESCRIBE!) POLICIES BO CANCELLED SEFORE THE EXPIRATION
DATE THEREOF, TME ISSUING INSURE WILL ENOEAVOR TO MNL 30 DAYS WRITTEN
NOTICE TO THE CERTIFICATE HOLOEiR NAMED TD THE LEFT, BUT XAILURE TO DO ED SHALL,
IMPOSE NO OBLIGATION OR LIABILITY OF ANY KM UPON THE INSURER. ME AGENTS OR
REPRESENTATIVES.
AUTHORIZED REPRESENTATIVElgoe,
Per 11$0114,4414111001,..,
DACORD CORPORATION iSSE
RECEIVED
SEP 2 3 2010
BY.