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Home My WebLink About1983-1986 tW „ C ~~tYf 11 1, I ( I ril,.t t I l 11 5I It lI ' X11 _,t ~ f i~ 'U eerF ! ; r, r 'r' t r t _ I t r ~ ' 41~,~ .i i .r ~E f(• i{ r t!^~i I" ~ ' ~ , ~ (r r 1 I , E 1 t ~,~$/1 t 5~ t 1 , • a P It , ~ n ~I ~{r*'y'{Y 1~1, yP- ~ l it ~ 1~ tt kl,h 'i y ~ !f Ij 5 ~{l rt r A ~ 1 ~ 1~~1+~ a f r lilt i it ~ i r 1 OV C- i~f C{ a,~ip y, E ~G i § t f I ~V+`Ld'~lrit4li~i tr'17eiR\~ `,1 11 ri}tr r „dGN>~.w.~ yyff, ! 4 I f t 1~3 q~ ~ rq L'ttltit ~ , 4 i ~ 1 ' 15 11 1 1 + 1 ) t d {r' ~ r rf . ]ill({Uat, ld, l9$$ E~~ll6lJ41 r r t{~) ~t 7t rt , , t rr I I 4• [ 1 r , tli li" • A u 1{!~ t Ily ' 1 i Toi ;hiof of Poliao ir,frr i Stl City of Uantony 'foxaa I ? 11 1 ~t I'rotnl Cdl+ard C, Cool< I1 d" 1 1 r I'~VIIII 1l' Cr`r 1 t , L a Fr)~~yk DfIr1 ExaalltlVO Iritnaslnu SufVLoe I rl v+Sit': Rot ComoYtAnou with Donton City Codr" Soction 26-4G ° y'r ' I t ' }1 1 n 1976 CadFlliu NIV # U23S6g190253 S'~k, ~t ' 1 , IE, it IrJ,1) It I180Hllaa No, 978 f)Lfi ''hXAB i {Sil` V `1 i4r ,f I ; z,:rl i ~ 'r 1 .I TIAS ie to Cuetify I,hnt tho nbovo mantianod Vehtdlo IIAas ' t I I 1 f'.. +tl r ),'1,, y , , It r r L11) s ~~t ! Cl] 6oon peoparly inllpaotdd ax eOqullrod by tlln latra of Tuxna tjpss., t] ~ f , 1 1 [2] The 11ahiltty intaurnnc~ r0quir0d uruiut• soot ion 26-h5 of cho Poston City Coda 18 to full forac and offoot, Coo 1~ „ I hY AttAahad], i11 CS] Thu 1'ixud plaza of blainoss foe lxooutive ldiooainc SOt`Viaa is 11 r 2100 Fairfax, ilontonp Tnxae, 76205, phono I'M] 565-0686, " r to t; V Ji d'u )r f Edward 1. 000 y~cPl iI c IIU({h Lynch a, F~t1I 'J `yl 9 , "q 4 "ti 4 DIPtta L' r 1 . { Chtof of Poltoo j lxaoutivo Limoalho Sarvio0 s ~''y a ' r sr r lr~{Fh 1'' Roston, 'faXae t , S I I~A 11i~5 , 1~I1 1 Y a trl C. r tfy r}i tt~" t to Yt ~Iap, , t .lYi ( Ertr~j,I ~i " ~ 1 , t 2h a , ,I _ ~'r 1 Hof r: i jri i ~ ~Iry V ri. Il ii I I 1? 1 T ~~yi i 1`.r~t rrlrl. , iti Jrlf t~i . F' tt r a . ; ,~.1 41 I ~ Iu~{ I ~7 t _ r 9 ~~f)~r, ' I . rrfl tl{ l'I~'e 444 ~ P f, l ' 1 v 1 I r 1 11( , 1 l .L 'C}sY t i i; r d 1 M2 t f~ I~ i f , 1 t I i c t 1~'t . L I 4 1 1f r ~ 4lco~a, I I ` I ` , 1 :I : r - 1 1 " 1 I,. 1 IfARII AND Aupli(SS UI AMN^V ' t , r' COMPANIES AFFORDING COVERAGES 707 FirOt btNtt Bun1e Aldcf 1 't'I"" ri s c!awor 1 nontonA Tx 76201 14 Y _ t1n41U tx I fr` rune V C 'fit 11 _ Edward C0014 Fixeautiva ~,i1nb+;ainY3 fJfatviclp iTl Ii D 121100, RrAirfoA L % 1.()MnAr1Y 1 lY!XntS~ 1 + ihdl II(IOSC mt70~Q This Is vitervir urantOlTN:I Cltwllard FMnnllA`M t01Hp IrISUIM ntr PdelJCnoend Oro in la[an(n al0 h a fll {hl lwdnal p_ 6 bJ ul II a P thSla {:pIrygY1 Vl 5 - - - #-t I < Olbny (aIUdR Ol olllor 7p(UInPnL Kllh l/! I onhlch lh, A _ rgO9SCn LK ny v, Is lr ll It all lhv . , M•R l a sort I 9u mixy L e nlUCA Or n ay pm to u, tl'.tr in! It~ I ( I PrtI I! f: Ljetl It all Ih I L JM ANY nd <MdltWll! 61 Suph Ight oA I. , 1 I\ I fanonH I VI ~6 r rr Orl.. IulilrprJrPirr I~ucY Lri7~s 011Ieh1111ylii rrliuiends~00Q(._..T_ l I Ifl (n Uf.NC 1 i.ilf A vurerl .a 1 .1 IiA1L IAl31LITV (5 uNalinl 1 (Id 11111 I (11111 L Y ill Al l1i - •A~{ / (L V( :11'hl I f 1 f ' In ' I 11 Ilr{lAlS [5 <;111 ul: 45 V• l I w hl. 0 liOr Pldvllu rOLRIA(Ir ( 1 ' r\ , 11 F I. 11 `i : IIA(f!s Will ulk l : (I~ 1 .j 11 I g _ li'I' ( I {I °J• I LI UNCIINIINIIRIG A,1{J Il'u A •ID I - II ~ i..1 NpIPo S'CI)M IrfU ( , R t : ~ t I OPI If AI RING IIR/AfIP lulUllY d 1_JWNIIIMIM Insoil"93 i i rc IgIYIIAIAAriI: 1 rF 1_~ Rn(OIA'A1i11M IIN1hIN1y 1 r ,c 111`6 'I AA tf 4lJ Jlifr Ic r4 r rI~-.y1l ❑RI I I' loo li l (OIA liA1,10115 11POP01 MAJOR, n" all u AVTOMO111LT LMiI u N, 1 15 IU#Y % pum a l(r)IItY ( f . i#t I:O{III Y III Ilir v I" felt/ rHUnlfilvl ml_.. I II ~ IN xuIIIr II 110~P~ i, { 1 r 711,1, r VMNIII ( . 81. 1/••4~ IIA(IAl f.lb~,ll, 30000 1. •,r' ',1 ' ,1. L.i ulnp I•I It I I NI I nAl1Ag1 sQ:",p' .'4. I f s r 1 .1 NOR GiVit ti Irill I \ V Ar11, Alm I lh y ' I+ I {.\1(1!11 If MI J 1 ~L 1 1 1. 1 EMQEA LIhdILITY Ir ~ R i.Nhn01. I' rr Uul rut ll 14r ANb J I r L,1 IINbBf IIA AlM II 'I Jill nU Lnn IAIIAIy 1 1 I IA r~ IIIIIIArrh .'III(IIA I'- . s (0151 1 II JI R LL WORMERS COMPLrtsnnoN ,'0 and EMPLOYEFIS' HAMCITY IJI t _A.:I Irr ' 1 bt SL'hl l`i lOn n( 01'[IL1iIV(IR46:MION SrytI{1(•,(.Is if a St rl,:, '.1 I Cnncolleflunl Should n ny of Ilia u l,o vo de9t l ibprl pohc'ie; he ((fhc ellcd 6R+fma the rglll lil l dilly Ihe(eal, lilt. 11suing toll!- - f puny will omfeavor In (IIAI! _1- dAya wrIIt in noire Io III!. helnv Ian ell "11111ca 10 Ilal(II,t nmdl ouch 11011tu Shall ltllpoeo nn abil(;nllun or 11.11olityof .illy Wild upL I lhr sdrnpahy, hul I611u1n to Fv i, II AW AND 1,0Ulit 55011 r p t IF Ali 11... orn City Attorney oeu ly, City of Denton 11~ +r, ~ Mgriioipul B1dy. MaflinnEly , } t Don ton Tx 76701 I y AIJI{IHM(„ IIrIgIr S((1rAIrYl 1r Polls J5 (I-/?) I f I IH h 1 ~ II + t ' llr: 1 l 1 I I , I~. I. fl I I ' ciTY OF DENTOel'y j h1rH.!I;rr~nt.. uu~t-u~r10 t>[ r,ION, rt:xns I NUMM h nAt nunnesti ",i 1 ('~C ~ t ~ ~ n L C1 +_Y SG IIVILF l~ . nln,fiE ss ~y L l l(~c1 ! l1_ 2~~J (1TILIrY Ul PO511 f.Oflr. IE11MI rS IUUV; TAP - BIac111Yn101 tinp, COURT NIIJ 1Vlpipb-~E lacl ~Na4 r c-,_ \\4L~ y 4Qr n~t~ J 1 I..._ I KLCI'71115 IIY.Cfi ~.i{jl}L„q(M.OI PA YMI tVf ANt)OE I'091T f r'J I to 0 7 oI;M In-1 CITY OR IIw;riETON MUNICIPAL BUILDING DENTON, TEXAS l f~ NUMBC _r.__DAT/E NAME r~IS~ d _~CL i trl.. ]~.CY1GL. `//y~+ _ npoRE69 .ffi'CI'Y.~SC.TB T UTILITY DEP091CONP. PERMI TAP El/ct WAIII BenCOURT BUlld. PlumUrlBlwer Ali ..rr1~. ,,.ad: 12 1.-4'[...__ TOTAL .Is..~ 88EP TII19 RECEIPT POII PIMP OF PAVOW AND DEPOSIT 48`1729 ; rOll Al 14-1 - IMP. Eov l❑ ay 414 l 11,P y, t=} Its . S I1]]1rI f 1 1 t " Ir t ~ I I' ' r, 1 o y: .ta Leo , I s,~ t r I It - u y i nhldel Nu- I.~ " Y . , L A ,I y it I .F f li t I E AaV Anu0.16501 Aor;45 COMPANY ti r ti Ellod , T e tl4 Ga. D ! S,LA .W-73-- r} "arurbrou h Pledlin & Aesoal Ilf ni •y ,ro l"4 5:i10 11arvain Hill Rd, nR1uYl I e l~ ~9 lv } I l Nonn oirI) 19 ....0 a, ! ) suDalitaIo s 11.5 Ax1 L11 10r i its b1 [XI 1 ( Is, 7.12.1U ( Nits bin q dm III Ir u Ip uxluul cuvnga ill Iho Yhuve 1101,1011 vc, I!) mled tulle a „m, of ieJ Eel. y t i>\I IiA lA4.Akli AlAilili(i Af UpLSh UI iNr„ifu(i _ _ y Vanerlplmn of OpernlloMVefrlcleal Properly 1 , ~ ~ , , ' Dan WO 1983 Cadillac Limo ,t dba 8outhertl Image ID! 3977 201 0. 911n "kit Ai lyr t' r also hirod fe uuknuwn Vehtalea 1 i ~ t 1 Eolnt I ll I I I r Type and Locallon al I mpmly cm arapel Pi ful lilt Aml ol tnouralme tied _ I r3 t 1~1i I ~ ~ ~~r r ~4t1,, `I 1r _ ps 9j l 1, ~ , l ir' Ili ..o e ( t}u l's t II I '1, r tr 1 1 1 I 91 I L- -k Irj`r ' Llnula ul Llahlllly ,I t'I t ~ ~ ( ~L Type o l l nsurnnro Cuvmn(laWniona tech Oecurmnco AVyleunle I E 1 nCnallulodifi Flml n0,h1Y 1101W y ; t rr , , t Culllhlalffirt IFPC , 1'~tl, I' I A ~ PlanllaanfOpnm GbUn ~1 I ! ' , ~tS't ~ ~ I I PrnUUR18 H:oumI0lRd OperntlRpa Pb~pnIlY Ilnetapn 3 S ~ , i,i` 1' ' I Guulmclual nOlfily hliury A r ' t r I s + I Y I Ullim (1p,ciry tlolUW) Wopcgy Unlrlo9e V $ ' Moll.Pny s S I~~ Cornblitud 141 A ' 4' j-I!nlsGnel lltplly E ~.Yt f..~ 6 ( Ili lI on d Injury S ` (1 lr l~t mllS ) Ol Lill f l I 14, + IA I X1 I, RIIII IIy IN IJUIbOY7rirbl I]U Itltnd BUtlllY klplly i T100300t00 ~4V 0 1} r I 'I (,mil unBanalvc (7rdu(,Ilblu S nuduy tnplly n.l dl hcuulRUll I 1 M tU1 RIUl1 TJRdlICIUIR S 500100 - ft y 5 r ` GOI i frlodll Jd Paymonla f f'rullnlly blmn(ju S 509000 ) I UnWSUmd MWUrlbl S ' t No Paull laporlly): Bodily Illlpry.; Pmpelly Uainill/p r Olb,t Is Dell y conwmnd 3 p y lAW; 500,00 i + I_) WOPKE[I, 40611 LN 8AT IUN~ ~L'1lulor EinlHs t:poylly nl~ln: L N1111 I 1; I„ LIA1111NY Unel ,5,„~_~•~ " y bl In v.') I 3Y f - z , SI'fiCIAL CONtIITI0kS10T116R COVL'IUUE9 r ( f I 4 NAVI nlmovillnaa Or 401WAijrr rlg4ndrLL I P'ILN IN$UrII4) r, k ' l i9Ap nullllt,l~ I , rti y1F Ir,' ,lii IA tlhn „ IIt r url dlivr Iraln 3t ' t i AC(1HI1 ]S I11l/rQ [ t l ' )4l , I r~ I~r ` Ail ,S td .r _1 .a I ' lY t 1 r 1 1 I' I r r11 I 1• {I I~t s, i 1 , .r vi; t •..r, r r r r' , . / Ul Mlrfl Np c Of r r n6N1 n Nn 4001,1,11 o. A l11NG1 COM MANY [J ~kcllJ.n, Scarborough slid Associates Nalioual llxle uiity cmiliaJly Policy qt-1 2G2373 ('tte(irro 12101 an. 11Y'191ti85- ' ErPlm LK i20J am ~._l fJuaa 011.2.+` G... " I,] lhls 6indr+r I' I,hnr,9 1 Ocild roverngc In the 'ibOYQ nltlnpd ~ Cirnp 1,,y Utlr n;lnnn~ Unll!;y ~ i ae as IeJ I'-1Bn- - f)osttl Iton al C7 atellan!'YoftlclosJf4rpm1Y b1iiI PNV,,im,IFCAppnr S•uf PlnDrdn N p Southord Image 1983 Cadillac URM 201 South Ehn 114 3977 I)EnCuii, Toxaa 76201 1r ;r! Ulm I 1YPn and Lacnllon pl 11wimriy CevornUorPerlldl4'orms Aml of Insuinn0p IJOd i I'1' ltkJ .r- t it 0 rr. f T I` Y o I f` Curnrp olfhrm5 LlndU Ol Linb1111Y rr i. ro a o of luyurn nro U k'nclc Occuupnco ShUU U I,,,,,-,~ Tv1, v v 5 110116 bill, S I [ ~ flWlndulOA I onn eluprobnnswll will cl n 1runino910Iunnllpns r r ~ . U PfalrnllY Uluudrµ. $ ' k [ ~ Product alumgil010U Uneugl<Inu + Uutllly b,(ury A t i ~ Curti roctUnl . Y (1lhm (npoclly uolow) Prod! 1,y IYVn;IUn i S r r' Y ombinad [ Mucl. Pay 5 ter 1 r I,'~ S n uir; i 1.9 i! ~,.~C4 Par4vrullnlury S f?ersnl>_nl - Llmifn of tlnbllllY r' •.L Nun awned ~ IUrai BODY 1nptty p 6l h l ulr,o'u :100,060 i! A Llab 1111y f,t y~~p Kumagai 500.06 tl)tlii InJwy (l ur h h ridonl) 5366 000. rh ' ' U IN:BM I17Iro 1 [xl 1....._ •1 M ~x~ L'olllniun'nnducllbltl S _ - 560.00 hrupelly nani ulo 50 6UD c a 0 ! ~ Mod1001 Pnymonis U [ Unb,surod Mwor1A y bnunUu n Ill , Faulk 14=11y1 ' ltudny Injury A ' c No - f WOnKENS' (%UMf4.N(AIIUN - SL,lulory Limits tapenVry -t dr hnl o,41 I IJIJ JYl l13'tIA(Ut IIY Llnllt 1 s;ri.anZ i nFiokil aNSI i'r+il.n tovrnnur b !4,N b n VII II "•'ul ll6rtlaAUni uwS PhitE t Atl 1 rycltlI l! (Un4'MY11W - •I tJ~~CGG: r 12/04/8 (~pnrNaln ufh tl6nhrr~171 [uli!.nlalln Bali. - AI rfnU 7611 irYr 1 ' , ; y e. r v h r r - # CAI tip 5[~ i J Ill r ~4 r ?I 'r µY+WrM,•ww~~+++~rww+h•+ti+W.r-.~~.wr~N _ ~~4 d Ali I 11 Ix Alit ' I ' !r r ' I' 13 11 t i „t4'a.4 nxw,.W.rwa..msww.rcxrk.v4w:w.r~fhY,vYd+W~ o~rnl,. 5t ..1 ' t a#14 f ! r IJ r I .~r rir y,, f 4 r i ~,rj 1u , ~ ii.\ r ~ f t ! te,.F~t:r\ r + !gilt#Ve i 4 J 1 1 .17 It~~~rt ~ ~ li zf~l i + ?111 55 4 jj~ i r I;h l,,, i 5f S1 ~II,l~r f s-~Vr 'j" i 0641 ~tr t)+iy r r , 1, t~FrV i' , +L! l i +t~ sl 1 I 4i x S ! \~r . t r r •ill.'., y3 + [ rr1 r t 1 ~~Isi I .t 'r S d ter ''r i 11+, 1; r r 1 f• ! r 4 i; rYli S## , r rari~~(i d ihu'rcuulpirlyllidt' llIr,ind)s) 01 ia'urnlr( I~p!d rilUun ti!#ianyr+ Ili. 1'h11: intiur VlCL L. SUIT~CC.t j ~,1 , yll ll (t1 Akio tor#Ils, conditlons Nhd tlualahorn of the puliuy(tws) In torrent w;,! by IN, (,(m#pioy, ~yli{~ l t f: } n~ i, #!t { r; ,i, tins binder rmly be <untellnd by In! hv;urwl by mlltendcr of thl., bu!ttt'r ur by ltoil i'olico t0IIIo rl, (;U 1111m Fly iti t all Clhrn tgnr tf'1II I Pill i1e r (tur,I IVt 1 II u IlfnI I" Irl++/ II r..IIIC i III by i11(l Cuwp,l Fly + It y#i i R by r#olll,o lo the lomnau In Ill l(Ur117nCC +Ydb tiro polv,y I urHhpn v; Ilay beid(r r. umiceill d YJItell I ~,tlrr +fir: ~ wtIAQ4f by a p011(y II Idly lilttiL( i, tilt H-pI lcQd by it Irjhry, the Cunyr my PI nnlled It) ch,u[1t: a ylry, ' % p7u!rGun# lot Del bim ul arcnn u!p to Ihn Rine, :+ud ltah ; pl IISP by Ilia CutgtenY F is Till , i ln'i '1~ tilt ~ 1 l is V~1' t % P { t v t ~ I ,III t~ t)# r }1 tXraV r L.. I5i li'~yl~ t~~.~ t` r'r •~";t IT t fr 1~'t~ a( r~# ~~~f~Ch ikrM1A'rn>a. t rrr5 r 4(r } I I *1 I { t r tr.l , r, : r 1§! 51 t rf~li ~ + i. ~1 1 i jj"? $ r ~ - >,rlaarrirrr 1~ y ,,1 TTT'i. ' lI w ' r I, I .71 AXIS 11V r rrn} fl •1 %!Lr& 1A iirVx C J~Illi y1~ _ t } _ , ~y tl I *~n[ l~~i + r +i i + r ' )Irr37 9`, r rtrP iziV',~0.V:i3a+azY~t.i~t FdTM~1+k&CVrtWh~F7~jU%tF1f{i~j?Y,44'~'lfSYa;,?~~{'yWt'~+dA1S}R%~Vllk~rtuni5~~1 1? .u.~.w...niaLrA~w.r.Aia~€~~'/+M~Y~i r{, i I ~ xI y ; , 9Ntt ~ t',, ,f' rt t y ,y p y ~ $r 1 p t VAS ~l~yt .r 1, I ril{' s Expires December 31, 19$5 Date er t ll iYl ft ~r+l , j No.v 25-!P -3 f CITY OF DENT4N 9r V1, 1 21, TAXICAB, LIMOSINE, SHUTTLE LICCWS9 r~it KNOW ALL MEN BY THESE PRESENTSi it . Lti+i THATsTed Hr.Yy.d~aa DHA Bluebird Tr )ever ta, 19 hereby licensed, for the period" Feted era n o o era e a taxicab, 1imosine, Y :1't' ,4,'' I!,t l;,• V, or ahuttIs service, as defi nod by and in accordance with t VR~ J Dantone Ijy ocabed teat Zs95bf s sh~end C koat o a o odananoes? the Gi ty of bi+b p` 1 l in the _ City of Debi, Texas, upon the axpresr, t an condition that sold licensee shall continue to comply u t all ardinancoa of this city and laws oP the state application to f, !t+,~kjt rfiw" said ownership and operation. p YED Y O [ OF PO Y i/~~. _ Data ~Ifytri rs / ~I of ii k ttl + i'. IN NITNES WH 0 , I hav ,iersUnto set nay hand this ~ Itl, jt day of 19 and caused these pros s fi+i;;+ + sealed., w e o off al sea of the ,i 1 ~i I i t III r to y ac etary wall City of Denton, Texas 1 jY~'rl,` ' ' ,11 s, sr ; 1 01 hi,l I" it ''~3 t{~1) , 1 t NOTES Thi1s license is re uirod to be posted and kept in someR 1a" { ,conspicuous place Qn the Vehicle. 1.1;1 lh + 11230 a 1Y~t,b.+i 4 L y ~i;.T~ r .~S 5M, tl y , J. AA I ~~Jj y, + 1 s r see 5{c$ }S~r~ I , I, ,Ij 1i' y I t ~~~,~yr,li I •f TL o EF >it~~lt t 3 , t r 'k l 14 '0 4 ~t ;,jt 1. i.1y ' r SVVp`nrl V~ ,,'r 1 ~ r~' p ~ r`• t ~ I n'+iua el5'+ rf" `P"'" rh v v frrh t,~lta/Vr( t t , y {5 jt+t 1 ! r' M1.,ry.~ril'r. Y 'Vh:Ny111 y, '~~1 'r I+ t 'ant~?1(WJ,f}94~tdVl'+,X54'}iKl4.Y1tt3iYP~'t~iti'E3MlFaf3llN4blt1Kfr31NpA~~i~PA\W111~~lEJV Leif[! 1 r J r 1 i y 1 fF t!i bf • ' , Binds, No t r y r r l r r ~ r~ r r AANICArm ACbn[LSOFAO nem v"O hIPANY ] Mike Otaaton Wuraaae Agency Allied Oeaeral Aaeaey ?to• BOX l58 EIICCI{YO `m Cedar Hill„ Yle=ae T3104 uxjb;(ns 12.01 am 7 12-85 LITl is binder Is IfIll to extend covolapo In Ilto above named camPany Par oaptrino policy X '.A If MJD NaILINp AOanCbs al'LSUtte '..~«.-___-__'T~' a <to, 11 ~o1i-6<ZOn,, Oeeotlp4on o Op~allonl s,>~ laleirprapeily Ted Aryda DU Pluebird Transportation 198N Dord CIO Yaw XM 15 paesnnger 7DOMY 1956 H Shag Hi Addfl, Ineured 1984 Ford Olub Wagon Yea 15 passenger XD12604 wtorda vi, 76o21 %We Names Jr. 1.965 Dodge Run Van IV#1907 EM 9l-14-85 1 2209 Ban Antonio g.11i_py t 1 y irk Typa and Locallon of FroperlY CoyeragalpernLlPornu And of Insurance bud. C°x' v ~ aA..ili t' ~r~ 1 err ti' , ) y t, N1- 7 + .i li 1 y i Type of Inauranoo CaveragelForrns unille of Lleblllly ~Y , L ~._._.__.._r._~. EabhObburranoe Aggregate , I 11 " 11 lJ $Cllo ulod Forrn Comprehensive Porn, flodilY Inlcly S S h t ; , ~4r t, 1 Prorn sesioporaifono + , •,i ik Produollb Oomplolod 0paraI lone the p o rl y Be In a 11 a S { Conlreelosl Dodlly InJury I T Oliio+ (sPoblly Uolow) Piri Damage $ S a t'; I~ Mad, Fey. S Pit, 5 oa ComUlnod ,;Ir,. _~pbraorlal lh vf. li__ld_l3___~~Sc a }tll Limits 61 Llablrlly )t 1' ,1e 1+ 1, A LIebIII Y ❑ NomOwnod 61J Hired Bodily InJury (C acb Person) i----~_ 0 comprahonStYa.naduaubte s 0 250.00 Bodily Injury (6sth AcCidonl) S f' M I Comslomnbducublo s 500.00 ' OB _ Medical Paynionle S ProPaty Damage 1 UAInsurad Molodr,t No Fault spocily): E Bodily Injury & propolly Uahleoe rAi, J_ ❑ OlhorlepbcHy). Combinod s500r000, r( r. : ❑ WORHSRSI -,OMPCNSATION Slalulory Llillitb lep9nlfy Miles below) EMPLOYEIIS' LIABILITY Llmll S ' { SPECIAL CONDITION810THER COVEAAnEB - 141 A no Anon Lf§nf W Mpnto AOt[ ❑ Lo55 PAY[i ~i Asa uN[unro 1. a , r% DYW Airport LOAN IIU l11 n-- City of Dallas City of Dort Worth city of Denton ii'a olonnlu,e of AulhcllraJ pePrvsanreilve-~~ ate 4 , Yfl1Til7~y~y . I 'y.4COpIl7fil-T!`a~OHt►}lOa-.-.-.._._~___._.r__._._ . ) 1 I t r { ' t II1' (11 I I:RI(IR ~ r MUNICIPAL WILDING DENTON, 1 LXA5 'I ' y 7 € I J NUA11lL Ii lJA Ft±.. Ill r NAME 1r,(1ct ~ l AoDilum1115~1 1 .`eLi~ ltr4 c(( A1717 F1E 55. UYILIYY UCf OSIT GORP I'LNMI19 LOOII TAP EIUCI Wn,m 'rrin. COUIIT EhiAJ Plumb ~F~dcl Wu(gr Sawa, TOTAL ~n t KELP TI 119 NC CC IPT FOII PACID P 0F PA YM@N7 AN0 bE 11 O51I IMFUNU, 477541 II111M I41- R['Cf IVf:614Y~ - ' i kkSkA~w-. e,te:.xk,.eNJy i A~ . `?.,7t ~d AfklWrt'ro.i3?,re74 q,r..r.trxwan~^,. r~ i i I I r' ~I r~ Ct'1'1' 01' UfsIV'f 1►N h'IUNICIPAL BU1l.WNU OUNTON, TI:XA3 ( I 1 lC NAME, 1J/ 1..~ AUUIlESE 1 i,OUP MP l1Tl UTY UEf Ulllf CURp IEIIMITS kluct~Watl?i} an ~ CUUIIT.f~ILil41 ~ilualb ~Etecl,~Wa1w~ Stlwor I1-._LJ.(~5f 1- TOTAL KEEP THIS (1E CUNT FUII PIIUUf UP PAYMENT ANU I7 F.PU511' 1 t1EFUNU. 477G~1- NFI F:IV4.U HY ~ save ,in'1„`.;nn?3F~l i13 L~ ~~1 i 1 s, t 11L "I w~~yf \ ; , ,r r , 4 i S ,t, , .1 t 1 1 x 1 } [ f Ftlt °rjtz,rt , ~~z( „\Y aJAf~1~18~b#~tkl6klklftMBt~Yfa:KMM.tiwaaam5.au..:...1.,.,1,~ :2_..ar ..ax.c..`~~ultf.~i.`+~.~31G,~r...ar.f,.~rXU.D..:,4.~~Li>~+~t Y1J1 t , t ' a~ ♦ Fl;r , n l ii t t h.ju t , 1~>~' 'p kq 1 ]f g LEGAL nc MUM 0) MUM tgFtt r ,tSKt$$r tier I. , ~ t 4 vri,jy, Debra Adaml Dr6iyov4cet, Clcy Attorney jat L6 a~ tr, r7oe D. Morris+ Aaslscanc Clcy Actorna ~ y Asslacanc Cia AttornA EY 'GI1 4 $ tr,v k~ i~t tr, Robert H Hunter, ;j , . v y f rtF~~GEti ~F.~1...~. }t V~~I ~\I ` ~`rr.~n ~ ~ it I \Il Ai ~ L 4K 51 TOI Charlotte A11er1+ City secretary FROMi Etobert B, Hunter, Assistant City Attorney Rat ~y X1 DATES octobor 4, 1905 ILI' SUHt1RCT: Tad Bryda, d/b/a Bluebird TranaportaLion L, I 54 ,{nt , ftir , 1 'N L . 1 r~ ~f 1 S r' J =y v},j„~~I~~ " This memOtandum is to confirm, in writing$ my earlier opinion to ;,air yr you that the policy of insurance issued to the above-reforenoed i°t~t 1 applioant• complies with Section 26-45 of the Code of Ordinances of 'fat ,•I the City of Denton, Texan, Although thh certificate of Insurance b3 l\9,0 has atamped ther0un that t:, a ineuranoo oon':Caot is with an f~{;1ttr"`' , ' insurer, (Lloyds of London?, not licensed to transact insurance in S~Y~ !4 v~, t i this estate, the ordinance merely requires that the insnrance company be duly authorized to do business in the State Of Manr '~.;y~~~v; 1 ' Article 1.140-2 of th,a Texas insurance code authorizes insurance R+ j' coin an'`es not liconsod in thin state to write aurplus lines ,t~y,;~,<< oov~naget A1eo, pleatio be advised that Mr r Br,yda, at my request, ii'I 5R laid Uho insurance company add the City of Denton as an additional; ~1ZFF ,I:S insured to the poJ.icyr { t } t S, rat, i.' Should you reyui.rc anything further, please advise, 9~}+s'~„'t1 t r Ak" Q1 I + r ' A013 MIT Ear Ii NTER LA, 'st w r kli:,~d`; t r,t • I CONCUit WIT13 '1'HG FORCGOIN(i: fet~(44 1 , 'pis r rl . DR YOVITC HP F~ i t 1 rr.,a t r 1, 't , t~ 1~! l i t 1 , 4(i~, ,+,r lrt~~f~+dr tr' f'i 1 ,I' f , ;tt err 'S ' i , I ~ , 1-L F r~~~yyj4J N,r„ ltr ltYy it tt Ir 'i ' I I S' i.j. fq , It l I i t t itr 4, r 7 .,r, ` i f 1 Ji 1 7 r7 a v~',t ' • { t ~p~ rlt, yl~ll rl 1 ~ r ~PRet 'YtNS V7v1$~ITF~1"' :/t`$"`EX''nti e~ , r , 1~#,tf11 rf d( ' ' fi +A,+ 1 Ihly e.,~Va ly ec eYt4Yd4 fyhtM }'`Ti'1 r ti ti `.+Ilv ~r h)I` r r b 11 1 11 ~ 1}y 7 r r y c j o ° , Ir I AF s 1 i ly 1 1 a',t` J r tl~ nnlddr u. Ss ~I~ y I ! e k, I I v ~ i .I ~1 r I 11 ` tr 1 7 Y x./11- . , r , , , , (t , r' r r;J,7~~~1 E.:.' t + }LI -klLMMAunrss ADEN COMPANY ` I Anted General, Agen0Y dike EBtanton lneuranoo A80110Y e jr. 1,,01 Box 150 ' Cedar Bill. Texas 751011 k2.05 „ nr, Ck dras 12.01 urn r Oo Id r 1 Irr L~ Two bindor is imod to Axiond 00Yara20 NI Inc Abovo named I • 'r compally pal dApolny policy 0 ` t y Y. r +•MI Ai iMILIN0AD011tdfi Ofy lryeUll[b-u--~- - urtreT yr jl W~,NnI I ,,1 I}',Ij r`; Iieiollplian of OpwallonlVe'hloles/Praperly _ f(jd Bryda UDA Bluebird Tranaportatiion :1904 I`'orcl Club Volt XUf 15 Pae sengor TDNHAO7 4ar,3la, 1956 D anady Roet Add'1, insured :1904 Ford Club Wagon Van 15 pasoongor 10#2604 Bedford( Txy 7602:1 Eddie Darnos Jr, 1905 Dodge Raaa Van TDN1907 Eff, 9-111.05 l lI SRIy„ 22Dg Elm Antonio 9.14-06 - u l u', d al lSal "Al tlyt + Type ~And LOUsIlOn 01 FI0p011y COVO f0 OWPO HlO Faggots Am[ nl lnYVrente'lled» Al _ and__..__.______.___..._.______ r r r ' 9r.f r ,j1f.' r 1 } , r ~ r.il7 ( (Ir ' . ,11 f ~=,i I`k 'Irv1' ~ lit nJ _ all I Typo of lnellMnad~ COVeJaOelPamsLimI10 oI LIab1111Y- `v1l~ ' 1 7v - _ _ YeahOoouuence Adpriili t 5' 14" bWja u od Poim LompiaMnelvd Form bodily III luiy (br 1i ~ Pyarnlsonl0pwalione Prod u 0 talCo min III t pd Oporonunb Prop011y Do lnatio ; ; ; ,t `r ` Contractual DoUlly Injury 6 11 ,fir I t 1 Pay, It j' i! .i Y E Mad. ( Sy ba DW) Ak denl Plopolly 1 WL.. Y...~... ~r~t171, ~~.A.-U o,. PUlddllal In u+ Llmlle 01Umbnlly '1 + Iti'u II. r' n lY Llnblll(Y ❑ Nomuwnad ~XI flood OuU11Y InImy l Cacn PoreonI $ { d, S`o r IXCu+np(ollonalvaf)odd0llulo S 12150 100 bodily ln141y10a0nAccWOn11 It (y J, . 7 Cpn16anDe deallbfa 3 - ' - - ~p ,y, la I 500,00 I, tj Medical PAylllonl9 { !>ropolly UOmOIJa $ s y~ A I .l Urdnswod Molollel 3 ---...._.__..._.~___.~._.W......._.....~ `y'All 6 o vti~: 1. ly A,' „i , L r.', No POUR IepOadyl: noddy Injury S I+roparly DnnIn00 ,j r ' E 0 tI101 (opvolfyy C011lbl nad t~ $500y000, rr TI W011WIS COMPENSATION. Sloluory Llmlle Pipcolly ululuu Uvtowl EMPt.OY11(19' LIAUIIiiY Ltr it $ ,Pl'.GIAt CONOIYION810TNL(I COVk HA0 E8 ~t J.. t 1 , F . t F L't t rry~ t tA, Olt Arl AUMUS9M ,J Monrot tt IMI 'Y(E ApUlI1SV NI,U Yt , F , ` ~4i Fyfd DP`W Airport _ IUAN nurndrn F. I City of Da13.as hrt~ja;4 City of Fort Worth ! City of 1)in 1,Jr , }Isl', Sly, / r/tJ 4r r ,t r II , - r, 6,onelueu c r Aulnol ltad lie pre s a,llaUvo 8Itl f! t'i, , t. i Dluobir4-.Tv sportati.oa d1+' r ,ou lien l1 e5 IL4{,' .tl L,"3 t syeFl .ui~a~!.~Yi2 ~i1' ..tee),- f 1 +,~'~f~tli " •,SE1 d~H».~a(Si_~'~:. it .I. , i. lll t+ I ~ 1 Ali' ~~Il,il ,r A ' r, Sty J r 1 , , r l , rM{T'd1~Y1 a,, , ~ S, i •t~ y t I t c J1~(1 Af !r, 1' l I, 01 , J3 , ~yy( J 4 n J2♦~l Jr~l I~ a sr, iJ~~ ` / r t♦f} Ll..I L. J! r . r • 4 r y~J~ 1 iISY r'A4 t 1 ~Yf9 V ~`i N,,I r 1 t ! l r i t 7 t 1/, ~}}t{Irt I ' n y. t r \ t t r, 1 l r:, S t SM 11 \ '\l ) A { ! I ' 1 t I fr t llY I , Y rttrri , t [rk 1 r4 ~ (t ~5 \r2 it-i ,Iii ~r ri~tF~~ti j~..jyt it t1t` R ,1 : ,..ySr t t; ttE r - r r it 1f 1 t T rt~t rl~ , 1 J\ X44 kl t, v t vA T - { '4j $~4 t -t Ali'N,~AF17.\WW4Xv1iA~~Wt-915~~ihi4t t~i+r ws;~ . •r. t` 1' i . 1 {kt "t r k ; f 4 ; r I(r511t t°r tri I ','I :.p[ k i tf 11l riikJJtt r fill itj" . 66S ~ Yi L- r i tr, , ~fp} 1 vYjtft + J ~Ilr ik'II N:1.(~rr,l, 191 p f~ ~ ~ 'f r C!t ~Ial ~~t, tti~htM f! t+ ~7 I(~{`#.flf'(~Qi r#' ` r~~rrt ; ~r, r t ~ 7111F~ F } c c} t MOTIONS OTIONS r , u jljjj [4 r i t r ' y lyr~ . qi l `I tt7, r(t ~1~' " r l N~r ~4 1tsl r l Si .lf tiiIr TI1 5 CnrrlpnflY binds Ilia lfind{s} OI InUt1rt11ICn stIIlnlnlCd on tha lovefse sI(lo.Ally insllratica is I Wild T ~~t,~rl i nil I(#~Ii r e 1' to Ilia larms, Conditions Anll In111nIlloos of 1110 IiOwyhubl in ('0110t 4160 by 1110 I'OMP'11lY, r~,1wJ+~1 k{~ ~ yirt9k,.. his binAar may be c+lnCalletlJly 1110 111surud Illy surrondrr of this alnilor or by written nuiice 10 the li "i Ctirnp:lny plillifki; l'Jlfun carlCOllrtllan will he cfler•Nue. Thia bfutlrr way Im CanCOllgd by the COiillfAny z, V7„ <+; , r I1~ by 11Uhr.0 to IIIO In9ur^d In mcmilanrC with (III) policy Colichilm. This Illnflar is cohCailed Whoa , {I~~14j{, 1 ICI 1' I ICph('l'll by A Irolicy. If II$s hlndr+r {s not teplared by n liollty, 1110 coulpClly is anliRcd Id cbmsA A 3j l,lAF' 1 y i piondum (of Ilia bindor occordwo to tile nines and P'llu$ In use by the Oorhpony. t rl 1~ i r i' J j el ` %7770 ! \ 1t 4" it 1'~I,~~t1+il rl~l C~ I M\ \l r I? ri 1 r 1 f V fit, {{r~ k 1 Ir (kt+l I ~ sr l M31 r 1 ItP'+k}r`i~rhl } k ~r I ~i':~~4rJ ff~1 ~ 11„` rlj li„ S '1+,, r,., 5?1Mf ~Yn a '',r yytt 1 , Y# #(~t 1 ~jr~ I~tfl, , r 17 f3fl~`{I(! !l lvlr al;'1 t ,1rJ. ri kx 11, 41 1: `fQ~V+r11s ~1rli(t1 t{1`~IIS 'i kit : r ` I~' , H tllftr ~ : ~#t~r ,•y , + Ari,~tlr l lfY ((fl { k'1}+;.`t '~r k r , r ~1 4 v 1 I,r F~l Ir 1~ ii t"S t E I r t try c u l,f I r, '1 ` l ;rj ~ JJe(~n ~t t i I 'r'~ ~ 1 ' r ri rl~lr kihlFiN1(If!6n, r1tY¢d#~Vi'rt1Yl[~t14`t61klf:ttklKY+u\r°)VR aY t' fr l,~1,'~l#VlNU fv a\VJ!p,t n( W. t+S`:yflA Vt NRrdy. w9 Y<nAtYgegsYrP ny a-grees PR '7 - v+ar, t r '0f~ ` h'YF t.. t j1 I v f it lit V it ~ 51 / t t ' I s 4 ` r ~ tlS 1 ,i~~l+r r r r I , , IV I lbyR ~}ryj11St 1 \ ,1 lt. t Sssr $ r 1 ' r yam` r r r 11' j~;r ! rr ~sl c k lit !1 C r ' ~'I,{ t i t r r`~11 'Iran ,~,1 ~ II' ! t rt 'r } t ~ 1d t4,.. i 1 I 1'rr' i tl 2 r KS1t'f 1 1 i a'~I, K{ 1`j cl~f;r,I rk~t.N, ~tl l+F'~ty•av. '.;r t t 4~ , ~ 131ndcr NV. or I E , E , 1 I!Af srlO Apn PE55 Vt "E'" COMPANY • Allied _generalApenoy t M.tke Stoton Insurance Agenlry E IFECtIrO n I2~ 859 P.O. Boil 150 E(IUtoo xi !?01 un ~ Horn 7 - . d 75104 1111 II r 19 19sUUd o elltld covnwyn 11 Ut ]bU ntln a_ : Cedar dills Texas 1 ! r,omp~ V Um r.nn,nlj 11011iY Y C. , yl t[A!..Lt ~Il IG af,N'ES flr mSUE'.EO `4UBSCrIpilOn 010(IBrd110nf ~0hiCBSf ptOpBrIY Ted Bryda DBA Blwbird Tranoportatiou I 1984 Ford Club Van W 15 paasengtr In1tu07 v' E 1956 B ghady BAat I 1984 Ford Club Wagon 15 Passenger IDN8604 „ 1'r r t y Bedford, T8Xw 76021 t ~ C and Location of pro Pen a (l - C3 Y( Cororag dtPmdsfFOnns Anil ai Insuwnce Dad. - - Ypo a ~ 1 P IF : E ~ f I ~ t Y - - - Lfmllt of L1M7111tY . 1 ' rornr t„11 Fdnr:^. I- E i ' ~ fYPd of In,w anco ( C iWt Vccunencd~ Aggie ~dlo ' ..d l'hµnv 4 I.. 1 A c! Irl4 :JV,a 11 u'S I l 1 I Po.J ucls fo~tq~ICICtI (llf nld lr'-. ~ ttr - _ r~ ~ I i rl IY Inl I11 i T ,I r(Ir C)t.n tq0 ~5 ~'i Y .t, n s r, i a1 ~a:u l , I ~ d lYIn'n iIIn11s M E1JU11 ly I A X 715f 250x00 n 250.00 o ! h, r; .II S0o,000. A'i speolnt rplieinot~slorni!A r,..tl nnrs j S Y PJi'rRi3r: '-'H., : °4^%iaE1W1V CCt';. rp:. r '*.'N+ItinS1'.4M:. f!~~~ ~ i. l x DFW Airport } City of Dulles i City of Trort Worth t tVq) s'((*K r , -..~~'+~(!~?j'~<1PYi>iY ~~fy z=~,~i'~r 1r. s~v,:z dM. '•f• r E. Yft H+ j I ,1~~.~~. rte.. ~,•,-,-~~~,r~}Yr f ' ,~}1'Fr~S r)n`~iNSU41$tN~:l f, S ..,,a axe r. 'ALLIED GENERAL AGENCY, T1VC. i ' { 13714 Uanlma Rd, Sulte 105 • 1' O Box 815515 Dallas, Tx 75381 (nertifirate of Pluot1rance AaD 26566 INr:wl AcD (nxNF.wAI.) , II es , L I'1 PIS N IP,Nrr C7 Ta1 1 I Mnq AN INVAU Assured TEDEUSI RRYDA NcI a m { r WMAr NU IN fIlis T ' SN[ , n r 4 Dr ,Ulo r3 l 1}, A .41.., 1 ij T" q+d v P. ntVI Po. J:Ae TtA,) , 'n t t a? INt +I r I '_It! IIA15 r1 4 r Address 1956 0, Shadyrest - Bedford, Texas 76021 N"" o nts nralir of a.u a t ' I PE9 1, 141 11 d. n11AN ON W1033 FAI ANY,° i Acting Upon Your h!sttuclions nncl/or your representati:c's, ant! ill accordance wilb authodza• f. lion granted us, we inns efG rted i,lsu,snl e with wa-~ _ ' I Underlvriters-at_Lloyd's of London NO ~A CA~JCEI LATICN Under Contract Number 4.00 QNS Against loss or damage in avcordance with tIIv terms and ton It ilion4 ns sat forth on this cortlfiento l Mid any endorsomenis snitched ctool tcrsigned by an authorized representative of Alliod Goneral Agency, Inc, t We are ratluiterl uy the lhulbrlerullrs to huhl Ihl assured hisagehls and brokers, responsible for eahmcl premiums hY e11 cases, ]WRI4411s must he 1).ud uy ap-rd. F {t A•fOUN'I'S OR hI\1f'I'S I'ItE,AIIU1E - MINIMUM 6 DEPOSIT $2,000, - U.N.L. in respect of each and k I every accident, each vehicle s .350,00•,,.,•, /r I , CO?,li'I `I 'T 17*, ' ~lIOULL S"iY Q' t:,ll 1tl OR DISPUTE P0111y FVP g 35,,,00.... Al . 385 d00 j 11 !a£ P,l ,,I ,v Iii PRLMV-45 Oh A r I It,hi 1111 i1,11'E PREVI• clrrn Premium $ l , ll l'r Tdr ~'tlil I'IIO 15S;J0 11118 I:'f I hYI ONI+ICT Maio 'I'u S lA,;d2 t' 11P!IE Illf. ttli,;PfulY It THE 003Hte IS f10f I! 'I J 'p) J lY ,11.50 WRITE TI1E SPATE BOARD Lit W. I tdirnl 'I a.1, $ D-,)I. CI 111,5 SAN 11CINI AUSTIN, TEXAS 78151 I t17'nL g 399, 82...... 1 { i , rat ri' I I s COV81tAGh 1 T,A,W, Motor Truck Cargo Legal Liability Insurance, t1,' ($250, deductible each and every loss) „ AG1AG313 h Date offective _Eebruary.)2,_19$5 12:01 A .NI fro February12 -_1986 , 1201 A. \I. krt 4 ( 31alidard'1'iuia Lit tho plait of location of risk insured] I } It is expressly understood and agreed by the assmrul, lusuronce agent o: Urokrrl any mnrtgagea or k r` 1 other parties who may have alt Interest ill thislnsuramcc, lluu AHled General Agency, hie, is not l ' one of the Undernrltors or lnsurom heroonder mul is not oorshall he ill any extent liable for ally I' ^l loss or claim whatsoever, Init that the h55tIMYS aro Ihose Underivritns whose nlillics nl)pnar herebL, r l DAted at U. tlos,'Ibx ts, this_-1rith day of March 1{j 85 d ' r This fertifit Mn snnll Nnt 11V NoIM ooless signed by 11a `I t) +I' t '1; AI 1.1 MA) UK, ItA1 ACWN N~tC. ni n TIN 9UOANCE EVIOENCCO BY tHib MITI OCAtE cANNOT aE CI%NCr Ucn 1YIT out tom, All 1 1811 CNAl1E UNLESa ❑LTUflNFO oR10R TO T141] DATE O, AN AC{IMUIT I ~1:1. [I'a,rl 11 Cagl'rrv{f ll.NII ~ , t I 1 I: ` I5 ' -477. ;r C!!iIMFJCATi3 CONDITIONS ad 1. This Certificate is made and accepted subiccl to all the provisions, conditions and wrrantesset forth herein or altach• hereto, which are specialty referred to and made a part of tide Certificate, together wilt! such other provielona conditions and ' warranties as stay he endorsed hereon, or added hereto; and no officer, agent or tepresenlallve, other then ALIND GENERAL AGENCY, INC,, Ddlaa, Texas of the Underwriters shall have power to waive or be deemed to have waived any pprovlslon, condition or waninly of 'this Certlfleate un]esa sort; waiver, if any, shall lie Issued and executed by ALLIED 0FINERAL AGENCY, INC., Dallas Texas, nor shall any privilege or pennlulon affoethig the insurance under this Certificate exist or be claimed by The Assured unless so Issued and e%ecused, 2. This entire Certificate shall he vold If the Assured has concealed or misrepresented any material fact or alrcumslemces concerning Title Insurance or the onbleat th6oof or In the can of ally fraud or fable swearing by the Annrad lauching any matter t relating to this Insurance or the eublect thereof, whether before of after a loot, 3. Any provisions or conditions appearing In any form(s) attached hereto and made a part hereof, which conflict with or alter the Certlfleate conditions, nisi! supersede Ilia rondlllons appearing ht this Certificate, In to far as the letter aril Inconsistent with the provisions and conditions appearing In such attached fomt(s). i ; d. Lou, it any, shall be payable in Dnllas, Texas, in United States Curfeiiicy: j 8. ']'his Cerllfeate and attachments thereto shell not he valid unleas signed by ALLIED GENEItAL AGENCY, INC, 0, This Certifleate of Insurance shall nni he aulgned either In whole of lit part without the written consent of ALLIED OENEIIALAGENCY, INC,endnnrlhurcnli rit 1 Excise 'lax 4Clause~ 0% Personal Acddrntto Itelnsturance)tof the prontlnm pay tan erreon t tfor he ex!snit ouch prams!ulmg r the Federal E%clae Tax, eral le Subject to i ' Is u i of beco deductl4% front the amount et Ihehretum aadvllnkP Aasurrdrotrthlsaaganlisniirousid lskasattpeulolrecaver the ilia Tax Trot rtllserUWS~ t I Goveoment, I B, Claim Noliflcatlon Clause 'Phu Assured, upon i,iluwledge of oily occurrence likely to give rise to a claim hereunder, ' t dial] give hnmedlete notice to Ilia Uridetw'ritdrs through ALLIED GENERAL AGENCY, INC„ Dallas, 'foxes. 0, rho Assured shall ylve Immedlnlu written notice to the Underw ritere of any lost and within dialy days after (lie )ou unless such time It extended In writing by or on behalf of ilia Undorwrilera, the Assured shall render to the Underwriters a proof of loss, started and sworn to by the Assured. The Assured as alien as may he reasonably required, shall submit to exsmir,etlons under oath by any person named by the LoderWdtels and shall subscribe the cams; and asoften as may ba reasonably requited, shall produce for e%amhlation all books of account, hills Invoices and other vouchrra or certilsd copies thereof it original be s lost, at such raasonsbie time and place as may be deatgnated by the Underwriters or their representatives, and shall permll 09 tracts and anpIas silreot to be made, ! 10, It is a condition of this Cerliricato that no stilt, action or proceeding for the recovety of any claim under this Certlfleate Alkali be maintainable Iu any court of law or equity unless the same be commenced within twelve (12) nnonihs next after Onetime e cause of action for Iltu loss accrues provided, however that If try ilia laws of the state shown in the addrem of Assured In this Certificate such limitation Is invalid, ihcn any such claim shall he void unless such action, suit or proccodhtg he commenced l within the shortest Iimll of time permitted by the laws of such state, 11. Cancellallon Cause: "is Certificate may he esncelled on 1110 caatomaty short sate basis by the Assured at ally time by written notice or by surrender of this Certlfleate to ALLIED GENERAL AGENCY, INC, This CerOftcate iliay also be canceller!, with or without the return or under of the unearned premium by the Underwriters, or by ALLIED OENERAL AGENCY, INC,, in lheh- behalf, by delivering to the Assured or by sending to the Assured by mail registered or unregistered, at the Auurid's addresi as shown hereto, not All, (Ilan On days written notice staling when ilia cancetallon shall be effective and in such case the Undo wciltrwir iterslhatton shalolf any minimum premiuumn sless tipulaktedaheroin or proportion oil crkaellatlon either by Underwriters or Assured, thereof previously agsecd upon) In the event of 12, Use wrilere' P hicy(lptj~ nanyt be dulyydlvued, It Is understood and agreed that this Inrurnnca lIs sub)eel to all the terms, conditions and Under. provisions of uald Underwriters' Poiley(]es) which shall, In the event of conflict ltareo Ili, be contrnlling. 13, Abandonment: There cell he no ob3ndonment to (]its Company of any properly, ' 14, This Certificate shall not cover any property, real or unrest unless named or described whhln, I TEXAS CLAUSE i` This Insorance contract is wllh an Insurer hot lieensud to transact loturance ht the State of'rexr and lit issued and delivered ) u a surplus IIne coverage pursuant to 1110 T.Aas Insurance statutes, Article 1,14.2, Texas Insurance code, requires pcsrnneot 0 3.96 percent (1,86%) tax oil gross premium. NOTICE NO FLAT CANCELLATIONS ALLOWLi) ON SURPLUS LINE R1ISMESS Perm ,16.1 (81) ..s Pesr 1 at 1 tom... ....,.J I .MAC ,nrCfrtrYulyYte A;~ hrv, -.nr«,:5i, ~r..7,,>' .ts rn~ I CERTIFICATE EXCLUSIONS 1y ' Wes and Clyll War Exclusion Clause; ` I ! NolwAhstanding anything to the contzar$ contained herein this Certificate does not Cover lam or dunape dlr6atly or ir5 T1 lndleeolly occealooed by hspNening through or In consequence of war, Invaalon, acts of foreign otlemlea, hooMilee (whether was Its declared or not), civil war, rebellion, revolution InsulTectlon, ndiltuy or usurped power or confiscation or netiondlaatlon of t requ 411 ion or des Iruotlon of or damage to property by or under the cider of any goyernm ant or pu bl to or local ou lhority, U.B .A. rr tt , f . nl , RADIOACTIVE CONTAMINATWN EXCLU81ON CLAU6R-•e11Ya1C Ah DAMAUE -UiHECT , IAPPrbyed by Lloyd's Und[rwdlon no and Non-Me Rne AlaociaUOn) { u Ttdi Certificate does not ewss any tau at den,ue "no directly or Ind4ecuh (tam nuclear eescilon, nuefu ndletlan or ndfascdvo con- t IunMNlon however such nuclear vexation, nucleate radiation of udlo Lfi conlamdnsiloh may have been uuw,i eNEYERTUELR86(t Put it an ti ( 1 t Iruu rid pink end a P4f drive dbnuy or Lrdine fly ha In nodeal re to lion, nueltat nellsiLae or facile a eUue coil niAlt knon any low or dam4s oridne d4eodY ham that Fin Shelf (euti Io the PtoNdnlu of this certificate) be coveted kXCLUUINO ho%evel an Into of damage caused by nUcleae rS " VIAOlon, nuclear ndluton or radioactive contamination suer Wa dletsuy at 4ndinotiv from that ylio. } + , , „ t #No it - 11 Ore is s not an Insured paid under 41,11 tealXcale the words from NEVERTIIK LE55" to the end of the Headed do not apply and F~ - ! hould be disregarded, NhiA Ilya NUCLEAR ENERGY LIAPILITY EXCLUSION END0It9EAlENT (Broad Eorm) I9 to (weld list the tertillcata data not aDD1 r• 1, Underiny 611 Coven/h to lose ry, elellneal, dle9la, d+uth of dnimatiun h) with respect 10 %Nth an Innrtad under flit Infiniti, is dimo an Induced under a Ardent merry liability efrilhcaN issued by Nuclear r Energy Utbilfv Imm~nte.Aw ,tartan, hlutud Atomic Cottly ldablhlY Underwriter; or Nuc)eu Insufurce, Association of Canada, or Would In An insure d u n dot a ni" such car on c ate but to r 14 Or rm b1alICA U pan #xh iuafl on of Its unit l of llabW lY l or t r N)nralliz from the haxd,dova props tiler of nuclear matieral and uIW lisp xl to wNCh (1) ny penon or ot"liatlon Is re W quh/d to ri ' Iola RnaaeW protection pursuant to the Atomic Knotty Act of 1064, of any law emendatory thereof, or (2) We Inaund to, of hod this 1 certificate not been 4eu[d would be er4tlled to Indfri from the United Aimee of America, of Any Agency thereof. under any trade- , ment entered into by the Umud 31•lar of Amerce, many alenoy lhsual, with any DeHOn of bganlxeden; 14 Under any hie dital Pay men to Cow me, or under any cup Ylem inI on Patinan4 ptovb l on rile ulna to Iron, scud 14, rdsdlW or eurdtd trust, to • ` " , , A,1 r etpCnae Ineumd %1111 uneet to badlly Inlury, neAneu, dGewe or death resulting from the hAtkdous properties of nuc)rV material and idgirtt oar! of the off nation of I nuclear fecWty by my prison or orgardti U on. lit. .Under my t/sbWly Cawnee, IO lnlury,;ickneu,disease, dtllh or deetmellon familial from the haeltdoux propUUel nrnudfAF mtgrsk, It (a) the nuNesr msienal (3) If it any nuclear faculty awned by, or operated by or on tivhtlf of in insured or 121 hat been d4ehupd Of d4Daatd Wewkoml (b)(he nuclear tri Is conlal7kd In apanl fuel or wu4 al any woe nonentity htndled,uted, l taceued, stored, usndportAd ordlspused of by Or on behalf of an inturedl or ' it" (C) the Inlury, deknelldlleue, death at deatautUan Arlan Out of the hfinld,lng by an Insured of service,, matUAa little Of COulpmtnt in tonnes UOn with the finnnino, construcron, malntenattn, operation at use a) any nutltir fn Uitr, but It such fatuity to located within the United 91We of America, Its teirllorn or poawuLalw of Canada, thli ove:udan (a) applied anti, to injury, to or detrrueUOn OF ; PROPKhTY abouch nuclear facility, let IV. As used In Lille endorltri u)larardana ptapAenn Intlnde Mclit lw, toxic, or explosive propntleal "n u,ku maI MAI" means source mHlyd, eeecl+l nutted, material or byproduct material; t' °todree so lkdeL"'dpitW nutlfef mildriali' end "byproduct malnlll" title tilt melnlni alven them In We Atamle Ene AY Act of 1 `54 I " Of In AMY law lm endat01Y there a fl "tpenl full" meaner any 6,d Clement err hull component, Iolld or Iltruld, whlth has been used or to paved to ridhtl( nulled, notion i •welk" means any wells motonal it) Containing byproduct [nattdd and (2)rnu)tina from the opeNnon by any per. h or aritnltitlon of any hucear to 0Wll In flu dad within Ibe de fin] n%n cal nutlet It;Wry under a d P er an Ph (al or (b) Ihereot; "nuelaar fitWty" mans (1) any nuclear nAclor. t L (b) any foulpmen( or davits dtdgned or used (e1 U ) itperaling the Lsolabn of uranium no DlUlunlum (r) plot euline or caimans ipdnt 61#11 or (3) hand Unp prOCIULnl or paeVU(na walk, any laulosiont or devlee bud fat the peofeulna, fvbriedlos, oraneyme al a dpath nudist +4L0411 At any time the totd amount of such mlkr(al in the custody of lhr Insured at Ws orfmika where ear dh aoulpmenl at device if located eon•let o1 or con[dins more than { 76 front s of Plot onlum or u[amu in 233 or any COMM U on rho to a 1, or mom than Teo it ams of unn(um 236, (d) any 11 MCI u U, begin, ext over lion, premises or pl off prepared or used for the ALarvae or din olU of wank, cald lnelu dei Use Jar on which a ".t any of the 10agofng It located, ail aplfer[lons conducted an such site and all premlaFa used lot such operadonel I , "nurltu nectar" means any apDtralus designed or used to iustabr nuclear nation in aael6luppnrf lna Chain reaction at to contain a tAUeal mess of r4140nlbld [naleril 1. With Cannot to INuy to or duhutllon of properly, the word °Inlury" or "destrncuoh" Includes LU form, of ndtouuvC Contaminernon or ( 1 property, NMA 1268 Ir Page 3 of3 f f r e , I r , bar M ~ t~ Ff~~ ~r r 4, 1? y , r i.At_..Y~Ira` Jd,2.,',rzV! ° 1 r i TAW MOTOR TRUCK CARGO LEGAL LIABILITY INSURANCE (1912) f C 3 ~ 13 ( - - - i I i' l ; rs A6Q_6866, _ „ Ji tt I II J to 1 i ¢¢7a t :r,:j , i 11,141, 1 fit, U1 (aI f , + Y Y~{1 I s l''C1t1Y Ili'I UI xltiit'I flip, f'i'oppvll d". Q.0 Hic, dri,y of' l9 ~ r3fti i¢I"xI - and S a4YachC11 Irl -r to an( I'ii,:c ,+13't II l'lif If lK't env IItJV l ISI l l ;'1 {per ! . il~joil , I f - I Stl basis 41} this, (1110' 811 to h. i+i'.o I'l V < r1 1 , in. Lnd ill^, In I,I rq(;{'hr ~tiirtl hc•YCr1' Vl+lr!'allt° tC bir LI`nL 4:0111 1!'HI t'.L`I,1' St,il`Ilt afld I+iiYt1LU1 tsfti " { 4 1 IYl i,' Guilt Illl'll thor( Iii, IvI~ 1 11cu i ) q Agl'LLSIU^ni.. 5 1 Vyt , 1, ! r 1c~,1 SL's el t1 lyti~zl l`I Ir Slltiju,t to tJf it ,ii.htIons, tr,rin,5 oxcll, ions grid conditions coni I'u!fi w(!.ill'' L'i(II("11 iIr.I't a+iee t(1 II' , I o'l 1)(11 l i f of the 1114 G'111I . I I sums which tll6 Irwirod 1s +1 It9t11;1; 1'.'iI I'I'-'I' s1111 hcCO Cle )offitll~ llt-bl(. ltlr '1'' It !1 ' to:Iwy, result'lov frinl direct less or o1 dnP1dWC 01tC111'1'inh dlfring vilc tlxt 1 ~ ,rl„ Pei iod of this Pol icy to. kwrol tlW1ds of, Ncrcliandisn the f,r"Lport" ~J +2+i 11 i~l rl bl y ` + t+ S P {C~i ,,I , 1 , I v I Lien, 1~ , r ~,at _ oiii(:r s, whilst ill tthe l ISiody arid control of the InSlll'ed in coul'fe of r}1 ; 4 _ tl`i!I1C"it, as a result of. v`et a 41(a; tiva. Liplltnfng and [%plusion '~f~ f11': (L!) Flood, IiLalling the 1`1 S1ng of riavioehle l rtr+l`9 oniy; 7i r 4 Sd " ` ! ~ti,tl+tl ,1 ~ t?' (c) fyclulle, TgYlladrl 01' Windstorm excluding Il±zS by dafrfogr:' c!1l1scJ yl,` 1 hail/vv ill} f~ i'rY rte (!l) Col 115ion 1'pan11S the CC Id I'' o t I li CglI'I, tien Uf the traiu.portiop vehicle i;ith alto t,tllCL r vehicitl or object, 0 x c III(114p lo!is, doningc 1,,, ' , (J or expense caeacd divutly or indilt?ct'1y by the caloo of 0c, poltiuu o f„+~ tllcreor cond,g into bntllct t,ith any i. other ub,'rct inil'w, Ilie 4r , „ t, I ~ t filly,, i v. I u , rl , t c , , r ' Iranspo1" port vehicle. also colI -kffl . with cll ob,iect; t It 1 d I (o) Upset or Ovc}tuln of the trIVn31''el'ting vehicloy , YLtiri,~ (f) CollapLC of brlelg>s, wrrtanted 01:0 load not 'in eY.Ge$f of Vic ~~jj~~+'' ? l`+ irldicated cnV`ryi fig l ca pa yi, Ii V? City of any bridgel I I (11 s, (g) Stranding, ;;hiking, Five 'jr Collision of ally rogult i, forry inc llfU i:IC E}4`t'1 I I , tih General Average or Salvage Chargoc for which Cho insur--,d is {Sii`{ir ` lt,e' legally I1lible; a r ' 9, s~i11 S f (h) Theft of an entire shipping pnckage,'excIuding all pilferage, A l 'r 3. Limit of Liahlltl, 1 llndelclsiriters liability herein is lifniLoci ta; b 2,000, U. N, L, ill resp{:at of each and cV4rtir3+ Y accident cacll vehicle, t htt+ . } yl 1 ~t711iY, ` ` „ $ NI1. U N.L, in 1'e9 sect of eacII And I every ° t occident to worehtndi',c whilst {s c , , ill tenirprary Stora", Ic l[R ;4 i'' S + + l I , 1 4t 4 14 1 1 t , S 1 a,iaf S NIL L1,11.1., in respect of each alid every aCClrlr, l}t lflle(her invnl l'i ng one S 1 + , 1 ill` Moro volilrles (n}d/or one. r+ l^ fI II A tt t' rn:we turilinals (SUhJEC"i ALWAYG TO ALL or 'III:. Anovc 1. Il111$) ti u,i ll l t lit, ` ye'{t~~kti ~ 4i (r( , , III I 1 ~~1P', t.,,'1 ,w. W ",N% r 1}itf I a: ~ AV, I 4 1 fs'4't s , .a i !rt '1, .11aSr~,{ k't4i hYded;.4WIcsY+VUL,'N9 Vr1 i~.-A,r. +b4M..~,rr. 't i '.E ~i. lrl i ttol r,l I ti~tl: ~ , ,ti ! fllc in;'rrlant.r; affol'r:rkl hry~~w,~l rhhll i+;~~>l;; r~IJy ('rlthin i,l(r r + N1 tQt Y"i tril'lfil line to 01 i.141 h)ll nlrl}hli trl (ati jliil ilnl~ the tlllt'Gt~ 51:i1tt5 1' 'ri •_r;;~. of Alne;'lca, qr ~1jj1 R~ 1 r ii. f)afinl 1.1 onS 1 iYa~r ~i % ' (u) The phrese "fn course of trop, ul.ed herein shat) iaoanr ) ; 101 11, 1 '0 i r. In transit. in or 011 afly fd'UCl( 01' trailer inclu6i110 'it'gl" Ji l I "'ft S- t laldtllt and Unloadiq- iddIst bc,;110 operated by the {tir .1 {~r p t, t Assured, 0r 1l }fir hY(~~ r rii ,tt (l' , r iS~~ i I r 1 ,1 A~ P lw F u ' {11) whilst tentpor•orily unloaded fro,n eaidtrucl(s or trailar~ A W ! E W rki it ,'S } }r 4lr t for not csceedin9 77 hours plus any iiutervarino Sundry +t~! rod/or extension necessitated by public holidays, c (b) The 11ord vchiclaS used liel•San shall mean ~,ff~ s i ,i k o r ~i muter VCOOt and/or traiior combined) G~i'3j(ril~Lit~b} Frt"r ? ~11r trlr, +3 (c) The word "accident" shall be understood to mean: t t' an accident or series of occidonts arising out of ,r 0110 eveni~ or Occurl'nnr.er F 1 (d) The'torin "ultimate net loss" shol1 be uoduvstood to moan; 1 5` f 1 / tfla suns paid in settlement of losses for tuhleh the Asshrnd is Liable after cooking deductions for alI recovaries sV''~'{f ' {'I salvnfjos and othor insurances l Blether. racovtn•abl6' or mot, kt~sl~rta 'i ,N an( Shall 'exclude all expenses end 'ImAs"+ _ yj 3Sf `f'f,' ,r r ~ r~ r}r~ (e) The word "costs" shall be underlstood to mean. t r1` s r lull } interest on Judgments, invh5tigatien, -ad,iuStment and legal cxilenses ujerCludin41 however1 i all vxtenocs for t bpi krY, salaried employees and roWood counsel of and all `~ll'`~ + l office expenses of the Assured). Gr Lxclusions k51t , } +r,i This policy does not insure; y it t ~,,i 1 C t i; a iif (a) Livestock, Accounts, Bills, Currency Deeds, ovidenco pf Debt, honeys rq 1 4', securities, Furs, 0ewelIery or other sInil lar valuables, unless specif iczIly S sy,tlle r i stated herein{. r I Jl{ ~ f r~ , ~ . ~ rttl ra Nl i h t, ; , rt (b) Pairttinps, Statuary, atheruaorks of out and articles of virtue; (c) Hoods or merchandise which are the proparty of the carrier; f t+rr (d) Nelect of the Insured to use all reasonable means to save any] u the property from and nftcr any disaster insured against; a'}l`}$ preserve' (C~)h iif i411it #rl < i'Is~"t`r 916~A' 1 '1 , s 1tS ~ttr ' ,V 1 I`1 F: I 1 Fi; },r rr e} Any loss or damoDe to tho insured property caused by or resulting ,I,{r from infidelity on the part of Any person or persons in the employ or a t+ , , } service of the Nulled whether during the ratdulor hours of service or 1 employment, or not',' 7`t sy Iti iS': s 1, d~ h1+,:': J'F ~rintYtl i'rr (f) i.oss of use, loss of market or delay, r Loss or Damage caused by wait, invasion, act of foreiun enenty, hostilities (uhethor watt be declared or not) civil wAl., rebel Iloll, revolution, insurrvction or milii'ary polacr, cotut.amtnniion by radier,ctive material; r r 1 Ir r r 1 " r tl r i + li4, a r t` s r I• 571 t~'{~ ~ r t ~ ' t Yy `L`a &IF :t b 5 , , ~ yl I r I - I t , r (,ti x I F ~r~f {1,..• + ...1 u,E. ~„>nl .a ,,~.If.-~rlcdanlx3,i~8'b1i~ ;1 ~ ,,dl~A~1S4LX03'iw:.r.ar,utk'S.•v`<.>;,:IaFS~+.• .=1_... I _ , tr } ill) I 11 1 II 11('`5 1( ~.l f-Il jtl It+,'1. ti, 11't ! alV 5 rli(t ~l ~t(li Sllpj 1n 1LC11 4.00 r r t 41(t.: ^(1 ul• Cllsl .11 ill 11dY. U'." List-I,i Ilut.. C1. 'I Il.:dt U~~III u i 7 in5urCd It fills, - { 1111d1IC L1 hl(~ t 1 u I ` 11i coil s do ration of the 1 1c:`fl pl nu "iI'll t,llarill.d, all cial adi n., u foi lots Lr t r, 5 tc .l C epn 1"1 1 ',i r I i, E' t J 4, # dalllage ar ing uut 0IF ellch and ovcry lc.r ~(ul shall be -7 and. fi`O1n the alll)l)Ilt of the 1e!,5 ul'itililg Hilt of Ci.Gll illtd ev(+1')' t 1 ~ 1dlrr11 detei'roinod, the Stitt of $ 260 { No Hundred-Fifty l'olltlt ) 'r t ' Il` Y shall be dellU!if?d SUCK aII iillllit to be an ll IStit, ed altd at t11.e A-4 Ile ill ~ ow.I ~1,`~'{ y Y s 'Iy 1~}rni(~(It Df ~OStS 3~11 ~t~~ , r(''t nla Ij : ! r~E ,t t6~^r}`I 1 "Costs" inchI,v (1 113, the It5St'Cd pI'1'SUllal lyy lciih i.11E wl'i );tell CUllsellt. ai ~h Via(, ~S II5At1.~i I~Ir n i( riF 1 III 11'` + r ( ~h[` the Underwritrrs, sha11 be appal Honed r;z follov)s( ~1 ;I' ~I t' S >r E ~,`t 17, i,~<j,l (p) In the event of ClTin;:, clail,7: ari0rig which apncar 1drily to _,5ril~('~„r~t;11 + exceed the ON Ullt of the deductible no colts 111811 be '1j1CUl'I'dri WUeNit ty3 'if a,p , aol r, , I ~l~ ( y l I? K It (t(n', q I by the !'ssureu Iliihrnlt the written cdnsent o; the Underllrllel'ss fv 'I' ' v ,rl v r it I tlnr5ill (b) Should such a claim or claims beCOM, adiustabio prevrioli to t•~I going illlU court for not h171'0 than Lire anP11111t of tliC deduttiblCl}iIr I~C~1,I'rs ~g1j1x5 "a then no "Costs" shall bo payb')'e. 6' the Underwriters, +rl 5 ~ , t3, talsi , .{)r; (c) shailld, however, the sum for rliiich 1ha said claim or clAilns may tai be so r:ddustable, e);coed the amount of the deductible then the r,al~s U1lderoriters, if they consent to the prucoedirngs contiouing) r,hall ` l t,,: contribuj.e to the "costs" incurred by the Assured in the ratio " 1+ r 5 r 1`, :I s they that ihelr pro urtion of thu ulttn,ate not 10~s os finally rtliust^d boors to the I'Tol0 amount of such ultimate net loss) ld~ Y= 1 111 Life I'Vent tllilL tile AsSUre•d elects not to OQ{ICAI a ,1U(lg7i^nt In lint, 1 l ; CfGL55 of the amount, of the dudur1.(ble this UnderIN'riters fatly Nl('cl to con(luct such appeal at their ovm cult and expense End 6601 1e. r1` rl c F t ' 1 tllorrte, i~`111pr tr 1 I t 1 liable for the taxable court cost. and inters t inriuen~rl ; but in nn event shalt the total Nobility of tile Urideri-witoq exceed their limit or limits of l iabiliLy as stated above, p ~~Its s S I 41 the expenses of such appeal t'~tFl+t v I,° 91 Methad of Computation and Pent of Premium I J~~' 11 I k1 4it is a condition of this insurance, that there sha"l be due and payable, I~ on the inception dote of this Policy, a deposit premium of Stl',r! y1t"; + ~fr, 'Its Dollars) which shall be retaioed „ ittlil~.; by Underwriters, until termination of this insurance) I i~~t , The Insured agrees to beep an accurate record of the gross receipts kI I, ,r from their business during the term of this Policy end to rc ul^t to the ~ f1t1 Underwriters as soon as practicable following the lost. day of each month, #1(y al l i; I t, -trio full amount of gross receipts (collected and uncollected) from thet,` business during the preceding month, Uporl the expiration of Chip '11' insurlilloo the earned premium due to Ullderl4triters shall be calculated tit tho rate of $ per $100 of tho total gross receipts rcporttd y t t + during the period of this insurance, If the earned premium due is more than the Deposit Premium the Assured shall paytlle differonro to tt.; Undertariterst if less, Unifrl'l~'rittlrs shall iefunil the difference tGLha X 'N rstl' XtiAssured except: that Undan+riters shlillt,e entltlori to on annual f{~ Y ~a~l tl ti~ r' ~1+ S Ir t~l141tAilunt Proltililil of. tr' ' Irl~ r' C ~ s SL 1 t . ~ 1 sr , 1 r r , r Yl', x II rq}s ~t i11 y I y 1~,i°Esi r, - 14t fffflt,` I' . s 4t ' ~ry,Fl t.,' d ,~AJ7{1~ ,a t- ~ 5 3f'~1 1. 5 "i~11`1I r ~l t 1 541'• It ~ .1 TN , +I r~;li[l t.ikd~VF}t{~CiASP7+.~v1n'. .t,+ rr.s .;w,u.:. .....rr .s..,.,., .s..... .,•<a~.ai:e,.nvewr+iTt~:.r. ~ a+ r t r, 191- `l h( IH 11'ILr hl tilt ,r,P 1l-, II Ir1I r v 1 , IltBil f, Lh~ t'IJ P)Il illy U11i 71tfll~\' dfl ,:I `1 t t (,fl +d1)I vp:iI -i;IoI S to t irte11u11n~ IIU~ldlillg tIIoI'coi n lt:cdu,a ,ud uII)I) Jirltl, nt)d llIt tcLl.lel CltTiryos foh' tIV It pul`L'ilrU ill qu,lds floe, Lilt uflllintl 1oCtlti:nt to thtir Jet.tirlation, All rccold5 jleltl.Ui r.1i to such ro°piptt' siuiii, 1,<; at any I'ea Ji!I il)1e time, be open to ills iu ci, ilu b~' ally duly Elu t 11Ur15fi art) representative of the Insurer. " rid ~r~~~i , . t. 10, 01.4er Insuranre i t C j I Unlocs otheimI P provided if, at t1w time of e loss covered b' this ; to is any ocher Iitturrltc:? hhick would aLtac!I 'if this h't1 , y1101 the Err insurmlco had not been effactLid , the liwtni•s under Chic. Policy sGUll '(`~'w4h1 tic, liablo only foe thi., omnr.., if any, of loss over tI IO applicable ad ~y p limit of the other Policy cov,iring such lossr f~' tz~ t r i. r I[ P~tr i , t I +y Itl~i,)r, I s+t llr,. SUbI`agation A. Inasmuch as. this Policy is to pay excess of a self Insured deductible, Itl }t 0 s r 3i:, s UI s z+ the Assured s right of ineow ry ogainst any porsun or other entily r r 1 &r 1c t co. rinot he nderstood eanduacreod tlatt.rI[tOle CUSQ Oft alty hlpaynont hor'pllnd~r,lti, Ire e) u U)idehwrttors will act in Concert with all cuter interests (inclu;ling , ;j1, Ir ~ , It , to the lts%md) concerned, in the exercise of such rights of rmorery. I l The apportioning of a,uy amounts which may he po recovered shell fo'11o!r I+,"',! the principle that any interest (including the Assured) that shall li'r'e t IY)r, " j paid an amount over and above any payment her )urldev, shall first be t amount paid ty them; the UndOruritots are titan reimbursed up to the to be reimbursed out of any WrInce than rcmnining up to the amount paid hereurldow ; lostly the Assured is entitled to claim tiie residue, S 7 if any, against the self insured dedurtibin of which the Policy pave ~ t'+h) excess, Expenses necessary to the rocovery of any such amounts shall r y, t be bppo)•t%TI0d between the interests (including the lhssured conu,rlied, h+ in the ratio or tht,ir respective recoveries as finally sett ed, x tslfl fr I ' r M Cancel i otiotl ,ir t'+d i ~y'~'dtdt~~" I ! •Acttlithstanding anything contained in this Insurance to the contrary `f+, i this Insurance may be cancelled by the Insured at any time by wltttcn a~fl t , ,'i ,r } notice or by surrender of this contract of insurance, Ibis Insurance i s'1,1r 41 may also be cancelled by or on behalf of the UndeririI rs by delIvpMn'd to the Insured or by maiIIng'to tho Insured by registered, r.urtifi^.a jy`ll or otl+er first class nlnil, at the Ihisured's address as shorn in this Insuranco, written notice stating when, not, tens than days t thereafter, the cancellationsha)l be effective, The mailing of stich notice as aforesaid shall bo. sufficient proof of notice and this 11a F Insurance shell terminate at the date and hour specified in uch notico, 11 st, ~~I r 7t,1 , I` this Insurance shall be Cancelled by the Assured the Underwriters shall retain the customary short rate proportion of the premium hereon, + t ft 1 ' ] oxccpt that if this Insurance is on an adiustable basis tho Underwri tots shall receive the earred premium hereon or the CusLolllary short rate , proportion of any Minimum premium stipulated herein arhichevor is the c S L`j ' a s . , 61 , roatar. L '44 If_thIs Insurmica sho II be cancelled by or on boil n I f of the Undo rilrIters, theUnderrlritors shall retain the pro rain proportion of the premium i, horeon, except that if this Insutonce is on in adjustoMe basis, thhr Undp,hvr•iters shall rocolve the earned premium hereon or the pro rata a4i1 1 proportion of any minimum premium stipulated herein uthichever is the 7 , ' greater, r ,3 r t 1 4; r,t _ r 1 n f,~~ ) i i ~ 1 9 s I i' r. r vit+ r5 1 i , 4[4 t i w.= n s ' r s t :b+irt~ ,t sk i irk ,ytil {y{~ a I f hiir 3 tiC ' , d ~ ly f{ T C t ,r r a t t e, S < Y} , l rta y l ~48j3l1 ~ ..r }T}da..ie. Fi,War2tflra;;rntt. k+4ve,;ei ; . ~ •,.lk J.. ...,iJNi~sdu riaFaidv~b.b',~!§!~.'k{~~3~~awq , , )lttc , 4 d,, , Pi.y l'('ht CII' I(1111 ('P J! rli"r' tlii ;(:tl Ill(ir.' II ill(: ti ,t ~l tii lter 113t he it CCII ItIlI 1011 Iq PCOGCII f, t(' (hp efl'"IIAfnt5 of Ctf,MLJC 1t Z 7k r but` Such iii^ilrl{`1if Shill be ilddc, dG sot)II u; pl'acticahic, i 'wr r+s~l If the period of 11rh1itatloil relating to tho givili(l of notice ( pro II 11)1ted or Illadc void by 0113, lalq c011IiI It (I the. coIisIL ruction °t tl1 lei th~l(bf, kith period shall k- dwilyd to kv amended so as to be equal ' t=r p tr tg~}}{t ! to the I I' uto period oP limitation porrrlitted by Such lot-1, trtf, , s t ; 1:1, lsbsignrnrnl: of policy ' 9 tt l'4= ' s This P01 icy 151MII Ie VoiU if assigned or transferred %'11 111101.1t the r4 ~~61, t 1i writteil collsellt of uIlderi'n'i tors, d $ ~i t 111 i 1 1( r R ' I~ ,I 14, Ilisl Pfl I,(., S c It i a t i C 11 i.nd fiii I I d ~ w;r l+~ I is 3 S{ltl' 1 ~ Fa~~'♦11 t.f , ~ .~15 vr~, t. This ontirt? Policy shA1l be void if the In tirod oi' his Agent has aY' _ (t ConCeflerl U1' miSre 1)rClQIltCd ill i'lritilig or' OLllerwiSe} any I011terlDl '"'1~4'°`)i facts of circtlnlstiince$ corce1'Ilillh this insurance or the stobjPCt thtfl'COfI t~xl."}l F Ayt?`~,;~z' y or if the Insured nI^ his Agent shAlI make tiny attowpt to defraud s Under)lrtters either before oi- after a loss, ! 1Fr, jtrj Iz i , s if t ! i 1 Iloti co oi' Lobs r{fa"err;', rr CVely Gloml for a loss Ilndow this policy shall as soon as practicable ) be I•olmrted irl welting with full particulars to the Undorwriters t1, ' issuing this Policy, and a (IelAiied shorn proof of loss shall be 3+'i ' I( it ^rt filed with the Undortyrltars within s1xty (60~ days of the dato of „1s ? the loss. !•ciltjre by the Assueed to give Immediate notice of less t'a„+ and to file a detailed sworh proof df less shall invalids to the claim. Jt~[%ar ` ; , i))I" The hswi'C<i shall At the option of the Underwriters submit to eximinatiori under oath by any por•son named by the Undorwrlters, , iy11 'r LI'lE~z 1 t,. , Schedule of Vehiclest Amount of Insurance V . .1981 Chevrolet bus #3728 n ~ $2,000, j ~7 f~~ti,' ( I• "Q ~[,V ,~,t 2~7. ~''V V✓✓ (..~L.~2-4J C~•" ~f'l.2',i j~~i ,L? ' BSI d',} t~ S ri , ~t i ~ lti, ( N 1, ~y 9e t fT , , i T 5 r~i .r vC~ r i , + e r ' Val I+.; t tl 5 r I 1! t4 rk7~i + ~d.' ~1;t~n,r+ t ,11 " 1 ~ ` ~ I ~f7 It > ~r t T ~p ( ,r 1t~, I t1Y( f Irl [t , $ , hh t l r i Er, 1, ~ 'tr ~ ~ I ~ ' 1 , zi a tlti hl + ' ~ tital'ri'' i t"r, "t , I, ;t~latl~l,r, l I + ,)1 t ,till, ~ir t e I,`t ti _I l It 4 Y.. ~LP 1 ~ tk a I ~ a tft~;,rl, a ~la , ! 1 ill. 14 ' ~rai4y i f~ r k3, I 1 ( I,' kt4f v, -,l'+ Litt ~ ~ 1, l ~ y~itis V1~~ ,t.~t t I,tir ! I, la~t1F`µr~,~.. r ~Y~17 t { 1 [ i} 1 W~r1r~,Wwr!r-.VMIM,w~rrT~.•i4r•~u....rwA, ~ ~ Yr i P. r!e.4«axnwk•i4~bN44~MJ' t 1 1' '1C J ! I 1 r t ' ~ , ~ r:~~ t~~ k~Z 'y~i~', rsa:-WM1~4LLtr~k`i~}F.[k~RSAN.s.ri f.ln+en....»~... _ , r t. ~'r 1en.3RF44+Tt1.4a1wn+,:... f } . i r 54%, r , r ' i~\1, INntiu/ E/N 4'~ G Li t + t NN,Y M•.- Polity 111N1- ,Yc3 t Y , IM1M N IhIWM. fir/MIl '~,f~~ iltz I r, z t ~ I1. L r`It it I , r f 11 4 ° }M OIWI 11 IldluhNl is b, U*MNNI ial, *44 *11 IMMNiMnI It jowl IuiNlu,hl N *1 plpWi/n it IM P4141 t, ,l r I r ,I t }~}5 ~i ri.~ ~~FI, I) tiF+ r 74 1' 1+, ) ONLY THOSE ITF2i3 INDICATED BY AN Ilxu ARE APPLICABLE, St , F, 0 + rSk #~s , 4 s~ I r' { A, ASSAULT AND BATTERY EXCLUSION 1 It is hereby understood and agreed that no coverage shall apply under "+t this policy for any claim, demand of suit based on aseauit And/or X;'.rlti, s battery, and aseatilt and/or battery shall not be cheated an accident or 1 ( „ occurrence, whether of not committed by or at the direction of the insured, 1~i, B, r] PUNITIVE OR EXEMPLARY DAMAGE EXCLUSION }yt It is agreed that this policy do is not apply to a claim of or iademni- ?•S c, Eication for punitive or exemplary damages. If a euAt shall have been a-t 1, , brought against the Insured for claim failing within the coverage ~r sir Y iii provided under the policy, seeking both compensator. and punitive ort exemplary damages, then the Company will afford a def.tnae to such action, The Company shall not have an obligation to pay for any costal interest,, t f „ or damages attributable to punitive or exemplary damages. i a~}t` C. /y CLASSIFICATION LIMITATION/ i rig} , , , r r er 1 y It is hereby understood and agreed that coverage as provided by this 111ff4~ tiS+ policy applies only to those operations as described in the coverage i1 I4 Past(a) attached or subsequent endorsements issued, y4f} ` D. POLLUTION EXCLUSION 4c 1 . In consideration of the premium charged at inception, it is hereby under- C14t~`rt+, t' stood And agreed that the exclusion of pollution is amended as follower'Yyt This insurance does not apply to BODILY INJURY or PROPERTY D MAOE Yrfr„ 1 °i' Arising out of the discharge, dispersal, release or escape of smoke, A C 4L1 yy~ l~a4t ,E vapors, coot, fumes, acids, alkalis, toxic chemicals, liquids or 11+ Aeeg, waste materials or other irritants, contaminants or pollut- 1 4'I,1 F'+ ants into or upon land, the atmosphere or any water Course or body Zt t~' of water{ WHETHER or NOT such dischArge, dispersal, release of escape 56Iur + is sudden and accidental. Fri s MINIMUM EARNED PREMIUM fi't'' It this policy is cancelled at the request of the Insurad, the total fal, pt'emium retained by the Con.psny shall not be less than W of the original premium or 0 123.00 , whichever is greater. CAncollation for fgyl ~i non-payment of premium at~- sal-Fba daemod a request by the insured for Xlfai ,r Ft s „ :s ' cancellation of this policy. The policy ea is fU I earned and not t s!{{ subject to return, 4`1 ~a Eh~NU■/efN/,_,AG~II ~R9yw 8/64) 1 , 1 ~ttr ~t+l`~i t ip 1-311 ,,.yy.4wlYi} ,jtah.¢Y, d.v~ r•°.~ i.. ° I P~I i i''+ 1. r° 1 "21 t x f , r ~tt v I' , s. I ,t ft p ` i r, nd 1.: i rrr I t ) i S 7111 ' 1} ,1 S. I. 't Irtli , I I 1 • 4 'E a It Y M1ls'. ,1 i Vd ~NISuKiba INlcii1sY76~d,~adat7YRfl1~lN1i"E+b'ettH.~.,rN r. ,E. , kt ',......":s,lca°~x i+fv.6t4naA.t~ as z S it ~%V, 4 ti 31r r- ' 3C ~ SCRVICE OF_MITT CLAUSE Y `t rl It is agreed that in the event of the failure of Undervn•itors hereon to pay i ! any amount claimed to be due hereunder, Underwriters hereon, at the request 'r of the Insured (or Reinsured), w4,11 submit to the jurisdiction u. any court of competent jurisdiction within the United States and will comply with all # t", „i1 + Ik , requirements necessary to give such Court jurisdiction and all matters arising tt'„i` t hereunder shall be determined in accordance with the law and practice of such "jl ~ix pp~ilf~ I, Court, t~k~t(' 1 I` t ' I[ 1 i 1 s~ ~4t t , ,r , t io 1>a 1 ,A' 1 a It is further agreed that service of process in such suit may be made upon Y I Allied General Agency, Inc. rj ;t~i`+ =r t ' ~ 11 it 13714 Gamma Rd. , Suite I05 Dallas, Texas 75234 at~~f1L 1 ~P>$i, is : ,I, and that in any suit instituted against any one of them upon this contract, Underhvritars will abide by the final decision of such Court or of any Appellate Court in the event of an appeal z1 The above-named are authorized and directed to accept service cf process on behalf of Underwriters in any such suit and/or upon the request of the Insured A, , ' (or Reinsured) to give a written undertaking to the Insured (or Reinsured) that they will enter a general appearance upon Underwriters' behalf in the e%-nt ,y such a suit shall be instl' ted fti,'t 'f further, pursuant to any Statute of any State, Territory or District of the 41 ~t,,lsttt_ 1, United States which makes provision therefor, Underwriters hereon hereby designate the Super ntendent, Commissioner or Director of Insurance, orb!',', t~IF'Sf other officer specified for that purpose in the statute, or his successor or yrr,i l' successors in office, as their true and lawful attorney upon whom may be r~ciji, t' tr served any lawful process in any action, suit or proceeding instituted by ' + 1 at{) i I, or on behalf of the Insured (or Reinsured) or any beneficiary hereunder '"1 arising out of this contract of insurance or reinsurance), -:nd hereby designate a t the above-named as the person to whom the said officer is authorized to mail ~1,1r such process or a true copy thereof, i 1 7 get` s , i III"' Other items and conditions remain unchanged, ifrti l' d 5Ip ~t't FIB , 1~ „ " ~I ~p Attaching to and forming part of Certificate No. of a`hn~ Underwriters hereon, ` Effective; t; v' I , ALLIED GENERAL AGEN INC. t rrly r ~ C, ups 5 ` ~ : t.r , 11 AG -III is-313 r t wit --7luthortz~~esentafi-ve 1 s ¢111; ~ s,l It r'~ +1`0 r r + ~ , 1 i k,~7lt .1~ 7 r I , 1 I ' ,v 1k 1/ 1I , ~3)tt1 ~ ~ iilt~ ~ Itt ,L~•, 111 iN D i ~ c , l ' y s r , Sv ` .S ,ldiikio4 Jrl'sitt't3' lb Yfh}vtiG.}.aiij + ' ` ` ,.+.v.awv.lw .I+b$rt F{v1aFa,5e+mltn:,:a' r yr r, ~ t,4 ~ ~L December 7 1983 i k The purpose of this document Is to request a 1 Pormlt to operate El shuttle service In the City of Denton, 1` F+ Wren Airport Shuttle a+lil transport " L ,l FF 1 t t pass©ngers tO Dallas/Fort Worth .tj,5si T .d~ a{ 1 it Airport and to Love Field and Provide return ~~rtt t Passage+ We have daily + f = s+'i X11 and weekend schoduIed departure times with pre-set faros for each airport, (Please refer to the attached schedule,) A „1 11 At present the vehicle to be used Is a 1980 Oldsmob!!a plesai nine- passenger station wagonp engine number 3P 514 PX1503 50 ','r~u' Ir'r rs ; 1 s+i„ r Texas plate number ~{>ri 1 1r ~j ( ; v) W J B 117, Attached to this request Is a co f fl ' PY of proof of appropriate `Insurance according to Dontan city ordinances, ih 5 a Drivers of this v a h I c I a will IncIudo; `I Robert Wrenn, owner, TOL 4956676 Deborah Wrenn co-owner; v TDL 058964h6 5,5h1 ,l f 3 a`T 77 5 t, Sharon Dennett, coordinator, TDL 06886963 These three 1, 11 +~tti~ people Carlati tlltC the s a Primary Opa l'a tO r'S Of Wren At r(YOYt { +r+1 t,~ Shuttle, ;F ,,ir rl ,~~[+rl + L 1+r A'~` T:++~ Our me In bast, of operations Is located at 830 1 °35 Suite D,I~ihi ch ~a4`+~r11',',~_ Is also the present address of Travel and Tours Travel Agency, Our t'+' ~ ,cj~ x , iY~i ~r, ~ x business phone Is 565-1965 and we also use our residential phone 38?-6581 for even In'gs and weekend's, + aj , ' J n 1 Wren Airport Shuttle Is a family wined solo- I ~ hroprlatorshl p , We all (1t 1 " feel tLat a service such as ours will be n valuable asset to the ben ton dY;~ communlty~ Itis Universities, and lC's business Interests, i 1 fE +t3 i ' r t nk you f1iE ' h -4 1~11LVIXA-l +ka{~' r it Deborah Wrenn ~m 'i+t a i1 f1 7 i i ~ y ~ lq, hhf , ` + r~ t tit, l 1 tit rid s .1 ` i'{fir , , + ar , } y-1S W,6taea~.itklyw ,+a..., I51 ~ ' S i J ; it t li} t; r~ Y` 4{} 111 ~f ~ , I I' 1~1 ,511 ) ' 1 l J I 1 'lelepltone 565-1965 WREN AIRPORT SHUT1LE i'BIEPIIONE 817-367-6591 f 1-35, Suite U 830 UENTO16 TEXAS 76201 EFFECTIVE MONDAY, NOVEMBER 71981, THE WREN AIRPORT SHUTTLE OF OENTON WILL BEGIN OPERATION FROM DENTON TO D.F.W. AND LOVE FIELD, THE FOLLOWING SCREDULF. WE FEEL i WILL MEET PASSENGER REQUESTS. j NONDAYJFRiDAYi bEPARTURiI ARRVEI ARRIVEt ARRIVI?i DEPARTURE DHPAUA INN DPW LOVE FIELD DPW DFW/1,V! 6!45 AiM, 7120 A,M. 7155 A,M. Muat h+tvo reservation 10'00 A.M. 10145 A.M. 11120 A.M. 111 1100 P,M. 1135 P.M. Departs 15min 9100 P.M. 3145 P.M. 4120 P,M. after arrival ` 610U P.M. 6135 P,M. to airport, ~ f I SATURDAY DEPARTURE' 11100 A.H. 3100 1'.M. only D.F.W. and LOUR FIELD- Reservation or call for AIRPORT PICKUP. SUNDAY DRPARTUkBs 12100 Noon 3100 P,M, 6100 P.M, 8100 P.M. 1 D.F.W. and LOVE FIELD SUNDAY ARRIVAL' 12135 P,M. 3135 P.M, 9130 P.M. D.F.W, 6145 P.M, 8145 P.M. LOVE PIELD SATURDAY AND SUNDAY SCHEDULE MAY BE ADJUSTED DUE TO CUSTOMER DBPARTURF AND ARRIVALS. r AIRPORT PICKUPi PASSENGERS WHO HAVE RESERVATIONS WILL BE PICKED UP AT TILEIR BAGGAGE CLAIM AREA, IF 11 YOU DO NOT IIAVP A RESERVATION, WE DRIVE THROUGH ALL AIRLINE TERMIAIS, WATCH FOR US. WE OUARAME PICKUP> WE WILL NOT LEAVE YOU STRANDED, EVEN IF WE HAVE TO WAIT OR ATTER DEL1VhAINO PASSEN0998 TO THEIR DESTINATION WE WILL RETURN FOR YOU. RESERVATIONS APB SUGGESTED FOR ALL TRAVEL i RAT1t^,' DFW LOVE FIELD REGULAR PAREI ;12.00 $14.00 FAMILY FARR1 $12,OP lst. $9.00 2nd. $14,00 let. $11.00 2nd. CROUP FAREI $9,00 Each w/3 or more $11,00 'Each w/3 or more SPECIAL B_ERVICPS1 I ~ I i ` A. Free, parking is provided at the Ramada inn near ti,n concrete retaining wail. I B. Coffee and soft drinks are served at no charge. I C. Free pickup and delivery is provided If (3) or more originate from the same point. D. Home pickup ($5,00) E. No extra charge pickups are made on Thursday for TWU, Friday for NTSU students at 200 and 5130 P,M. Pickv.p poinLa are in front of both student unions. 1 Sunday return to both oampuses at no extra charge. j P, Airport Shuttles other than designated times will-be an extra charge,. I G, Charters are also available. Thank you for your support, We will provide you with tho beat service possible, t ROBERT E DEBBIE WRENN (OWNERS) SHARON BENNETT (TRAVEL COORDINATOR) . 1 ~S r r :a t a, •r• ~...k..Fr. l ,t.9lN.`°rwr i~'r kS YkYl\t'rhi•rP~Maav ,.»,21t artR 4ta ~i~a+m ~arVV ire .ya+iN+. :,.1 _ OENENAL LIABILUY,AIUAMOBILE POLICY' u QUINSY SELF INSURANCE 11o, RA 2 0 1 100 2 Z 309 NOM U)CU8T POST OFFICE PAX 98 A Stock Company DGVI'ON, 'i'I' S 76201 ,1 Il,gwe+a: ruvlla t I f LANDMARK AMERICAN INSURANCE COMPANY f AtWINISTRA7q'f OFFICE-ENOI.LWOOD, coLon A00 SDI55 r } + OEOWAVONS +F /~~r Ittm 1. Nemtdlniurtd and Address. tho., Llreel; Lant opedy'leunly,blllll ( IVREiV ATI"IU SHUME 830 I-35 SUITE D ][am aq e b~N w1m, TMM 76201 I'~~ t + DM ¢r oIcypp rlo tNO. Of Y,I ~a + ht 11t `'.s 1 k I hnm 7i. 13 ID I1-15-84 r e I la, ,k t r v 13:01 Aid slandeed time at the address of the named Insured as sUled hovel, L .4 r y .-,,..~wr..... 1 Jed \ if , v ;I , le I.. + } A f ; the named Insured Is s r ]ndividucl partnership ❑ CorpmalloA Point 4enlair ❑ Olhllr a r i Audit Period Annul omiess otherwise slaltd. owvaa aawwa \ D S nksa D1 CP N1n dt t rid it Iwru nwwl _ a k h rl 1 Item 3. The mlueanee aflorded is only wdh relpetl to the cdveradt PalNSI lnei ed below Uy weifm premium thalgels) and attached to and to nning a Part of ' this polity, _ _ ' veu¢a Adranoe ,i Oanaral lUDWty Coverage ~Advance 11 ~AUtomot le ICa * , Cavee¢e Padlll Part Notel Plemlums 1 Goverye Patted Pill Hold, Premlums Comprahan[iytGeneraltlabdllylr IJance 1 3 I'cornpiehenoiveAUlomabile Listill ilyIneVintr 3 t , ' h - Aulamabila medical Payments Insurann CCampgted opeulwns end Produtls UahNlry f - - - T b + r r: ass r Insurance Automobile Phyll,: pemege Insurance , t Combiehenlva Peisonal lnsorente J 3 loselers) _ N•' , „ It r Conte lul Lleblidy. insurance Aulimn( t Phyltal Damage Insuranct (Flee) AOIe1naIIC sis Llebi hl insu lance pr: Q $ 4t P,ni:' I 11 1, en Svgac+s'and Dln rsli Prefkssis•aI 3 Aut'mnbllittl) ltal Dema alnsuranet F , - d r s NomFlltq ) 't t ; r uanihty l+sve'ct ,-_r ' , Basic Automobile Uebillly Insurance A 12 L 267„-,.- luswa nce Oua¢e hlenviaclureu' and Cori tlaDi111y sv ' ll Inlufenee, Uninsured Mal0liils Inswant! 3 Stv k u a I ~t 7 it Ownsa's and Corvettes Plottcbvt T ERSLk3AY 1N JURY PR{)TECT, ^ s ;r ' t + f+, ~ l LiabfillY tntulenu end Tenants liability T L~~ = Ownta' lenaloids k r I t s Inaanelln ur Igblhly Intuiantt \ l- °k,kt minlslmwence S q Poem sim MedttaV Paa' r ~ s : , f iNcSpitbl PlnftisroNf LNdil ylnSru'tk t k Fcrm r,than dT endotlmtnts yarm nomban b1 endanemtnu «03-69 , f+~? lhar Mn ar hes! enleled. os tolhu than thole bhltrtd an T}{ t Cos rer±¢I Marrs ,attached at issue t Caraege Pantel, attathad at hsue •Q;j--(~.lL~• + _ gub Total : nneld_Llamilty Premium f sub Total Automobtle Premlulr TOl _al Adranet Premium lot Ihls polllY, t I r, y j` 11 the Policy ?tried Is more than one liar end the premium is to bit paid in Installments, premium la plYablt dm ipethrt Date IstAnnivlliry 1ndAnnlverssry 'R 4, 3 ~D r rl # 11-23-83 rrb RUSSELL ( E, 7N, I] ~ Cdunkrlgnta , ` n:LetoiRaa r In'etar .l., ,`th ma. Irv<a Authnneed AlGlPSf mllllvr '.,d 1 4 1 a,04Uryn .fi ri. lSr wSl A: •\,JrfitR- , r e'r t tt I~ 'i'r I, hr r 'ra l i IA/ ,.r i " r1NVdp+l07 3JNVd(fp6Nl NVOItl3pVV Nl1VW INVI ' t.r uu loo uv.- oar lot, rats tohtAadl PART EASIO AUTOMOBILE Li'hBIeUTY INSURANCE A 125 / Fier owmenl to Policy No. GIA. 201902? _ to tompiete said policy. R g__.. AeSONEUUIEs - - plem' the hi allorded it only wen respect to Iuth of the IollomnE COVera Is all mdi Caltd b) si!ale p tlnium charge or shall the limit of the company's NabJdS I l tech cs Cov~ a t slant be as 041!0 Mreln subjtcl to Limit or t Flef l of this oolity haying relelente MCI ech!sa plpnruml - - fl P _ --f A Badkl In,Ian E,abil?I- 100 Ihousand donors each Person 300 thousand dollars each otturrents S r - - ks 131 00 ' 9 Properly Dani Liability S0 Ibtufard donors each occunente _ - , From numbers ul end llemenlt altath ld e1 )Slut 241B s 23_.00 ldtal Pnmium 3 290.00 P(nniurnl _ I OesmlpIron of Owned Aulomobl$s _ 111 - PO i toe! 1'rpl ant Moeer- troll Itral rill on h malt tenber h thrhe a auha Acne e 14" of i ruroarex tP,O )li Notes ileac Mmr fw 1i Gelfvnrae Cie+l frnx hlomhrr rr lr Nottf lWmbp -___t NUR t W n Fr nnntan lice aea l r Mr er 6ua fill CtpI Denton) Texas 1990 Oltismxbile StaricYn t1'l 31'35NPX150350 4189 $136-00 $131,00 I I _ . t Iwposes of Use f A O - Plnsme and Puslntd C OommefclaF Ie1N B s and P 0. Poemiuml S l~~i_Q~_ Sl Op_ , I Cormier A-POOIEY INJURY bIAOIEITY public of Intry conveyance unless soth tae Is sptilbcally datlar¢d and OO4IRAOL 11.4110i f DAISAOE EIA811.11Y desnirld In she sthodu'e; lot company will pay on behalf of fit- Instred all sums which the Insured shell fgy 10 bodily injury of It eamaye Wising eutpf the discharge, dipersel, btteme ![golly obligated to pay as damages because 01 (Itself of escape 01 ;W111, abpo4 s0ol, iumeSacids, fill toile thtmltalS liquid; or gales. waste mat011aiS or Clhtl Willits contlminen4 A bedlly Injury cr of pollutants Into or upon land. the dmosphere or any wattrc0urse pr bed P B. plopirty dam ape o1 Baler but toile eriffilen does not aopho If such dlithargh disperse,, to vi;crh lhll Insulept¢ aprlleL Caused by an oCtumenet and wising out of the I to escape is Sudden and accidtntal, .tlanp n alnl¢nance o[ 0 fe Inclodlrgg loading and unlozd;ug, [Of the pu[poses 11, PERSONS INSURED .ed As ifI sreatne therplo !n the Sthedlols, of an owned auldmoblle of of a Each at the following Is an inwrtd under this Insurance [o the extent set forth {empdiary nubstisule automobile, and the company Shall have Ih¢ i~he and duty below - P11, ao',r any suit. opal nil the Insured failing damages oil account o such Wiry IaS the named Infu4dl Iury Oo p'OpCity damage even If any of the alfegaPons of 11, evil ere glountl~ !tt, noise Or Irauciuttnl. and of male such IOeestigali0n and all emenl or any obi toYy ppartner Or esetutiv¢ offrtel (hereof but Mil sespeti 10 a IpmpOrarYy claim c full as SI deems tepedltnt but flit c(onpeny shall not be obllgatad 10 Suhsltfult aal0rnolle Only wire such automobile Is being used In the bull lay any +ltlm or Judgment oa to ill any sail after the epplcabte Amrl of the aess of the named Insured) r company a ''holly has been exhaufled by pri or Iudgmpnls or seatemonts' Ili airr other person whllc using an owntd auldmoblle of a temporal[ subtlAule i f EytlW an; as orroblle with the P1100 10 Of His named lrlluled pluYe hit ittual I Tad; insofar •.c dots r.,t acO1y: Oparalldn Or 111 ht Is not OPtilif 7 his I actual use :feltbf It 'Affect r tut Stops of such permissron. but with lesptil io bodily Injury Or p+ople Il liability 1!IVrrted by tit fnNred under any ce n l rail or arrfemerl, dama ta aNSInt out of lot landing or undedrng Iheleuf, sloth other person 'hall t aO lnlured only If he Is, tc! 10 er obbgahon for which the Infs•s' of any te'ripl as Ills vol inpy br Igtd Table unde• cry v.ellmtr.'t tOmpansallt V-01ir lOpnenl cnrpt . +:Inn 111 a lessee or Wroft of Iht aulomehitt, dl or d14bk111Y her crone Ian. Or under any tlmi'af la. 121 in eftli of lot memo Insured or Of such leer!! or biro"l4 a r.> to Wry Injury to pry c•mpt eee or No Insuled afisorg cai or and In the let Ar el;p• III of oe¢anilauun but Only with (tire([ It his or its Iltbllily !rune or his tmnloymrnl by ire Insured if to any obheali0n Of fro IfiSUlod because t' HIS of Al lone Of an sOwred under cal, !tr of Icy above f r Ic free a fr. hecausu of dar-ogus a"e'E Sul of sloth Inlury, Ntpe of the follow{ng Is nn Insured, bul this exclusion Spies (lot tp ly sd Ailf Stith ihlury arising out of and. in the eoulse Of Ii anprvjm c t by ,ht InsUfed unless tomi t thereto[ Inn trq' p .ca r f'te engaged o the tESIn PSS lit file pmpleyer Binh et SptOl 10 are in yrhtle of In part eltbtr payable of recoiled to be provided Wit any bedrly irlul/y !n era' iedew rs:ploytt or 5.' reason Injured In the cOurs! 1 ?,oilmen s compensatory low; of his tmplOYnlrnl to prOPeriy damagf le lid tacepl al slalyd ondti R ' fsP 11; Done? or a Umporaly Subslilule aulPmcblle or my agent e empladp 01 suthOwrer ill properly i 11fi e being Ioiled stthe Ihfulad; 01 ilill my ouch cr ergtnuairr, cliv Ivan the named Insured. ollh respell lo, as sOprmy h Ind i t In 14 ht (ate, clolt of `g true Sl o tl(lsng III theInsu cOred, Ornlloi, fl as to ,rh.ch the insured is for try) Ou qulros - i A ?n;w uMC1t ar, r ulr o) ,'Ih any !collet Gahed of hired by such tlner can plell, damage to a rosrill or p'Iralr garage or ¢ private V11W of (IganlAtro^ ire In. !correct by Ili[ Insurance in ire corm pass!nget aulOmabdt !titled t) IhiS insu[aote; racy yer[tDt a IuNtr desigOaG fee Fitt( will a 'cur wheal rtlvalP i ptntnper aulomdblft aid net hNng used for Iusiness pmposel rills, r.. L tr hcell Mjullf v proorrly damage el to liar n f,trtf of not declared civil anttrer sic a t vci el, of •vilitlla- facll en pr sell o• to and act n crud Iwo Ircldenl to a / ^,f the ((fefoing Binh roajeCt 10 evDtmes ip his{ aid under llm Ili a trailer out tied vitb any n,oton xthliep awned on hired by such Oef• f p S r e^ entary paym¢nts rlo:!slcn s r. I otpnntaallor ore nor cotefed by like its call in the cempany; .011r, Irjup' r• prtpciy damage ar15,rF uyt of tfr nvficrsh p nalnlon uv a^v rift. whle emplrud In Of (Ihmwssr Fnpastd Ir duller in LonntC~ r e^r erefatlOir, u'•r Inndrdg it orlnadirr tf pry t•if automobile 01 hda t f h an a4lomobile fullness, other Pan ar Woril bllt outlook' In ppraiy supllitulp aasemcilit of ft srs^ artOmtbllc Ie. bring nuJ as is tretaled by l!'x named Insured, _ nnxf a-'c.;,., A 116 1 r r - . I r ' r 1 35 " lt. I'CIr OMCE WIX 98 I' 1>i:~}CIi 1l~fAS 16201 I".I,lc1.ir aLdSh IT, „i 111 purl III p1h ICiCS I; r t uuar I'ruV 1N t;lh '~i1104cL ( 11-15-8:w m 12 IdoitmkA k AwaIl 60 ~ Lixb211Gy $290.00 , hIJa d In ,h t'.1tr1 wd al.u,~H\I 61 r' 1 >glart J1 I- III u ✓ ,1SMIU k1SF11"CC J 1 1 J,\l1111 'Ib IhMN W.I.iW In rv earM lAll a(IIIRrrnl Plitt It'd II In ' r InilnhlJ 1.1 lJ y=m ~rU S..dns r FUft1" WOkYH 1 fill'I}I lh lFhlllfJ(J lllh(-lAtillilM.h l'dN l'AL F'1tvAPCE AAIpUhI'~ iY).IAI 01 23U4 WELT 7th I. II n1 1,..1 ~1111CEIJTAC,R L'11Ai1(1f. plhANi!1'1) IAVA11 hfy ! r' , Ulr w[Sr 7th HATI Ge1111 t. r. nnl 1f In r " ,j:.. 1 n.r 1J 'I - I: ro.i =d lire iron w'qI a J1lp in'deJ 1h1 IIU1J.1"t old - - i1 ul:• ( 0l•.1 Ir•r tau 1 awvel= eflw lnu hale :I 11011111- lId ulerrl dul d .I %R7 WOfl17'i _ 7iXh5 7G3t?7, • ' ~rILr~on, Ilb 05 28.40 1205.00 G73 r40 ,.7 I1, II.L 1,. ell loll 1 H, I rIf n l•I.... 1. I.L t,lo.q Ir... nr llo-. Aoo,, Yerrand a 1 , I cI1~. .1_n. Hlen I.I. net m1111L r, I du nut oln fo dehwxlnn "111 1 1 1 r I 11m )ulna 1 I Jvl1 III _ al 1 1 w 1 1ru I / t. .1 It n hnrnl All .M -7h "Te ":nl + 1 , 1 1 , 1 r t. + 1 F~ 1 Ilalr Inr _ I Irernb _ her Ilo:^ J { „ i 1 I:lilU I J.I 1 r1Ulr ah 111 11,in - I r.+l.,. LL.,,Iu i 111 1 ~ 1 4 $~g __.L1~3 E , h( 1 II,. 1 II\llhh ihU 1 I rxh S 1 r L'= 1-11111 111 1 Idyl f dfe - - , 1 , 4 r it1111 1 I n flay +u1♦ roll a 1h It irnad pp'nrwrna anp 11 Ill .^1 Iti( 1 1 ll , dl l I I -n¢11 Il 0"Nir l' 11sllr na1illn Id ] , IrLm 'r I . Boa,=r half,, 1= 1111111f 10' Id' rlhlt ~ I h l l•,(11 A It 01 i f e j1111Yn1nt ff lul•I~dlit f or Twit, )m 11rlh lm drargbl 5A for '1 .ll qii~ :,1 V 11n'.tl r - 1 U0111JIII I tIf u'}$1 .(IQ of aril rer0 Ill.. i . It «nrovad n,,.:n.a,It an:,ad>leydfnl r r Ill nli of of LI \1 +"!r'.II !I' IlILI'At Fll.N1 11 )av pa It, tiff reap, )op ma,'Ill n I 1td to L Y W o , d I!H - fI)(tnr=rr♦- 1, UU e1 .0 rlLNrwni lul I<.r.w.t erf I,n.lbq'ehNge. hul on Urns of S100ofliss,)'ou w lU A01 he drllhkA to s lllund el 'G 1 I ill Id Itle linaufe ehllli,t 1Jloi on"Ref II1l1Un thug " + j rv • I 1 1 1 1 ' i- 1 + ♦ 1I I v = not 1 d. uue I♦ Iii ~11p .ddlb + I infra In II n x61ui nnnte 11 At r a 1 V II t1 l pan 11 yal u• I In lull le hl' till IA IIIdutld Jlil mJ pr ld m 11 hlr t d III 1 du i ; ~ ' 1 ~iill~Iwhr~i.ulldnasuliFti i I1. ~290.00 f+ { - Ih J fM 1 , 1 1 I I ,I VI I wul I HIArI ) y - I 1 , I Ijlr n 1- 1• ••1. Anl•n 111 u Junr (.111 .cat F _ O/.}oOn 1'1 r L r fL,. , r r Is 1111 Irq I r,'ra r 1111. t Ld In iltF - j-, 205,00 S~~t r III°f IIIU !111 II flu I, 9pe , 1rmJ♦iu 41 llb mlhl'Irm=a 1, -i , u .1 1 I r j U IN1 r I + 1 ,1 111 11 I 9 151 r 1r rl In11111 1- tale :i rn! i t ;Jr 1 1t HIU., i1.I'., I]:u lill I I J.III. 1aI Ill I I 1.0j, ' 1 r 'M1 i, r r.t, :.Y nllr c 11.'tnrt jl:~ l r 1 I:.J 1 I~P111r I IUI-a i. o,nlnti I la : It ' 'a f.1 .llgau lr u t ?LIn fh1 r f + mlul Ill Jndrv All P 1 son dll i n ' is i Iv.-'= 1 la.'pl 1 I tier annq u9•J uudrr 4I A tilt 110, rl In r 1• .,,,,1 ,i.. 1. ,,1 -r - 111 ai A1 I it, \II I ell: 7c\1•lnd.li ! Irrt 11♦ llf r .r 1- . 1 r. fI_' 1r, ll. 1 t 1 =m. , [ t m t b u AGENT'S A01166MEN7• 7, < ;t, ! lt• 1 14 1 IWI'III lrlla II ail IN 1101-. -r Ih, cmirr lunul t-onls ndr IILImIlItn[ Ir` \ ' 111; •H I1111' •=v'. }(I dot .1111 it J1r 11 ~11.11 . 1Mi1 lrylall IIa III I. If I'll tl -vl•1n IlT 11 n.11r I I t1.1 111 ?I l uJl l ell 1 r ,ell .hd 1 r 1 Jel l 11 N 11 fat If It J. 1111 { I lass ItIll) lad al=I, it " I.n. Jlmrr d II I\' I hl 11 1 II'P IlIl I l rIJ 111' ' 1 t='1 VVIIhr 11 111 Oa 11 JN•). r 1 rYr 11 C. "I 1'rn.l 110r, I 1 5! lil It 1'ny1 1 ` i i I 1 14 It r 5 1 °l I r 1: II II A .v Itlrj 1 1•, )i M I.. {IIra41.,l.l al4rll 11~I h1Jr~ I7:\i 1111 111 I r old II e.I! II I 11411 I l lr Iu rl Ilrvi .lglt.S end nlyr it 11.511111 111 , + 1 :ll..I 1 1 .I I I "I lode) 11 I t`.I iLrII5f1} nI,, r 11 ~I"11 r.,- i v I II'I II I II II I 1 I n, nr lp 'rl ,Irian 1 u ru11 tl LI CIIIif Iva 1nr,11, h.. 1nl .eel .I ' aI Intl full l{1'ilunu tl nl IV lrt IT puyurlO 11 rmpN\1111 I ;'1. 1 r tlb'.I\IlU'❑ mdrr Itl k-.1:\IIIN 1 Al=gltlf Ul w. I h yipllluu I n,ll u('hld hl 111 lxpoll d I I Irl v J. 1. 1~ Ilrb Ids t,I r d n \I Ill ha 1 Inal 11 11 r. III f t .GI J pr 1 111. ai I \IrfU I , l 1 1 I .m I, .•.1 1, Y;mI d 11 n 1 ' II 1 ri ~111r tl 1 auIn 11 u I uP 111 )r 11 = " I :e 11~IV It if A l I 1 II r 1 11p 11 011I Y iIj( I I le I n.a 1111 1 I I IF.'itll r r. I III d '.I♦ I I h iu ~ 11 1 21 1 1! A i 1 1IL, I• I IN.p ♦ el NIIYh I Qlllh dJ 11VIIrO J` 1 r 1•' rat 1 If 11 I I. r l h.. r• ro e 111 11,.11 In it r 1.G 1 1 11?, I 111 I \l i 1 .1..~, a.. 1 1)vI I I[ ~ w'(hv 11 + 11,1, 1 btu,.l as nJ .rhl •r w11=loiarul f ! I 'I I LI 1111 Li ~ 1 r 'I 1 1'. I, 1 1 11J,n I 1 11 ! II,, I .t 1,.op iV/I\cl'REI,. v , . 1 ❑11 ! II T. ( 1 Y r : a I 111.11 StnHy9 51 'of 1r. I 11h 11 AJs 11IOInm rn1=4J It I Ir,1 .H •bl =•n1ld 1 t1 1 II 111 1 11 I 1, 11 dlf idnnl u , ....11,0 I.Siun•.,=I L. nrLa 0+111. t\♦lau nil. .=1IC ,I t. fir, If"( i'I,x 111111 r llnl. ,1=nu.l It IIH ix , 1., 1 . I. I 1 I..I.I r.. I I n'n .ra,.J•.t, uM f INAh1CE F OAT WORTH s l UAI rl ..-~If7 rtf f J JV If '~r 1',I 111 , 1. 1I I 1 , rn.. ' :IN n'l uTlA. WITILRYWIFIKTOTMMACUMM t, 1 ,.I 1 1 ( d t 1 1 { fi I I, I S I J I`, ' i , 141 1 CITY or IMNTON MUNICIPAL VUIl.UINa IX.NTCIN, TEXAS NUMBER NAMI, _.y . L Af Ii VICE. nDnm s UiILT11 Y UEPO IT f111T j .nFAII I IIMITS lOl WotPl~ fan (.LOOUI1 EICA 6 I1 ~Vlunib~t Ier.-tz r~~Jye vrYi A T )1 AL KF U r111S 11FMi't I'OFI PROOF OF PAYMENT AND bE P.)„ Ii WND, k L nil .1 tORM fM1•I 11 (.~.Cwktl 6Y I J Jr ,a K • f 1 i.. , f fti. 1t ~ `~~~~1~-i'~'~ :~t'i15?~^t'r#~~a~k~!t•<~~tc1~!n]~1~~Y,:Satdraf.:~1 ...a.,.r r.\..,.«nKe~1.l l~.tf.. J ~k,taW~ • II \ [1 1. ~ CITY OF DENTON, PEXAS 1 ' Lr~...>t t \ OFFICE OF THE CITY ATTORNEY WEMORANDtIdi Joan D. Morris, Assistant City Attorney R&ivt 8, Hunter, Assistant City Attorney ` I bA'Past December 19, 1984 10. Cliarlotte•Allcu, City Secretary 1'11 a'ROM# Robert 11, taunter, Assistant City Attorney SUNJV,,CT. Wren Airport Shuttle j ~ 1 I + n Please be t,dvised T have reviewed the attached automobile liability 111 insurance policy iss,'Od for the above-refereneod airport shuttle servic.3 and have found that, through rndorsoment 'CX-03-17, Tnsur- anca Vo)r Excluded Use of an Automobile, the policy complies wth ? the requirements of Section 26-45 of the Denton City Code relating 1 to vchirlos for biro: I RD11i~e tr , t. AY.tiialfmont 4i)' i(J tF 1 1{ M1 1 I J h~ f l` I 4 1y 11 A11~,''r~ V; 1 IA hl:4. l 1 w.. GENERAL LIABILITY•AUTOMORRE POLICY f No GLA Q QUINBY 8HI,E AG@' Y l A Stack Company NEW C,R, uA1726148 P.O. 80x 98 unswntoraa~era OFNTON, TX 76201 r s, LANDMARK AMERICAN INSURANCE COMPANY r, AD MIN IS Tn A tIV F 01 P IC G-- SNDLEWODO, COLOR ADD 6pt55 l QUlllby Sell In f+In;11Oy DOM F DECLARATIONS A. 0 Box BS 1D19 sownor cl(r,county,s~ul 1 Nlm 1. Wished Inyurad and Address: (ho„ Sbrat. WREN AIRPORT uBT DARtO)y YOxd9 7Z,01 ROBERT J WRLNN, JR DIIA 'h r l D11~0}8pE, SYCAMORN item 2. PatsyFerl0/ T41 0 IN P i. 1 ;Prim 12/05/84 to 12/05/85 1 : t 12,01AM,s05fildlime alMeaddlesofthelumlaInured asslated herein. she named Insured Is: tt---~ X[]Indlvmnal ❑Pallnessip lJ Ccipvrallon ❑lclnlil lr,e ❑O(her_ BUfln<SS Pf the hamld insuloO is ,e„r+. encws Audlt Pitted Annual unless otheryfhl$13114 uu,ta.e,.ewe j•. - , 14ADLEY BLOOD CENTER - Itim 7, the Insurance }horded Is only wdh respett to the Coverage Pal'bi (iltalld below by spttl1lo plemlum thargebl nd aththed le and lovmind a Dall of this pollcil__ - 9Mxal Liehlllty coYSndr Advance Automeble tp coverage Adrsnoe Coyelp Aenpl pall No Is). Premiums coverage PmUI Pan Malu Pnmiuma Comprohensive Contest LfebllilY Insmante _ _ • ComDmhenslrlAalomoblla lu&Illy lAUnnt 1~___ l CcmptelodODShI{oASMdProdutllLiabibty S AulamobileMeditaltaymlpltlmurenoe _ 1 ___,--_W_•__I s inoullna _ Aullin lu Phgolcol Olmasl IAturana L - t r Compnhrnsiva PaylchaF Imunnte 1 neue,sl ContrtWei llab~ III Insuunte Automobdo Physical Semite Inmance T (beet AulOmatiO awddllN' Llabltlty Insurance T r Phyli clanl, Suagoons' I'd Oearf IS' Pro l o isinnal E Aulomabllo Phyflal Damage Insurance l abdlty lnsmanty then Fleap I ' i to 125 __E 1770,Ot] 81 le AUtomoblla U"ill tyInil ' Madufaclurera and Canludalt' llablhly 3 }Ivor} Imunncc _ { + t nsurence UnlnsundMotcastilmuranca _50 11 00~ , l~NA~~AJU 1- - -T~ Ownli'e and Canlractol's Pwto-clire Liability lnsurensa ---PROTECTION 241b 95 00 Oenote',to ndloids' and 14NMe' LlIIn Ily Penonol Injury Ll stilly lnsurance PleAlllel Medisel Paymenla !IWPA 'A 1 Nosdilal PlorertlonAl liability IrIMMU ,f _ ~k~Al TX03 G9 L a, ' TX00 17t f}t, , tpho uum In of s ordelmante dim sum a a endoltamintl, l , t : Sher than Moll IMlrad on othll gthln BOSS hf J it I. i - Cerereyl Part a InsCheA es Issau i _ co_yul a Pln a atlxhld at aws _ Sub Total General lbhlldy Frimlum+ y Sub Tots] Auloneohnd Dremlum = Yet II Advance. Pnmlum_lol We Policy, l 19JG.~D . ~t - II the Policy Period h mole than Ono year and ho premium Is to be told In MNallmrnls, paemlum Is psyable an, f' s Ehaollvo Doti ift Annlvenlry 2nd Annoy/nary DEC I A 1984 Countersllili 12/13/84 Itt)58LI L OkACEi INC. V'E, WOR'Cila TX 9 ` 'Nolacsuuau lnyttt ' - s - gY No InUsA. AutholTt`ed Aeplofdntallue• '~~el , Of A61ONDIX o to I ) ORIOINAL . , - s rvr.'~H , i/~ } ~ t'° ( `hl~tt}.Aq~j1F 4, a,h rl. ,l,-~ < r} t i I ) ~ .j~r{ ` 5~. ,1~~rfi,tt\+C7! ,yr I. LANDMARK AMERICAN INSURANCE COMPANY ✓ - eNotex9oob, couonA DO 90165 IAssock insurance cower: sop hereon called the company) t In consideration of the payment of she premium, in relianoo upon the slalemenls in Ilea d1foaratldm mode a part heroof and subject to all of the farm$ at )his neltrv agrees with the nlmlC lmorod at foothill " WINITIONS Which used lh this policy Ildtitding endirscmense forming a pill hl pilled Operations stood or the ondiytround ptodlfty damage Mauro, or (q) for "adtdmolips' means a land O vbM[1e, tPdref or tonal (hailer designed for Ahi0 liability is assumed by the i0smdd under as incidental Contract: Irdvtl oil pubtlO leads'cn.ludint any m3thlntry or aDparalut AWN] Iheletol. incidental tonlratl means any nation Iil lease of p'emises. 12; fusel but cars not Include mettle equrpmenh agri t+d, except in cOnnea m nilh (Craft iglron or dernos!hon operations on or " pi a mumcipoldr, felirEd by "frailly ynJVly" mCanS bOdrlY injury, eltkrttst of dlsem¢ sUSlajaid by any Der4on 0ahw to a railroad. 131 a^deslall 10 i;sips ord Imce. exalt in conntclion wilh nark !Ir Ire munl[Irefly, far sldE which occurs during too, policy porlod, occluding death al day hrne resulting Pd;k 3gtolonl t or 154 Cloister rnainlaAarl ag'etme.•II; Iherelwm; - "insured " means anp prison or OrRrmration nralifpug as an insure) in the "Pen , "collapse trasord" Induces "Structural pioDs'ly damage" as delined heaein and tent Insured' provision of art apohcable insurance contrfa. the tncurance r Dfap Eily Wmgo lla any OtheroroPtfly as anytime resVlhng therthem Structural afforded dOplias separately to taco Insured aganal A ban claim it made or full properly iamb a" rn Pani the nbllaDte 61 Of svut to to injury to any bung of is br0ughl, nt<pt AA iEltI 10 ilea IinvlS 01 tie company's kdbilitYt suucmre due ~o III gndmaa Of rind erw""" "''06 ng, tilling ha[Y tilling. rnObrla ayCulpment mpaAS d land lthitl< iintladetg any m4thineiy or apparatus a Wnnekidg, pile driving roifcrdam nark m Carssan work qr r2l +nawngshoring, alead;td Ihnelof nhblhar ar nut tell ro piled W nut sub Ott l0 motor v¢hlde unde+p nnng, raising or day Q1Ilia" at anr builJingg or tUUtlure or removal or red sbarion, or Y maintained far usa extus rvY on Primness owned by Or Filled 5 Rbudding Of any atfUalwal suppoq IleEYPOI, the wllinsP hanrd loss not include e pfapHay damge Ili arising Oat 01 oDOraLans perfornoit for'he named Inluytd br td Ire named Injured. including the huts iminedialely adjn~ ar 131 designed adependemt cart1a[are of 121 included within Ih0 completed Operatons harin far use minnparly all public roads at WI designed Ir mamlained Wr the sold or ne undergrou nd,e pool gq dhmlte has ord, al 13j for which liability is assumed Wpole Or allolding mobikl! to equipment of the fillgtiing floor felling an in oy, the ourld under an intld 1, fit canllair eyril pail at of pormaneally ellached to such ehicle goner cranes; shoyets, J 'adders. diggers and dills; concrete miaeys !other than file nn4latlansil least; "tam tiled P;7ef11tOns h1Uld" iA[ILLdES had ly Injury antl prPpelly damage dtlUng gralors. V141 a milers and 016Pf 'Old e0dilrutUOn Or IPDair egaipltpnl ail, out of oDtrahons of reUance upon a repril lotion or rrarcanlY male at any time Compressors, pumps and g¢neralors inciudmg spraying, welding and Wilding uitn xeipetl therelo, but only if the Caddy In my or popealy damage occurs star cleaning equipmenl; and geoph)slcal erploNLan and hell servhmg eq.~7ntanti such Cperaliais hays been completed or abanonod a: d ottars array them mini "named Imo{sd" means the person or organisation named in kern I:. or the declaf owned by ar renled to the named insured. "Optrali Ins mtlute mhollaus, parrs radars of this policy: _ or equipmtnl luitliihtd Id tomnacllan tnlrlw, Op¢raVOnS Shall be deemed Cord ,mmad insured s pp(Odauli'mil goads or products mantiractured, sold,. handled r ptetad it tto earflesl or the lallowliig limes: or disautuled by the named insured or by others trading uadei his name, tncludin ' 11) when all opu)fohs to be perloamod byy or an behalf of the named Insured dny cooleliet Rental (other Iliad d vehltlel, bill named injured preduoil" shall valor the Contract have been coa l(lPd, not irclud0 a vending routine of say properly other than such container, railed 121 when all operations to be Gar formed by or on behalf of the aimed Insured it to of located let use of Olri but not sold; the site of jhe oplwhons have been completed. or Otcurfoete" means an acolden Including tonliauoul or foliated Orpos Ofe ID ill When the Posher of the l out or whlth the injury of damage antes has eonddl0m, which Ili is badly lit OI proporly dimsp neither expected been put 10 Its Intended use by any person or prgdmialion OIhPr Ihan 3161hol not (resided slam she sibnl inl Of the Insureds .f . ' '•5 Cents or Or subcontractor engagtd in perfOCning openlions let IF piintipa as a part of the same p10ICCI, pOIICy tlntlOrymeanie Ili the NINE! Slates of Aoiegta, Its tafetor(es or Possessions, of Canada, or Cperallans whhh may ngWlo further lurlce at mamlemante oink. of Color: r2l internall0nal warms of air elect. intended the ha011y biluryry or P1Ppidy dam' IiOn, repair Or leplatymen! because al dny defect Or dl OUI Mich aft J1a1 does not occur in the coolie of haver of tfansPOt alfon 10 or trim any j olheiwNe Complete, shall be deeded tOmplNed. 01her :Dunlry, $1410 at nation, or y v, i 131 anywhho in the world hills respect to dam) el because of bodily Injury or ilea COm Drell( Opsratran! hetald ides not include tidily Injury of pldpUly ppaPllly damage arising out 01 a Gloducl Whig was Said tat use of coil ump• dsrtsge milling out of Non tlhin the It iltory Qisuibed In Palagraph(11 above, ploWded the original Ill Operations In connection with the haASpoMation of properly, unless she bodily suit far such damages is bmughl within such Civility, iny or prOprcty damlge arses out of a condition to of on a hA lice treated 'prolcols Wind" includes badlly Injury aid property damage sitting oil al the by the lit of unloading thereof, rimed nlvrd'i Produces 01 rellance upon d Itp risentatlos or wandntqq made 31 16t the oxittente at feels, uninttblled equipment or abandoned or omitted ma. any lime Wrth respect thereto but only If the DodUp injury Of prdpelly damage , a ' Itrlafl,of ` a,tufs away from Pianists ohrid by or failed to Ina aimed Noted did also, (cl operations for Al the tlasillicitall allied in the policy or in the tompaity's that W 051 asion 01 such prOdumt hat been 7thnquiShEd to OihOtsi ' manual Nettles "'ntWdmg Completed ofivitfons"i 'property Consists" meant (It physical Injury to qr dr stiutlion Of tangible plop. r illy which occurs Arons potlod, InCILdlpq the loss of use that"] at "'SII4alOf" m!$M any haMlmH or tOwHldg dtvite 10 tanned IOats or $ndtn gt• arY time ie hltln6 thereglto thme , 01 pollI~I loss of use OfaaDglble forapo ly Wbteh has ' whelhal of nor in JanitC an,f all appliances IhertOf ir¢tudmgg fay car platform, net man Phy$1i111y InJuled or de;;slroyad piovided such lass of use It caused by ` Shah holl[aly, slatrway, runway, planar equl menl and mathlnmyr Cut door not an gcOUNince during the Pit% trod; mpude an aul4ri all Was, or a Proht.'HIMA a platform outside a r i0adng if AnhOul mccil l powPf or !l dot all3chad to building walls, or a. under found Properly damage lijard" IONgdis underground plopelly damage it j nod of material hoist used to allerahdn, cOmhudion of demoldi0n operations, or dillme hil end plapirly damage to any other plOptily at any lima f6till ng j Ih inclined cOnsyy0l ustd sscluttvely for tidying pro oily ar a durnbwaller used IhelehOm. "Underground pint damage means pfapefty dimekI to WliesIf . stluswely Poi caRying emper ly an haaiAg a tempar meal height not exceeding tonduhs, pipes, n!alns, towns lanai, tunnels anYy aimtlar proper Wand any rr out 0aI; appafdtus in co,pectioli Irerendh beneath Iht surtate of the ground or whiffet, caused bi and OtcuRing during the use of inethdmcal 09utpmenl for the purpose IipIOStPS hard" [Alludes properly Wallis viiing out 01 blasting or Orplosldn, of gradinf land paving excaialmg dt•Iling borroning: liking, bark filling or pint r the depict haiard does not include plopmly Certify (1) arising oul of the eu dinng. he underground property damage 6fard does not include Phil deny, p all 01 01 au of sdeam veSSElspiping until OfessUfe, prime movtrs hotmiry age Its arising out of opt pciformed for the Aimed Inivid by indepeodMl s• ` O'.lonel Ifinlrodalog equlpmerrL or 31 dining cot or operationt performtd for coolladora, or T Included w Ihi( the Completed OpeN11P6s haiard, of 131 for ` 11.0 named Inured by independent comtgvors, Or 13) included Wtlhlp the corm which iialiility is ayson0d by Via Inithed carom at InalOtalal contract. SUPRIMENTARY PAYMENTS } rich company AM pay in Addltian to the apploatle tariff of Ilabllily~ of the Insured because of accldenl or traffic Ian vloldlton arrsing out of the bid dal all Orpenses sic urrid by IhO tOmpad .air fasts UroJ aYnsl the IMUUd [n of W .ury vehlmo to Ahith Iles policy applies Pal to Oxceed 1250 Per ball bond, •j g Ibe Company 0111 here no obligation to apply lot or sultan any such any JUH restrict b the Company An~ all lifili l an she midi amudl of any holds: r judgment lherau' 6Kon accrues alter entry of the judgment and Well the s 1 company [its paid or lendil or dtiositeJ in court that part of the judgment «I "1u, rot sea Oincurred by the Insured fOr first aid to others dt Pot filet 01 an ac06 rvhlch dDPS not erCeed hill limit of the t6inpany's Ilabddy IhNEDn; doll, y injury 10 wmvr 14 1; policy applies; r fbl prtnltums ad 500eat bonds regUhed in any Such suit, premiums on hinds to ;dl leallnabte a ensas Incurred by the IAIDffd A the COmpaAy's request In Ieleate allathmenls in any such suit tar an circuits 001 to excess of the sell g he eCmDaOy !n the inrestigahon Cr efforts of surf claim or tulle l applicable limit of liability or Ibis policy, and file cost of bail bonds lequlred l off ar'Irl11 loss Of eats logs not to eseded $25 per day. [ L~eyy r f'~}t } fro"ik i,3. r a va a..rv , •a .ai rvdr r Atka lift Cell a Pallit) and Endoiaemedl{f)(if Any) here Of CONDITIONS iii I of eOr fofin ill prat I nl fin I I.I'O s + hr ((,'Pulcd in at.D darhte nth a. Other Imillil l If lltn'.t a c dot O. Ui. poll() a 111m .a Inwrail(t- f _ i t c , I's 0 1 , !u i t i r < I s ra s 1 ' , . r i r l I n1.lpn,I l i s l ~ L ` T art 1 , Octpl a ft e r staled is e pr I.te, eau Irge I It leabrtntl of other t': c If Pa so ante I 1 Pere. insurance, s w tins ortt s tiff a 'L ?fit; tint tall ha Cih cr wsurantt Which is rated to be aDnccable 11 Ill tors on an I+test o ((t hperl rfaa5, the n Lrt vn, m,-1 r i,t' hr la, 3 IIarba„ a Train sec' If a L!r s r r't^ un amrunl W I~ 0.43r, I abd b ar,P to a r_..,, a' not th rtd~cvl bs i It y r p nl rrt :h ie rrrdded !a UI armor,! rl [ill ca ncd pfe r,4. E,ij at the r+6lln0. of such other a Tura tr, 1 -u-the of t, Eir At I t Ufse t as (m fin Ld of part Ihui te,1-inalmp Aran It's, S inawa)a and WE, msufarte if P1, c Ii li s on the unlF i nn tlt an tlit, nuts pP J t,Ora,r , RU fella at i 3-. Inl dutltl basis vhaller p,inbf ii P. Lo Bt to ra i of up heti'~F hip ha.¢r r e 4vil shy be fortlIfd f a th od, of and upon Voice Lifer tlris polrtp t6' a gleam i Or it' 1_ (fan i^e: 5 Id in the t [III _ i'a oll nstad Fa G t a ors ' .a,hlr P Our rotor ear, ed applifablt fu IVlbol ft h aiila on bra n f , t L Ili Ir p,'ta eC a Is tt's the r peml9nl tie fauSiy paid, the L, r ra _ ;I a II ;c Ihr named insured !It urrii ItIlan III" b3 the fat extrication It (lull Shares. II a rl s :h otr laird a d t1i c o I,-r named insurer. ante provides Cur to bull( byroad :Nil( , the ,ar, s' a' 1 LIE rill ' so, o Ffealef prof a ct ;t§ I910, t rvva rrt.e ! ca M n uiv t h named Intuited aI zV 3 fit! if r : d5 Of surf Infornlallo^ aS t5 note '.ay' cut air es, r 1 Sha ! rfld the !halt i' l n n fir ran Hit nr}I ! s T I I .r'+C-tol o. and era r rc. c of Bury rccerds to the (0i apDhtaG e "L I r hat la of It' a u. -.'-f of "'1 11 1 o f f I' lass y' hr c - %I toy Lary per :d , a I.:! I It: cuing lht pel,cy pfffpd is Ihl is peed an ndh r(y f, to and a.ouhl el f ` r5 1-L (1 ,it r'rg i t^ pa,.± a, L,rtJ in5afe1s Ihr h c9u1 ae I. ml6100. 4o cola did o' rrt mina Lit; t 'd jimilt 7. Iniplolicn and a lei Ion 'nunsCas y that be efroilled but not obli Ali to of of th tit she Tlosos s is t s tac+ sort msoref l it, sa, is r 11 i or p 11, z -u l'I l• paid Ir,ped hit named Insured s peoperit and n era Ions al an lime (tint lief life ,I c moan(', s,glLt lit make Insptrtfum nor the nPakrI thereof nor any itppcil there- It'tlonldbubon by Lifi fl sty or u t ovler n j e ces tinf prcndp lac n si.n turf st HUtr en gndnhkmg cu 6ehall of oI lot the bone fit of the hAmtd conll Won us, tglnl if rr:- Ile ta•L ''s t '"r f a r 13tIf t r Insured II aligl to deltfmlrr of wapant that turn property or opelaltom a,e pIr1D,bnn at such lust Ilan b,t alL.-'s I I 1, un , III s er i a sat( of ILEflint A of art in rorrpli a nit wilh any ton. rule or legufafipp. f01 suit. loss Wife to (Gin Iola 3111 d, a t r aL+t, l a, 'J' o a'.u - collectible usuralfe against WOO :ass E life cornpa"y n aI Ertl and audit the named insured's boost and Ietoos at Or tiirir'furiri the Poldy Pa fob and orb's o S II rhtol and w,thil(tldfe yeses i', subrogdLCm, In Ile will of aT, (a, Ie ' u" '.P t 1, •a il:e tc npalp ,hill ,r l> arlyl Ilre Iva! Ivinit ,on of this pohq, as (at as ihty relaic to Vie ,uD;etl be eub,ogated to ail the ultuall $ nr51s or Itttse+5 p t Ift afa sl era meson marry, or this Insurance. or olgdniiahun and IIIt Enlured, liar evi ant c t tr Or !•as its and of 15 , and do wialevef else is nicouffer to sews such r gads. The Infured shall dD fr 3. 111 AtaponflbliEly Iasi 411hen this policy is tre lled aS provrnt hnaatlal nr,hurg filer lass ton crud ct loth QfiU, fesponsibloy for the little under [lie lmovisiona of any morot vehirfe f lannal -r~ _i IpspomslUdi y lab, such inlufance as is allLr led by this policy for badly Injury g, ghangefl Notice to any agdml or 1,nonlydhe Pmsrssed by any apart of Uy ant a•' I GaU'I la Of iaf path damage Ifabully Shall tomPly aqh the pfLralon5 of such other person shag pal effect a Nader or a change to any part or this punts, of Ian to fie filled, of ~he toyerape end limits of h3bs111y rectified byY surly taw: elt9p the tympany from asserting any right under [lit alms of [his pDlrtyl no' 5 the InsulEd IFuli to feifr,Uclhe the tompany for any payment made by fro corn fhA11 the !elms of Ihfs pmNO be waived 9r (hanged. except by epdorsrnaeni i;svrd I 1 pair which II would not Mare been obligated to make under the li of [his to lifm a Pitt or Ihis polity a r r Polity eftept for the sgfeement ronlaMCd in [his paragraph. . Wre DutEpt In life Event OI Occurrentt, Claim DIM Suit: 0. Allighmedb Withers of Interest unfit' this Corte) shall not bind I`e cam dr Inf J ploy until its tanfent is endorsed helt9m it. Ifonr.tr f'f named heated shah NO in Nit skeet of. an odcurltneer wlttlen nollf9 corramin par4curate sufhcienl 'Ie: Itch Imulabep as it allordtd by Ihis polity shall III ' r. to the named f d c identity UD Infured ah$a1sD ftasonahly bDtafnable in~9fmapon witiupaped Inu9ed's Itgel reef esentala'e. as the nanRd Insulid bul9wr while acting 6,11 in { to ~ho Inns place end tncunlslancps thereof, And life names and addresses of the !tope of his dulles as sues,: and 171 with IIS pod to the pro ally of tie the injured arid of avallobft hill , shall be given by or for the Insured to named Insured, to (tin person having pfopw leynpofaxy cusladl, IhoreLll, as Insured, ;f Use compass of any of Js atilhatted agents assoon as piaellcabl6. but only until tit appoidlmenl an (call, lication of the Iega ieensenlalivfi. 1 b' U claim Is made or cull is Ulyught against the Insured the intuit' shall Im' 10, Three till pol(dyI 11 this ps lky Is Issued for a polad of three years all t mcdialpty Itrnaid ID Ilia tampanp curry demand, notice, saimmens of other limit of the torlRpany t liability letad In this p011oy ea "aggregate shall aDDN ` n t Ill the elsM raid hred by him s,1 his represenlatne tepaaallly to tarn ronsetulive annual period thareoll a 'ii if + )hair toop9lale with the company and, aaon the company's 11, (as ellitlenl This policy may be ciniceded by the named Insured by to, ~5= y, re ursL assist in making settlements. 11 The tol l of suits Ind in render Ihettol to Ire company or any of its sole toed agents or by mailing to Eri~CCDriing any light PPDl conhlbulioa or Indemnity. agalrol anyypSbn lrE or the tamDany wlitltn nolire statio~ when Ihetealltr (he cahcellalmn shall Of a arllianrespats to AhilctI deE ance is 8116rdeduunde 1111t pi polity ~ep dahe VIIIII oNecbve fire policy may be (ante tied by the tompany by mailing to the nain14 rv L;IN f o+stroll attend. heaths and trials and assist In setultdg end giving epldenot hi at the addilss shoran in this policy, n0leo Act t staling when not less and obtaining the attendance of sttmessa. the Inlured lids{ Vol, Batept al than tendays liti Bar such cancellation shall be eRetlnt the willing of noble t L ; his o5ves toll votuhlerlly make any payment,. assume any obll~alOps of Incur as x191 e5a1d shall he s9flloecl p'o9 of pob9f. 1dP time of surRndel or the d' any expense other than for first aid to others of the limo o atUdent. ltCliff date and how of cancellation filled Ip the police shat become the end of lie pores III Pt~rva'y of such wnlten nolire either by the named InaWad bAl~9n Against D9mpany Ito action III Ile against the company unless at a of by Ihr tompany Shd11 be eV arsblenl to mo rlne. ~ wipml op prectdeni Iherelo Irene shall hale been lull iompllbntt with all of the II the named Insured ttrfe's, earned pfBmrom shall Of ctmpuled in acordante f , lend of this policy not until the anti of the Iiiii obllgallon is, pay shall I the cuflomafy Itself tale lable and procidule If flit company fai ls, a , I{. e (ten trnally deli eilhai by ludgmafd aRRairsl the Instead after actual taLncd pfil shall be t9nlputod pro tale, premium adimitrenl may bit made ha, a ~ lr r of by widen arfem en) of the Ensured the deimanl and the formally, ether at the time centtlatfod is elicited of as Lyon as PGmbcable after tanlth Art pplson of organrfalfon of Iht legal rfiprr51nla11vF lheleDl who hat sel lallon Dm9met trial hot Marmot or tender of uneaatd premium is not A I ;j xt1 ludgmenl or worsen a&Ieemcnl shah tnereaflel he pnUNtd to recover under condition, al tanrenahur. ; t st r i Inc; polity to the eater of 'he lasufanc; eHordtd by this policy, No person or wpan~ratron droll hatt•,ariy ni ght under this Policy 10 Din the tompany as a party 17:. Detlefallow Of attepinnee Of Ilus II Inc Named (htured aglPEa Thal f. to any acfrbr against the Insured to determine the lntE s bability, not shall Vie statements in the dttlafalims all his ag'etmtrlls ant rtpielpntatrynt, trial s flit tomriaoy be rmpleaded by the IMIL of Nf legal Iepl HEnkelltieBankruptcy Ihis policy fc issued In IEltaace upon the truth of 1i left a stri ations and that r, Or wsoirtncy of the Insulid of of the risotto's estate shall hat ralleve the tom- this polity evilia s all eAreemenls existing between himself And the company s Lr~ piny of any of Its obtigalians hertunderr of shy of Its agents Ia aling to [his insurance, I, 4a Wkneee WMseef, the LANDMARK AMERICAN INSl10.ANCE COMPANY has melted this Policy to be signed by lit Preddent Intl S!xfalorv or Englewdod, Calorctdo, Opel cou star figmed on the Del ocus fora prage by a duty 0udlodted P e6roseatallee of dray CoaSponyr r etclltllnV Mt1ltlt Np lif" +1 i , v ,1 i , a~59Fftfs s~`~s16~n;:A{ \itisn a~hi~M4`S 7 , .r r Fli I~ I. r g NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT IBROAD FORM) this endorsement modifies the otdvlttdns of tills npoollly rclaSlnag to ALL AUTOMOBILE LIABILITY OENERAI LIABILITY ANO MLOICAI PAYMENTS INSURANCE " ` OTHER THAN FAMILY AUTOMOBILE, SPECIAL PACKAGE AUTOMOBHE, COMPRtNEHl PERSONAL AND E RMll COMPAEHENSIYE PERSONAL INSURANCE. Sr it is Spread that 11 As used in (his irmfoatmel tl t I Ti pet icy does not boplil "bl illi ellaperNl C' Include ladieatlive; folio of eeplosise ptdpenleg A Under any Liability,"rveraga to bodily Injury or property damage "nuclear malarial" meant source morale special nuclear material of by. ' (1) Ads respect to s lieh an mi under th s policy it also en insured vet uel meleriel; . under a nuclear ens gy liability Gollcy stuff by Nuelcm Energy Liability Insurance Alsoolbto n Mutolt Atomlo Er;lery Liability Underwidtis of 17 urco material", " fpccpl fulfil material', Ind Vili4da4lhealW4l" Ii Nicoll Iiisurtntt Allocation of Canada, or would be an Mulct[ under the meatmgs Rival Them in the Alomit Energy Act c( 1954 of in any sae anyy such pokey but for its terminatior, upon flit ton at its hind of amendatory tal l; 111ii or (P) rlsng (fell the halvdoUS plopoltlll Of nuclear metlNal and w th "treat full" means any lull element of fuel tpmpanant soled or liquid, whl<n nss bead used or floored Io radio lion n a hutifk reaotlf, respltl to which la) any person or oriI UOn is fell to maintain Ilnanclll troll pursuant to she Atomic energy Act of 1454 or any ".1 means any write malarial (a) containing.Isy produce metal otFfv Soy omendatoier thereof or real the insured is. or had this policy not than be tailings of Aeries produced by the ectrpcNis or concentralton of been silliest would be. entitled to indemnity from the Umled Stales of ulamum or tliorlum Isom any oil processed pumaiily tea its Ionics reatolJi Americo of any agency tili under any agreen'enl enleled into by Coll Cnl, and ran fe3Vllmg ifom the oparaUon by any person Or offal 6 r all ( the Lindell states or America, at any agents 1hereol, with air Gerson or of Jny nuClfar lacllll11 Included under the Nisi two paiaArapM of the oaf s argaml , niUan of nuAeu Iacllflyl ` O Under Sol Ill Paymenif Coverage, of under any Supplementary Pay. "nU<117f facility" meant 1 .a l f menu Vlov;ilon cretinq to (flit aid, to recal is inaulaed with respect to sal any nu4telf reactor, bodily IAjuty reltlorom the haeatdous pHportili of nuttear ralu4a IN an ! alpment or device des; ned or used For (If s! ara in the isoto es and arising cut of l^g fe operation of a nucleei fullliy by any person or y q g 0 p p arganiaal~an at uranium. or plutonium, 121 processing or ulllitmg Iplnt lull or Ill A rz ` k handling orotessmgal packaging wall u , 11 Q Undo anY 1NbIhtY covers 0, to bodily Inj rY of properly dam141 ahulling lot any eduipri of ills to used for the plotessI fabricating at alibi lnA fie in the AI Straus piopnllll of nuclear a Isla , it of aPlNoi nuclear m8erht it at any fame the ill amount OF such m3 i lobar in the rood, of flit Insured ill Ineommisei effort such o4ool icol 1 ill the hutlpf material let is at any nuclear ;Jollity owned b Or operated or device is located tansiste of ar contains more than 2a glares of t'• by or on behalf of, an Infered or It) has been discharged or dispersed fill of or ulli 233 or any comtmalien thereof, or more than 2S0 ` •'i ' 1he[efroml grime of uranium 235, J lh the troller hi is contained in fire 10 1 1 61 wall) at a dy time (d) any structure, basin, outas'allon premises ar plate pierld of used lot ` r,' ' poll hJi l Garinred stored, luasporred ar isposed rho storage Or disposal of waste, I f of by or or, behalf of an Insureds or 1) the boons Ill of properly damagl stiffs Out of the furnishing by an and includes the after an which any of the foregoing is lasted, all operAlwal rr ,i Insured of offices,. materials, parts ar equipment in 'Difir tian with canduclatl on eutN si! a" all premises used ftl such operations; 14 ~lammncoheirucUon, itar9lenatce operation at use of an nuclear C E YY fission n i m INO teI" eta any apparatus designed or in a iUS17 aihsal 1n via of America, fact but tf such l llly it located or Can the United Slates of hsrld a sell Eupparun cnern reaction of to contain a mast of Its territories 111 o of pp I1I4 to ur Canada, Ih1s liewl ts? and rill hssPonabre materlat', B ~ s appls ol ne Y 10 . lb properly dimola 10 such fulNar fkllVly and any rr 4 property theieal, "property damage" al if 411 Jams Of 11110J000 COnleforAll Of Pi NEW YORK EXCEPTION+ the "Nuclear Energy Liability Exclusion Lndorsemenl (Rmad Feel does not apply Is AulomobHe Liability Inswincis in New York r, i , v u , f % ~ .a4i},1r r r c'r J f `,r+ r' t •i i .a ~ s[ r i ,1, i f ff~,rr I , ' i y ~y f r r a a ~ ~ f t a , iaizu" j 1 ~YIY V, -71 e COYERAPE PART CP 00 DS (Ed. 1.741 P BASIC AUTOMOBILE LIABILITY INSURANCE A 126 Ire• last rof allethmenl to Policy No.__GLA 20119 G 1 to comploo said polk). SCHEOUIE 4 The Insurance aborted it only with respect to such of the followln; Coverages as are Indfcaled byy specific premium tha(ge or cAlrgas. The limit of the company's I INbllity~egllil each Win COverega :hall be as stated heroin, eubfOl to all the farm& Of this tolhy having grvorice thaelo. CAYareges _ u - Lrmhs of llebilily sl Badll in u efabllit I--.- _ Pnmlume .._Y 1 r_y_ 100 Iheusind dapaas e+tn pecan T 300 ousend doilus arch octn(nnn S 42 - B Pw a Oams e llabillt - d 4S? ; 1 _~_P!tY F Y 5p IhaurenddaPuloathaauuena 29100 • Form nuFrI Of Iadoorsa nI1 611 U lsaue , L►olU Premium S t 7 0 _ r I OUC(IpllOn oI DWAId Auldmoblla - - _ Pumluml , rash or Clly lie Sit _ --g-- - - i In NTI{athl ~Yla T~ Ir el wrl line in MPylll buts Idlnl hlflon NUmhtl i BI WII el rlincipllly Ia_~_Tadll Wal N/mk Sqr, rarer 0111g or US SIII nIII tgl Craa4 air-al Numafr IVrlllll ` _ _ ny, l p!(I1Y _ or HUmalr IId11 DENTON TX 83 FORD VAN 12 IIAMINGERS 05537 525200 1479,00 291,00 i :l i, i ~ ~Putpow al Use iPg B Pleasure A Bmin III C Cammerelau eel+l B I Ind P 0. Pllmlim{ - ' s 1479.00 _ f 291,00 . 1. CgqYEBAOE R-BOOIIY INJURY LIABILITY publio or fiery conveyance unless such use Is specfficall declared and COMABP B-PROPEBIY DAMAGE LIABILITY doscrlbed in the Ithedulel y The company will ply o0 behalf of the Insured all sums III the Insured shall fill to hodllY Injury at properly dimadt arlring oul of the discharge, dispersal, become legally obllgaled to pay is damages because of iefatee or escape of impke, vapors soot, fumes, adds, alkalis, toxic ' B bfdliIt edu m~t chemicals liquids or gases, walls maredais at other Hrilints, cantaminan0 p i yyy Fi or pblfutgnla Into o utun land, the fimaspiI or any watercourse or bads E of welerr but Ihfl aceNstoo does not aDCCly If such discharge, dbpoisll, F f 10 which IIIIF InlurIM Applies, Caused by in oooufrents and misinB cot of the releels or escape Is sudden and ictldemal, I owrinhlp, maintetance of use, IrctudIgA IWWding and unloading, for itCp pulpoaes II PERSONt n , sreled is oppbcabte Iherelo In the ithIf At, of in owned autamoblfe at ofd i, Le1114 ofil IM11tule outomoblle, and Iho company shall hive the rlihl and duly Faeh of I a is an Insured under Ih1e fosurgnu to the ezlent sat forth to fen any tell Against the Insured seeking damages on atdounl of such bte" below) Injury or property damage Aven If any ai the lifegAliens of the lull era g11 U5 X, (a) the Alined f-mredl loss, title or (muduianl, end mayy m3N0 such Imaslfgallon and settlement of any roe an9y ppaftntr of ekieulive officer thereof but with Its eel to a ftmpothry claim or suit as It deems skiedlant but the tcmpany shall hat be ab11aaid 10 wb6lthis automobile only white such automaplle Is being used In the bull pay any Nalm Of Judgment Of It defend any suit Alter the applicable Umil of the nits of the named fnsuradl company's Ihblllty his bean exhousled by payment of JOdgmenis of settlements. (d any that poison while using An owned Aulomablle of a AmporrrYy substitute f Fxdultent eu~Amebila with the petmission of the nomad Insured, provldtd his actual this InsurarI data not apply, William of (if he Is not opersling) hit other actual we IhareOf Is wlihln ar Ib liability assumed by the Insured under any roniretl of a Ntmanl the stops of such pdmlulan, but with rsspecl to bcdlly Injury or property 6 R damsl1a arhln8 our of Iha larding or u(laading thareoil such other person I IN to 4111y611gallon fat which Iho insured of any Carrier is his insure may be shalt bo an insured Orly If to 11, held (Able under any wotkmen's compons Uloo, uhomployh aft ecmplllsbron (I) a Imes of bauowor of Ills aatamablla, or r, of ifIAbility benefits fly, or Under any similar Iawl fit) to bodily Injury to Any tmploygg of the imufed atsing oul of and In the 121 An ImDloYee of the rtsmed III or of such lessee or banes lt, caurs0 of his emDpfosmanl by the III Or to grey ebbpstlon of Iha located (d) any 01 hot parson or of IItalian but only with retctel to his or Its lablllly y to Indemnify Orolher bsaauso of darl gWing del el such Injury, 6etaute of arts or am ssloro of an Insuud under (a), 161 or shore. I but Ills axduolon dots 001 apply la an such Injury etlling out of And in None Of the following Is on Imund) , . n The tWrae of domealle employment by (ha fnuured unlais tariffs Ihenfor tit any ppenon WHO ABgaged In the builnNs of his offers or with falcate to 1 ! ere In whole or In pail either payable or required to be provided under vy hddliy Injury to Any fellow impleyto dl such person tnrured In iht Course Workmen's ttrnpinlellon laws tail la property damage l0 of his 11,1111011111111111 ± Ifll aredp t Si I8, updat lb) above, the amer Of a tlmponly euhsltlutl r" 111 prdptfly owned or befog irenaporlad by ifs Insured, or Womobll8, or any aged) or amploato of such awne , (2) propDerly ronlad to or In the care, Wsjodr or control of the insured, or lills any poison or arganiaalltn offer thin the named fmured will respell lo; I as IG Well the Insured Is far any purpose exetcplng physical control, ill a motor vehicle while used wbh any irall(1 owned or HIM by Such other IhiA~fill dome go lO a halide nceaf pfNile Majobya prbUe porsdn OF ortanirellan and not toured by like inivirro In lira 11111181114f utamsYlle cawlod by this [nsl farm, paay (excepl a Inllar designed far use with a four All pllvab (d tohodlfirIIIry or plgp7aflydamage dug to war, ahglher or hot deelpreed, full pateenga aulomeblls and pol Wrif used far buNnUs purposes with : wall Insutritt7c reb1111on of ravolullon of to any color candlUml Incl~ent Anchor type motor YdhfC1U, or j to any at the foregoiing with 111 l0 aypcnso$ for Brat old credal the 12) o flitter whbe used wllh an Filler vehreia ownedor Inedby II pth I SupplomenlAry Paymenh provllloni son OF organlaaNeo and nortuveted by Hke (nsuranto In the tomoany, Nl to bodily Injury or praDSrte damage Arising out of the ownership, Mllniem (IV) any person while AmploYad in or oiharwire engaged In dulls) In coffee• steel opanlllon use, II damage at unloading of Anyy owned Automobile or lion with An Aulomoblls busman, ether its an autameblle hasfosss ' ttnforary olleRluta to farebIli while such IMMOhlit le being used is a opefaled by the named Imund. Iltitrtj} t A its love) Rd, Wt,) • T"om"' ~ " J i - I `1 :~elz 3}iVh. 61e., ."r 1, r :Y , dp ?a• , . r. , , . . ..6 , III. LIMITS OF LIAIILIYY and "ownrd extensible" IACluddl a trailer not described In this policy, If Aegadldss of the numDel pp! IkI insureds under Ihh pellcy, 11 parsons or on designed fur use with a low( wheel privall passenger lulamtli and It not 1 ganlsetlone who lustalA bOdlly In wry or oropllty damage ill claims Blade or being used for business pWporat wllhenelher type aulOmeblEOt suits bloc g8Al an actaunl of hOdlfJ Injury or pproli dame a or (4) auton cedes I"pdvale pistlnler auem4110i I in ant a IlFhale passenger or station wagon re which IAIs policy applies, the company's liabluty Is limbed be fOilgwil yp0 automobile and any axlomell~I Ia purpose of use of which It state0 in o.. DovRa♦;e A-Ihs linnl of bodily Injury liability slated in the schedule as apply 1h0 lchedula a3 pI0UUr1 acdhullDYUr cdble to 'each person Is the Nmll of the company's I0HIly for all damages, temporary sca{tilute 4Yt011111 ' means an aulomyyblle not awned by the y Intluding damages lot careand loss of services, because at Gorily lnlury its. named Insured or any resident of the tame houuhald, weh0 tompporanly used ' lamed by one person as the re{ulI of any one OcCdrrtlnCOl bul54Grrc1 to l e abvYe with the pormisslon of 14 Owner as a subs lull for an rival aulCmoblle Allen proreloF ref ectfig "Fact, persol Iha telal Iiabilllyy of the company for all withdrawn from normal use lot servicing or (split or braise of itt break. damages EnCladmi damages lot care and lots of sefvfces, betausB 81 bodily in. down, (a{7 or dedNCltona lury sustained by Iwo or more clitoris as the result of any one murcence shill "Gnilf Includes semhtrallor but does not Include mobile equlpmmi, not excead the fimll of bodily fnlury liability slated In the schedule is applicable to "each muraeniU' and as to "purpsaelt) of use", j' covillig B-!he total liability of the company (or all damages because of all "oemorlal" i used principally in the buslaest OLcupallon or the Fenger properly imilt sustained by one of once ppFrsans or orgamaal.•s as the result Insured as send In the sertdule, including occasional use for Palmer, plea of in one atmranw shat nil caclod Iho limit of property damage Ilabihty sera, family in other boelnep purposes strio In the schedule 657ppllCebe Id "with occurrence, "pr6asurs and business" means palsonal, pleasure, family and business uic `r Coveralls A and 11-For the purpose or determining the limit of the company's Igbllily ad deafly III and properly damela arlsing out of continuous or we. pealed exposxle to substantially 156 same general canaikiii shall be considered VI. AODITIONAL CONDITIONS 1 as silting out of one octuulnce, d, Other EnwraMe-Tampanry Suterdule and Newly Aiqulnd Aulemabliee IV. POLICY TERRITORY With respect to a ampnlry substilue lichmoble this Insurance shall be ` This Inlurance applles only to bodily Injury or propery damsel which occurs exem lalutance over any other valid and colectiMo insurance avellablo to r ' } within the lenllory descibed In paragNph 111 or 121 of the delinilian of policy the fntusld. Isultory, With respell to an O0wned aulamehle ownararlD of which is newly ocouk4d u: V. ADDITIONAL 011INITIONS by the waned IrM during the policy nor FIT and not clsocibed In 1W ~l ?y v _ j When used In tolerance to his Insula.rYce (Including endorsementi turning a Iniurentee 1~11vd1ie61e to ihhCll nA1dap'llyr'a cry other valid and coN6dlhif r pad of the policy), IA "euemoblle bulep{l" means the bashers or occupation OF ailing, retailing, D. Out of Stall Insurance servicing, storing or parking usulomo514sr if, under the provislods of the motor +ehlole Financier ratCtoll hllllYY law owned automobie' means either or the mater vehicle compulsory insurance law OF any slmllar law of any n . (a) an aulomohlle which is owned by the named rotund and described In tLo state or sitcylnco, a non relident Is 7odi to malntald insurance with t scheduler or y res ecl to Lae operation or use of a molor vehicle In such slate or province an such Insurance ra ufremantl are greater than the Insurance provided Ibl an aulOmoh111 ownership of which Is newly acquired by the nsmld Insured h the policeP, the Nm1lls of the temiIY liability and kinds of tOvuage during the policy period, provided a~lcited by I a polls(,yshall be At set fOrIA in such tow, in lieu of the Insur. once alherw(ao proylded by the poAey, but FIFTY 10 the extent required by nil It replaces on owned sutomoblls as deRncd In (a) ebeve, or U j such few and only with respeCl to 14 operation or ufe of a Motor vehicle Ill) the tom Full Insures all auteMohllee owned b III "Mid Tntund ID such sane or provincar pimtded that the Insurance uddat'this provlke on the dale of audit acquisition and the nine0 Ensured noll0os the shill be roduced to the extent that there li chin valid and cofteoNOle etur: company wilhlri 00 data theeafler of his eleellon to make This and once under Ihls or any other motor vehicle InsurmN poocy, In no event no 01har policy leauvd by the company appptinMe to river automobile shoal any poison be entilled to receive duplicate payments for the same ' and pays any eddlNonal pfemtum raOulred Iheleeil eFall enis of lost. et I' i v"- .i. a fyr; 1 ' I Sri car r , .I +F , k, r,i r'v in r ' tt % °r11\^:N dRe rave.:. , •S @dx'g1 0ilk's.;}y S nW K.. , i l mar, ~Mn„M r• i1 r ' i d + n.,+_~erflast..wie91.ab,NS.sr-.StRl~k1«n.,9vs(krre,a+iY[dH4.y Nn"ra~^.s.z r+r N. i t,r .}y., IS 4a~rt., 1.....w,~+Rs3t.r p..a+,.LL`atM ~.~t }.us_:.+<' 1 TX•03.1rr INSURANCE FOR EXCLUDED USE OF AN AUTOMOBILE t This endo,wawtif forms o Part of Policy No..,,OLAZOI.I9$.1 issued to ROBERT J, WRENN, JR. 0.1}A„ , WREN AIRPORT SHUTTLE by the LANDMARK.AM,F:RICAN, INSURANCE,CfJHPANY of its ABencY (Nano of Insurance C;lwpanyl lotaled (city and slate) FT s„14ORTII, T& and it elfeclive (foal 12/05/84 „+F ' r (12:01 AyA. SlmdorJ Timel t•: ITho InlwmoNan abuva If requhed only when Ihq ondanemant Is flowed sub,dquenf to PlapareUon of the polity.) t ~ •I This eodollemenl Forms 0 part of the policy to ivlslch asldci,ed, elfeCHSa hogs N dole of nwe unless athenr[se stated herein, a 1, F I 1y:4 rl.• This endorsement modHios such insusoaco of rs afforded by Iho prove ons of sic 1,014y re- ti taflrso to slit fofowing t COMPREHENSIVE AUTOM081LE LIABILITY INSURoli Il AUTOMOBII E MEDICAL PAYsIl INSURANCE r r, it if a reed ]hot an endorsement slimos the alot ao with t to the 1110M 01,11c ?e in. Ilia Cndor lNtl enl to user HIC aif orn oblle for the nn jpp II described ing Ile Ilion n shill l not apply it ?he rho H mo omed In lulad not Hias the co cam pary Ihl eithin rlY donor utter ho yl ff vIa of he ou}omobll during the policy period for ohtr puruases, }li s ys , ey Ibuby AulhoWed Rcare{enfalikel i,i , i FORM TX•01+17,--INSURANCE FOR EXCLUDED USL Of A14 AUTOMOBILE if•: Tacos Standard Aulomobllo Indvconsanl t, Proscribed Oilebat 1, 1974 l TX•03-69, AMENDATORY ENDORSEMENT--NOTICE `1 f i rf2~ 4 This endorsement lords a parr of palrcr Nu CLA201196L ROBERT J. NIILNNr r. ` .load to , T'I`LE IJIiEtJ AIRPORT SHU JR URA s r r: ti I ; b by the y IiK AMERICAN INSURANCE COMPANY a h+ su rnpnny 01 Its Agency ' INdmo 0 ronre C l c.1N , totaled fell and state) PT, 140RT11 TX 12/05/84 - and Is oitec+Ivu loom flUl A,h4. Slandaid Time) iTM lislormallan e66YO 11 wqulled only when Ihfe endateemont Is fuuod imbsaquent to preparallan of flit stated potlty'l al r This andoeselnent (arms a poll of the policy to Willi aUadsad, aflacsive From if data 61 isslia I, ru mll"M o stolgd tlty ~ IJ.V r 1 s I' s's Tills cndarsemadt Inodlhes such hnsufartto of is al(orded by the prayhlons of the polity total. r15i' .1 IN to the followirlit COMPREHENSIYE AUTOMOBILE LIABILITY INSURANCR I BASIC AUTO 4111ILB LIABILITY INSURANU s { Ji OARAOI INSURANCE ` As usnects bodily Injury liability and props H,, namop liability, 11 the company is poludreed by shy Insured" failure to ss,.'t c sth comply with Usa requfrernanl, an 'I y wovhlon. Of finis policy raqulrlnp. the In,u"d if prod nol,ta nt "iios, otturrento or letrf or ra• r if -I guff 110 the injtrud 10.dri ld demands, noll40% summons at other Ia0a1 ptaess, shall wl (we hobilny under 11111 polity. t,` s 'i ..I t ¢y Inuly Au ulorlred Re 4y t h, i prasrnta l l yo) if I 1 FORM Ty,-07.69.•-AMENDATORY ENDORSEMENT- NOTICE Takao Standard Aulomoblle lndotjosnent s ' p.~~rwr .~-wry r '.l. 1 . 1 603, UNINSURED/UNDERINSURED MOTORISTSsSPLIT LIMITS Tide endorsement forms a part of policy No. _gLA2t}I-19Gl issued to _kQfi3EItT J, WRt NN JR. _ pgA 22''\ , _ WHEN Alll`PC[tT SEEUTTLt by the _--I;ANghIARY_APIRRI :hN INSURANCE CONPANY_ _ at Its Agency (Name of Insuwnc0 Cbnlpanyj located (oily and state) PT, . WO$T}tz and is 911e0hvs Ilam _ 2/95184 - (1201 A.M Slanrfaid Time)I (The Information above is raqufred only when this endorsement Is l$sued suheetiuanf to preporalton of the policy) This endorsehlbot forms a part of the policy to which attached, effective from lie data of Issue unteso olhorwlso slated herein, Tho uy first paragraph of the Limit of Liability provision In UnlnsurodlUndorineured Motorists Coverage Is replaced by file following; LIMITS OF LIABILITY 1 I n ~ Tho ,imil of II„blllly shown In (tie doclaratlors or In this endorsement lot "oacii poison" For Ilnlnsuredr ! )'I Undor nsurad Motorists Coverage Is our maximum limit of liability for all damages for Ltdlly Injury sustained by any ani person In any one auto accldenl Subject to this limit for "each petsnn," the limit of liability shown in the deo stations or In tills andoesemenl for "each acctdonl" for UnlnsurodlUndorlnsured Molorists Coverage Is out ma;lmmn hmll of liability for all damages for bodily Injury resulting from any ono auto accident. The limit of habihly shown In the declarations or In this ondorsamanl for "each accident" for property Uarnage Liability is col maximum limit of Ilsbllhy for nil damages to all property resulting from any one auto accident. Thfs Is the most we will pay regardless of tho number oh I, Covered pefsonsl 21 Clalms made; 3. Policies or bonds uppllcablo; 4. Vehicles or premiums shown in the deciarAUons; or r I r~ j , 6. Vehicles Involved In the acoldont. I SCMHUULE COVerAge ~ _ Llmils of Liability llnlnsumdlUndorinsured ' M010NS1s Coverage Bodily Injury S I5_i000 _ each parson I' ( 1 S 1QLgUO_-_ each accident I la 1 property Damogo $ _15,006 each aocldont ' SY If :l i i + (Uuiy Aulh'orizstl Ropraser'tietlvo)'~"~--- FORM 603 UNINSUREDIUNOEAINSUREO MOTORISTS-SPLIT LIMITS Taste Standud Automobile Endorsement I Proscribed June 1, 1961 ` I 'r~ f t r t, ratY.di`#! N(,504 ii„.H3 xTM• , ) i. r C 241b. PERSONAL INJURY PROTECTION ENDORSEMENT liege Avleme6lla Liability Tetutenet. Cemprehentlio.AUlennabllo 0601ty fesninnta. Oerole Intuitionist) ' This tndorlement(arms apoll of Policy No.lived to ......_:...~ltsl}..81. .t....IR N.s..,~~lr.:.•~11f\.....,., WREN AIRPORT SHUTTLE, h ` located (ally and sA aNp4rAHKte: APlF RTCAN,,,INSiNerms of COMPANY at IG Ape By (Name a! Insurance Company: , E 1 NORTH x..C C _ and Is of oCllye from 02:01 2:01 A. M. Standard Time) (The lnformollan above It required antler when this tndorsemune (s round tubifquvnt to ploperollon of the Policy.) This endorsement farms. a part of ilia policy to which attached, offecilyc from its dodo of Issue unless otherwise stated herein, r • SCHtOULE ; i Cov Labe Limits of Liability Advance Premium I ` Personal Injury Proteclion Coveroge S 2 r 500 each restore S 95.00 Cesterrpttee of Insured Meter YoltIclol (Chick appropAate block) LI Any automobile owned by tho named Ir suied. ❑ Any p+Ivate passenger. uplomobile owned by Ilia named insured, ' s' r Any molor vehicle to which are attached dealer's jlconto aloles Issued to the named Insured Any molar vehicle deslgnniad in Iho Declarations of the policy by the IotlHS P. I, P, and o mafor vehlc(e uwnanhtp of which r_. ) Is acquired during the policy pentad by the named Insured at o ep acemtnf Therefor, n . In eomslderatlon of the prenllum for this endorsement, Ilia Company ingests with the named insured, subject to oil of then; Provisions of this endorsemont and all of the provisionl of the policy except as motilled herein, as Inllowu PIRSONAL INJURY PROTECTION IHSURINO AOREIMINT ( lei atemdanco will, the proOtion of Article 5,06.3 of the Insurance Code of Texas and oil Acis amendolory or supplementary therola, the Company will pnv, ' Ili the named insured or any mar bar of Ike losured's household who susloln-- bodily in)ury, caused by accident, In a motor r sehl0a eciR.n1, and (2) any alter person who sustoint bodily Injury, caused by accident, (a) while oacupylng the Insured motor vehtcte, or lb) while using such velilcla with the permission of the nomed Insured, ac Ine spouse of the Insured If a rosldent of the (r some household, ` for losses Incurred by such Injured person wkhin tlvoo ysars of Ilia dste of such ciNdont for I `jr (1) all reasomable and necouuy medical expenses theurred for senlces famished, and II (2) (a) If the poison susfolnino suck. bodily Injury It on Income or wage producer at the time of such accldenf, benefits for lots of income sustained by such person, while jiving, as a direct and proxtmole result of tucn accident, and !b) If the person sustaining sash Wlly Injury : Is not an income or wage producer (it the lima of such oecldoli benolis In re imbursamont for necessary 8nd unsonoblo oxponses incurred far essential Hrvlect ardlr,oNly performer! by such r ' Injured poison. far Ike core and mabaenann of Ilia family or family household, durIN the period of such Injured parson's disoblllry, EXCLUSIONS This triuradte doeo not apply: to) to any person who: , (l1 Intanileinelly causal the otcldont resulting lie the bodily Injury of such persau, or (2) sustains bodily injury while In the (urnmlWon of a felony or while teaklng to elude lawful apprehenslon or 01+011 I i by o law enfarcernent official; (b) to the named insured or any monsber of the Insufed's household who sustmns bodily Inturywhlte occupying of through beleg struck by o molar vehicle owned by such named Insure! member of the Imufed's rteuehc 1 which it not an Insured motor vehalo. (Sit RIYIRSE $IDE VON IURTHIR PROViSIONSt II l r 1 s , r O,' 1 r By {,Sa1.`.1 1..1 .>..~-,:..64~r. 1Duly Authotlred ReprOlorltullva) s I , I PORM 1416,-PIR30NAL INJURY PhOTICTIOH IHDORSSMENT ~ ' Toes Standard Automobile Endersamenl Popped April 1, 1070 I , , - '*~>.=BCaxr .t,. il~~f'~t. en rr .,i r-eq, I . `t ,,1 Iy.....,~.. ttr LIMIT$'OV LIABILITY Regurd,tts of the number of police's insured, poftries or bonds appllc able, vehicles involved or claims male, the total oggrly In. limel of liability for all benefits 01 every Rind for lots or eaporsse incorrect by of on behalf of any one person who Su 4lalni Willy In. jury as the re4u11 of any one octlaenl shall not exCccd the imif of Mobility tot out in Illy schedule of this endorsemenl. 11 the per, sving pat meld smiler this coyeruge IS alto making a claim agomsl the Insured under bodily Injury lability coverage of on recei Ills policy of o accurst u u Company under the bodily iniuly provilens of she o insured/undo, in su ied molorlsts coveroge of this polity. ~iho such insured and the Company shall be elaetled to an offset credit or dedunlOn agousst any award rnado to such quest or patse"ger. e ' in on amount of money equal to the amount paid by Iba owner, operalar or the Company order "pcisorral jury pfoteruan" to 1 uniasuredrunJerinsufed motorist toyerages of the policy ore harell such guest or passenger pod tile bodily Inly Iohilty and amended accordingly; pro tJod, however, oolhinq hereon fltall be co•,strucd to aWhan:e re direct atlwn ngali the Ccn`.pany, DEFINITIONS "etluol femme jail" scans the difforenco between the m?alhty rate of income htdnq earned On the date or actherel and in. come eecyivod during file pored Of disabllily, ,neoturing income an the date ai accrdene as lotions iaf if Income 'n a salary or IirRd remuneration, by lire mcnlhly rate of ..come beinq earned on the data of occit nf; } 161 r tnervi by the overage monll'y InCamt dcfuolly earned during top twelve month period immediately precednsq the tl - ,I a tie al Ott !dine or if the ensured has bean engaged in Ins OCc4pOIl0a at 01 the dare al utCi dent for a period 01 less t than twelve onehf, by the average rrsanhly Income orlually corned during Ihol period, r, t "brnelift for jar of Income" meons elgbly iBQes) per, cone of actual income loll because of d14ab11ily Ili from insured I Beady lniury ivhids prevools the njuied person from urnforming he subitoritlol duties of his usual occupation, °b'dlty tsjipy" means bodily Injury, slekne4s, or disease, Including death at any time resulting 1hereflOm; e e'. ;iuorea" men wage wages, mloey, lips, s, Cymml n 111116 ipro(hfeessi(Ianmool 01 a fits, ann accident ether Carrdri tram Wor'a, or oniployri v i income or wa a reducer mean, d retso In On eccuporianal stows Where such peisr-I S' was earning or producirg Income, "Insured metric vehicle" mean, an oulari owned at Icos,d by the naried sutured which is doscrCed , she sdredrre as an insured motor vehicle to which bodily inJOry Iarrhy, coverage of the policy applies, medical eeppmet" meons expanses for nectssory mcdlcaf, surgical ray aril denial ioWces tnclwlmg protillelta devices, and necessary ambulance: hatpetal, prole Salami nursing end furiiral r res "m embef of the Irnn'id i houfehold means n (clot vo of lie min dual Filled miurcd who is a es: dcnI or the same house hold "mo10f ve Maid' at ,it an oudamabele and any other vehicle, intludmg a Iro,le4 cl.erattd or de,lgaed for anerolion upon a I public iced by any flower oher than normal Or ^susculor power; I "namvd jntured" means the parsOr, or oeganleatfar named in dm dech ions; "ririupyfng" meads In or span or cettinip into or cleahiing Item; l 'rpebon" means a nascent police and rnt a carpOmBon, porhmrship, ass0clalran Cr business name, - I CONDITIONS I 111 Pwvtslanr. None E ,r the insor a regrcementt, Cettus ens or COn11140115 c( the policy 111011 apply to the In toronce or. e faded by this endorsement eFtcpt 'Ile cm,J{uons " Nutica "Asslsmnca ui d Ccoperateon of she Insured," changes,' ' Assigmecnt," 'latcelas try' and "lleclamllcos I or d any c"darsCmenl Wreld, spCdhcully rote's to ' llervr,.nol IF",, Preleelicn ' 2 Premium, tf drum{ Ilre pasty j red Ilse ..aorta of nt+atcd motor Zajes uwntd {r, the na,r,ed'nred or ipoWC or dm nvrel of doe ce s liccnso plates Mood to Ill ranted ,nwrud changes, the no lied mired doll n, ty the Company dwmq the i pally period of any uhang^ and the hretn um shall be 0dlutled is accordance w tin the Formate in use by the Corgi 11 tie u r earned premium thus computed x<etdv the advance prerl poiJ the natural insured doll $toy the rxte+s to fine Company; .1 1 ' less, Ihr company Shall return to file. numed "lured fine unearned Indian paid by retell pisurad, J: Proof of ill and Medical Rcpe s AS soon es practicable, and no later than six month: after she dale of accdeal the j Person mokfng elate.. shall glve to the Cumt-uny woolen Proof of Calms, orolJdinq lull ochcufars of 1110 Ital nu and yllanl ail the - inpriv and freatmenf rlo,sed and Contemplated and medcnt exptnxA Fri icd, he nature u ,,d extant of enact Irene I;sl, all f s such ndrunaCnts and ropers eclat nn to Income as the COmpony may rro,Vnt Iulm to sl,bl sh benebn to, lass of IntOmO, Will such Olhar nUvmoban os ay ash,,J the Currpany ne delou ir7U the amours Cur ,,It payub c the toorcd t~ery_n shall sulor- l to mental ar. foeysicni exow n 'rll n, b, oh, swums selected by Ilia ( moony Ober of II n C,,-rpa s ; c,rtmv win and as often os the Cur+adny n' ay rraeonONy re'1bIrC ar;d such perlen a±, to Iha !scot of 'll'A'111ty, IF I'Carbtiry r d cif IhC In "1 -.prerCnleel shrill s p,n coch , lu,;St by the c. r,pcne • c rt ulhp, r 11 nru 10 ton rf r a pan, I; tn,rr c i cal :earls O 'Id .d. es cf IOaa,ds. pra01 Of darn =hull hC 1 [ n I e 4r:. nhr 1 by Ill. C,rr r s the Z n , y a , f 0 1. ,red ti furnish h forms e Ihir Woo, days oiler teems as r rice sf cla.,ss, The pe,av mar „1 A. - 'hill akin s,! _ n n;hes " der tufh by any gee. son eamed by the C1,mianv ! 1. ter III sonic, as oleo a; trial, n IF .'nool I e c I r ~d 4. Office fnsurm,to. VI Ollie e ,.Ih n -i col it guy p,alteF n nr rii,I o ntal' I a 1., c Id Iy' ' { ssmn; 1 n Is r, n. d^rtern Grit, Ihr Compony ;hall not 1,,e lo!ilt v,&, tho poke, ter a qre tl r 1"t, r ' , of such I then Ihs us11 able ,i0 I Ito- Ithly slasyl Ir this tnJ?rlli hour: la the 10101 appl clila Firma Of at ii,ly of rill sot d gad ul Cf l='C per o' =I"ty pr lutlpn nnwonte; Uras did, however, the Luuronce afforded hcre.,lder °11011 I ;V e. td;S user any other sot d cad c ttrbh t-,S Ool llu'l, I,a1CH Bl dsuran<C OetlllObiI Ip Iha no mad ..lured or city rntnhher nl the rn}Urad s leis;rfWhl 5. Payment of Loll. Any payn'enl under this coverage, tnctud ng beneldt Ice loss of I"come, ore pmcl e w Ill, per r_r wlo d sal lc~l or, of ihy disabled petSco Is ml unemantepared minor, to rise parent o' guardian wlra has Cuslody of sliths n... or, a'.thin s lboly Curs Cher satisfactory proof thoreof Is recclve,l by Iha Cumonny. Subjecl to prow( of clams (a) accrued medical expenfes and brncti; for loss of ii,eGmr are ra5'aale ovary 1Aa welts 1. rbt any benefits for a ncricd of less Ilion two weeks for stri Ih_' Cafnpany is liable are Fo va!-1C of lermltrouw, of Iha the. 4 abllb pofir>,1, 6. Atllon Ail l Company. No atnon shall lie c ins: live Cmnpany unfair, us a caned Gen weted"i Iha,rto ]here shelf !love been lull comp) Once wdh all t!Id Icfiv,s or tile polity and Of Ihi$ endorsement acrd unul) thins days aflee fho r0aufwd roll's, of cc. tdtnt anal Proof of loss have boon filed till the Canspony L It Pally Pelted Territory, This imur lace applies may to accidents abich occur duriha 11, polity varied of the policy to which the endolulri Is aHachtd, in list United Slates of Americo, ifs lerrnanes and posussians, a, Conodo, or Attic Iha ..solar sebtale is tieing transported between polls Ihempf, i Et f: 'fill TX,03.18Ar NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT (biased Form) GLA2ULl9Gl ROBERT' J. WIENN URA - - r ,i This endorsli forms 0 Pan of Policy 140 Issued to Will AIRPORT SHIJIILE j by 16r _ LANDMARK 1QI131RICAN INSURANCE COMPANY of ht Agency I. (Name of Insuranao Campbny) an d is alfrcl sr f"'91 j located Icily and slclel LT. 61URr TX 12/05/84 r t'2 01 A M_ Smr•dmd Timm (The Information above U requhad only when Iii oadorscmcnt H blued subsequent to ntrpafil of the pollty.l 7hh rndarsemmlt lC nti o i'Ctl of Site I': IWYIJ 'Fill Ch atlaCns d, n h_ri. l hen ~hle r u 't c 6a nis0 stic led hAlei is, j ! ' l'hlt endorsmt~eN mad fins curb insure nose ar if Ollorded by the p.ovit anv el InC policy re= 3 filling la the follawmy: ALL AU7CM091LE LIA01LiTY, GENERAL LIABILITY AND Mk01CAL PAYMENTS I ` ' INSURANCE OTHER THAN FAMILY AUTOMOBILE,SPLCIAL PACKAGE AUTOMOISIL4, i s 3 COMPREIIEIISIVE PERSONAL AND FARMERS COMPREHENSIVE PERSONAL INSURANCE It is agreed that; 1 L the. policy does not Oi q A `.ider any Liability Cayarage, to bodily Injury or property damage 7!) With reepeal Its which an ensured older the policy is also all rnsalcd u dcr n t ear n cIy 4 b. Vry o-- ul 1 NIICIear Enemy Lsabilily insorri Assxmrlr ,Midi 5 AI me 4n rgy Lrobih P, IJ dcrAl Irrs r Nu a s A o olton of Cmmdo, or would be on Intuited rr... let n 1y su-h piroy b,d has tic lc r nnl ^a ,Pill r rFa„,1 11 is .,it of hnbil ilyi or I , -I 121 tc soilingg bare the haraodaus proparllet or nuclear malortal nmd Sill r se,cr 1~ I,rh tat any prr• p r rJu nut c s rc~iu rcd to mo nlatn liner col prQ,iCt, 1 o ,tiam to fl. AI Clergy Act A Ifi4 r err/ law a r-nrdolwy the sill, or 1b) site infused ri had "'.I policy n^. h C 1 recd au 1 n C, Cpl 'Cd rd-n na 4 llie U a t..s rf A,erica or ariy agency M.,rtal, urdcr ally agree xnl entered ml-, by !hc U•.ICd Sintas .f P r ,s, r .J v . i,tcs fit. s,6 will any Velon or 919an40 rir,il, 13. Under ar,y Ivledieal Powcols Coserage, ar u odor anl'.Sup Pit •'ePierl' laY"~ Is A1~ Hi^n ralaliaq ra 1 sl is d r Lcr s di rurtcti svith respect to bodily injury '(11011i 'l Nom die haaardaut properties ni nuclear material u rd on; :o-d f h- nhrr- aY.an al a nuclear facility by any h.,snn OF cr Jn Iroh;.r.. C I Under Sty Liability Ca.orogr 1, bodily injury properly dmnagc r I,. 'r l ococdaut inovi os J musical me- (I' file nuclear melerlol to! it of ens nuclear fotility "fell b1. ~.I ;prn]c•f by of . bcholl an inwrod cr b) I'lI Ii . dlsehorgcd or dupcrmd II et ,rr. (2) Ile nuelcel motuial is ccolua,c(I still hurl or waHe of a f-,.n 1 .,cd I .^d Cd. 'gCd -ces;rd, r .d, Tian.. ported Or difp cd of by or r . b0hatf of on Imomd; or (3) lit bodily Injury F:f property damage allies Cut ,f the lure r ha a Us . lhivoo,l r r acs sr r Jls, p it - { U•I •n erv,n 7Ct rn u II, is a pea •nIF ig, C,.a,baCr fns, tlnrr Ion,. cn. rJill - 1 cr s •^r nurlaar h llry, 1 t, is Icf:ICd w'Ii.tn lac LsilaJ S1atl5 rl Ahq} Ice r ril r r . ra I -sere; ) - ,"fly f" property damage k. n4^h nuclear facility ,f ,f fir , ll, A•. used im this s r.,,,,,i "hoanrd0ut properties" r.dcde ad ::rctis c, fr.e cr cyl,lp i,e vr,_eeriics. "nucber mutadol" . 'c arts trusts nmterialr special nuclear melodal ;'r byproduct riocnal; "source material," " tpesfal nuclear male Nut," anal "byproduct malasiOY' . o-.c Ili: ti Art of Ili or in any law pro mdoi ry dwiclA ";pent fuel" n,emn any lunl clen.ens or fuel c np,l ncrt. s ,t 1 '.r Ii ,aiJ ,t , I ..r c•n_.c tad of n ut o no. drop reoclori Jfwmlo'r means ally waste malrf al 11 ! r 1-a' t byplo,l "little] 4h t 111.1 waves c r .d 1 f risen or C ce ill ralirn f urm,ton IIU w ly .fa o ^d 1'1i11 I r source file of t . m 1 from the s;mrollun by a'y Gcr:c1 . .rga.IioLsm n f any nuclear faei Sly r.I lid entd.r Ihr fn,r f 1, 1 ]rn;iaphl a Ili {rY • non of nuclear lacllilyi "nuclear faolfhy" moos (0) oily nuclear reactor, tb) any egsnprnl or device du ii m used (Or 0) . soodrol nu l.c lsofLpes if sPd ant qr pl"L• nun r21 pr_ccss.ng ar kill I If g spool fuel, or (3) 1 pro:assfng or Oackagul9 waste, r let any equipment or device used jar the psocclimg, fobncminy of allsy g of special nuclear material it of om time Inc total OnloUnl Of suds molef al in the cutlery or the Infused at Il. ,eru,s uV•nm ,,ch "won'm,t if der®c is loeatad consists of or canlafns mare Than 25 grams of plulaniunl ur ur3nlum 233 of d ,,v Ce mbinpl on Ihereali or rtrora than 250 grama of uranium 235, t (d) oily slnrcture, basin, anCa:ollun, prmthce or ploea prcpareel f vicd for Ilse sloragr ^r disposal of ni and locludos the file on which any of the lcrrgrimg is Ir<mad, all apeurron; conductor art Fulls sire Ord all prcntisit used N.r such operations; "nuclear reaclar" meonf any oppotelus deslgliad OF mad 10 VWOln nrlaleaf koij'l of a Fall-luppaHing cl10111 Norton ar q&:` loin o Griteal mass of lbooaoblu rnotenal; N. "properly damage" Includes all io ems of radiaaclucs conimuir fan of properly, b r LUtW NATIONAL INSURANCE COMPANY Include IhInclude Dede 3 a sec secons . i i • ~•7 ond ' rtrE•~:~~D.'r1 f 20~± FNGLEWOOD, COLORADO li'' + I.. b ri. f part: dirUgruled I g~ ( WYU/BA di.A2Pil70l I"IngilntlA ' r~i,tm,l.3 tG f.' IltnilNO;.(k'1f'Pj)"i;i-T T M311 ~,.1. r Renewatel ember ntodvilo; t ill nmw MiLY)REPO RT BUSINESSIAUTO,POLICY ras. Y s 'i 041 )ol IrRnm c1c) wi iftt an, 's*SW!'. Aur s sir'. ®d LI.w .1}'Jlit:yln 1Cf'J~ Jrsiaxin tl. Eri 1...79:4:: ~tttb 1Ri dJ6 Ail1 ^alrr,l Ed !'i .vl. 4iVlhaB1Q 34Rh 1.ry~.111i0rn,/U r ~'i~N1IT♦:!'I !DIE 'NAMLDiINSURED 1AODRESSe Vail) V, sg~u ark 7111.NII"J" '9bRh1' A}'URM'OF NAMED INSIIp{D'S BUSINESS y,y hsl)13•M fir UT'f,rf ! i e.: ' " - s " D, r `r5"~ 1}9~eo ArI'~I1 rN VLOAPDAA710N"[~ VAAINFASNIPINOIYIODAL UR r rr,.'i b r a ° ` j•_. n'/ f U p~~ r1X• , r .,,ir tart .rl„r" 3Y 1.` ';lU Vf n.al . At;LPM 8I1110n an . ; .116 211511UO 8q, ugt:'...~tEj DI}IEA Ir. lr 7 'olw 6 r. 110$ X. frCAl9QSa NAMEUINSUREVSeuslv,sS 1l~At>rY T11ADb CiUfl7tit ' :D ► n 76201 5' Rmp ul)ITA,, gID' t rJ rV"~ r'tt 'l i oL",nEA".Y- Nil' Ali or&okii Qb1MlX"iYLInIY$a •OMM 06rloi . RE PR ESE NI ATIYE J Office Ar is 1l+0. BOX 4A k YRA u L -clet RUSS= CIAU, I1FC. Town ind stule D + 71 76201 O ~ : of p J"I~ 'dl t1!'ci ~c ,iti!i4 .n t t r,. fr :y1Vt ~ 1'n POLICY PERI00: Pobcy covers FROM, 12/03/44 10 12105185 .a! 12 01 A M Standard Tmia at the Named f ITEM TWO=SCH;UULE OF COVERAGES AND COVERED AUTOS . snsureds Admits staled above ' i This policy ployides 001YAhme coverages where a charge is ahown in the piemium column below. Each ol. these clues es will looly.only to those sWOSShOwn at wuntd autos, kilot are Shown as covered autos for a particular COMilit byltht enDy'ol One or rnme 01 the Symbols from ITEM 1MREE neat fo the Mme dl The coverage COl'EAED A T UM17 „ r.e.., o ;e,- (InN of one or more or INI V .,I9 - t ( , " H , PPEMIUM COYEAAUES lom oi0 rrom uEN txatl THE MOST UE WILL PAY FOR ANY ONE 2Cf _ , fNP.f.NlNM•ane 1i,a -r ' t0 end aural. ACCIVlN10R LOSS , [ABILITY INSURANCE PERSDMAt IN)URY pROTECi1ON (P LP.J -SEPARATEi' STATED IN EACH P.I,P EHDDASEMENI MINUS for cQuivslenl NolauR coverage) - S Deductible • J "TtlA Ga' ti , v._• ADDED P.I PA01 e0+4++knt added a0hnr ar.l SEPARATELY STATED IN EACH ADDED PI P FN60RSEMEIIT' PROPERTY PRO1ECI(ON INSURANCE {P,PAL) SEPARAIELY.STATED IN THE. P P.T. INDORSEMERT MINUS (Michigan oily) S S. DeduWrbte FOR EACH ACL101NI S AUTO MEDICdi PAYMENIS INSURANCE S $ UN-INSUR-^ i ^S IhSUNANCF 3 - S [V MOTORIST- y~ ACTUAL S 100 F eduttblt FOR EACII COVERED AUTO FOR ALL T. l Y1AC CASH VALUE or EXCEPT fIRE OR LIGIIININGyVO { a OR COST Or 11 EPAIP 425 Oedo Clible FOR EACH COVERED AUTO FOR LOSS S: a SPEC'f IUD PERILS COVERAGE y2EICHC viR - CAUSED Ot MISCHIEF OR VANDALISM Yz C61lt5I0H COVERAGE MINUS 5.1100 0educbb1e FOR EACH COVERED AUTO, S 982N0O~ - a tOwING AND $25 Pot each disablement of a puvilf Nisenger auto S FORM$ AND ENDORSIMf_NIS CONTAINED Di THIS POLICY AT ITS INCIPPOH PREMIUM FOR ENDORSEMENTS t AU 3524t AU3517g TX 0S r11 ~FCTIMATE0101ALPREMIUM# S~Y~r•D0" ITEM TIiREE-Refer Io're,erse side or DESEN PTION OF_C'OVERED i 5."? -1 File?, to ITEM 1 kohl d) on h+war-Side Im eaplamNon ol> Estimated Tolil Memium AUTO DESIGNATION SY1001.5 I through 9 Enter SYMROI 10 D[SCAIPi fl here - - - _ ITEM FOUL' -SCHEDULE Or COVERED AUTOS YODWOWN i= 'JA Ole rl' Ir 4 „ I E tD ene DESCRIPTION ~RR)SOAYgTown AStale Whtre the Covlr-td r (4 even feu Nodrr I+ade NO" Body tine Urgwtl toil ne y_Auto will he firrntrWlly-garaged ~Nn 5l iq hvmbe (1 VolKre Id+nniuto NUMP, IN NI _ - 1e83 FORD VAN 1z_PASS. A fs~s Jts;~. ord. TZ _ Corned CLAW it0ll N + Aviv N,d,ua of 7usinus we Sut poll, Cow Pnmary SRd,mry Except IDs ti ing all physical damage bit is payable to you and Tile loss nD (?nilWn D,VAKr! Grout Arne Arl'nl cede payee named beror+as'modrells may appear at Oe'bme M tr! bil" latter tin Ylei) cGCDmm'I sulmg C+D+at) 14000 i - yam- - Z tY ACC r: aaz x~1u;, 1iLV`DW, 7Sobi (CONTINUED ON PAA7 2 ' " ' - ` ' I 2/13/04 kC 31gy. y N.a• kr . iu, AUi . OEn, Z1 COUaunl p i .•..•-•5- s s founlersignatole dale: P2, V by AUReruld Atpll ldxtne. r EXTRA COPY 1D805511I XIA ft d. 1401 i......,, , 4... •.r mr., ,.,.»u m„rn~e•,., ,nr rntuavrL .r.. 411"14111034 CAtiol d0lam - b BENEAAL LIABILITY-AUTOMOBILE Wj ;K AMERICAN INSURANCE COMPANY I N_i.",y wrt l.,yr q °rfR'ATIV nF@IOf-rf NGLEWOOn COLORno060166 f s MUM" L, WM& ULY 'Nlir. QL7l '2 U 11961 t/C.=. rA173Ai~i t^t, r.A. i0liia • !r~ RYNfwAI pa,V4.lla , . r.. Di'R1'OKe 'li,,7f20i 7(S.•d syJ 3l, s,.h rtsMrtb Wh Of the J516,'fR+ A her Ve, Jr th :+r,r;a. a; L;r a,.Yn yaesb' 4 a t~_ re Kos U :v eti1 to rk "qul P, ss I S, 7ta s y„ r ' r rae t~e•r;c, • _ .1 Lys^. t ` Ner~J{f, ~ `'J el if a .0.J, f.,pp r1 C;' n i u.Y r UJ.,. s., s tn..:4J~1 N1n ar, .Y.. r _ 1 a'~Itlm L. NAmtd lneYrlddnd A7drtSS: (N>., SlnH townsYCRY, COUnIY SUIq - C\I %0N= J. o JR RIIA 1111101 AUkKI tT 91111iCT4L I d m a 1168 1* tYCaMOIIt rsg a TE 7IRM i . Item 2. Po kC'y 10d: Ixo, Day Yr.l i i =2 From 12/45/$4 to lz/aS/is s I 12101 A.M., standard time at the address ofihe named lnemed as listed hernln. 'i •..,1 .v' III t named In$Setit is frrf Individual Partnership Cospontion ❑ lolnt Yenlurt Other; !s? t y Bu7inau al l-hg naimed la ire is, rar.ryC .a y Audit Petlodr Annual, unless olherRhe slated, i,Wrw howl sl..;. ][am 3. The Insurence sHoldeo is only wills rtspelt to the Coverage parlfsl bIditaled below by JPttific premlum tharjels) 11116 61IMed 10 and forming a pall of this polity.. 6enaral Llabli ty Cavxage Adrxlce Automobile eoreragt Advawoo - i u1stait Psetia) Part mold. Premiums Corxage Persia) Part No(a), Premiums Coreh rnpansIv# Cenelal liability fntu,Ante _ S~_ M Comorehen sire AutomablletlJblillyhSVrante Camplaled ODerePont and Products lltbdlly S Automobile Medical Payments brairana Insurance -•__T. _ Automobile Physiml Oamage IMUUnce S Compreryths!ve Personal Ins wn_ce_ S Maslen) Cortraels Al Liability Insurance Autombbile Physical bemaye Insurance S Wugg!sts lleblllly Insuunce~__ _ _ S (Fleet Aulomelit) Physaians,Swgeoos 11nd Oenlists' Pr0!lfli0nal v $ Automobile Physical Damage inswanteJ S Liability bnularta tNOn Float) y, S 66slc AU16moN16 Ll ulity Insurence-_ S 7east%a Slanuteeluress' end Conhactms' Liability S Oange Insurance j Insurance - brviiied Molorists Insurence Owner's and, Convertor's Protective $ S Lsa61hIY wsunnct YaFAT'RI:.ZIOIf Ullo 45.09 Ownen'Jandlosdt'and lenants' Llebllity S S , !shat Pe Liability Jnsannte Prom Inryry _ISes Medical Ptymants Inturontt Pt SON)PIgessiontl Liability lnsviantee $ -~y- I i TXD3-171 Form nnumbers of endorsemsnte - orm nurnwe of mrl~ornmenu, I Other than Ihota entered on otnx than those Mtarod on Cores a Putt 01 d su atSub T e.-~•_ ^ Corxa a Pail astatviea ai lases _ Sub olel 6eaxtl llabllhy Pnlum_ $ ~ Sub total --Automobile Premium Totes AiNeiate Pnmlum bay this DOtyuy, S 1~33~ ' II the Policy Petlbd Is more than are year and the premium IS to be paid m c Wlmtnls, premium is payable on: Clleu4ve No )71 Ahnirelsaiy 2nd Anniversary f S j ! C-0uhttrslgned l2/1]W/Awbn sues RO -nt USIS1 Ea LAC. •ACa aPODeeblelnteDl R b oa , p Int, In u.s>r Aulhafitld RlpreseAlHive DI 670 s Ibaal N11 y.a EXTRA COPY r F' Wool VIA" I AllfnhglH ll L Rr, rl.:,. r1cl AVI'LGAIJON , L (Af.~~w ~llllflf~S 4iU71fIlG~ Af~U/I(:y{~ r 11 nIm nl ur,... n, r c [It r 1 fit 14411 trIrNwlwl rEl roU ro./e Ihel rotkllF 14lwrn/1 IJI~< r until ( pnlVlN - EUEL NAML IIIUbOi USf u9bn131 111,WE n SLICIII S F NUL101 N IArt Or 0lll+ll Ar11 SCh L J1 INIDnMA}ION.. '~$I - ~il NO APOnu r l~r,l J' ~'~Qf~Iv'/ :IA„ ~r~w/~G67~O AI f1l1 Irl fir i I.ri RIF I ' wI6NdW1 I J ( 1 (1 I 1 : brddlM " i I If lM4 l / INhl luis vw ll J D~ bo ec11/'~ .I A~r✓/fP/~rv fl rti/_F t:, lS fr to ~i! /d 51 ~p { I I ~IEI ~n Vlrr ltld Nal - l - IA +I 11 .n AIMNn uwa IA/je~'N Iq lsPu! i I ( I. alduaw CY / APPLIAP41 lifilli[l IDI ! NPIM p(.rvi11Y 1gfi A0[ifr Of {I'll ' COUNI~' ILIAI[ 11 F + J 011 All" M Llvlr If1 A S 1 rS y(V J ~DOnE11NA O SD LIU,a11 whir Pr ID iAnS _--I1 ( q O G~ATT ISdFeEpf~~l4 - Ilf YlrlDS~llll'1 n11 I[1` D N nrOllciU Wnd Ulv ill <rrl POLICYPiNIOR NEDUESTED N S ISEE NOTE BF LOW) TDOIA1~1 TO I~ $ p s /r1-Ilnrl 111 _ t r SOL AI SAID MAR! MODEL -80DY TYPE VCIIICLL 101001111 1l IN Unllq f M jinn ILAAS Ior$ MII15 K! DAIS NINIrAI 146 YE i. OSI IfW ln W)IIR f1I1v MIFra L H J yuA'E;N4F Ean_ I A--t?1) ff eceelC l>? .~.Y/.A!~I ~DI ; 1 1 MAILING r { ADDRESS CAn fi'YI i 4 1:; ;i All OUT 'I NSMUFr SE IVISY1rnEb INbILnIL R[LOw CnvI nAO(S UHIDIU r Ir1f IS IIJ,II I9 PIIFIArlrf4 I ~ IL~ cAO I. IQ Tilic"AisFUiN NE35f NOElf 17 - 1 J/N1, I OAD I I-- r l l l., 155 S. IS ANY 001V1n PNYSILALLY IMPAIPW l]VtS CI NOD - L1 E LINO Il sl 11. Ir ~C10/ a,n C7 i /.-Ilt jf t 1 1 ' 3. IS A11Y OhIVl0. NOT lICENSEDI M Fd IT'}tI All `I sV d1 1_ F ITf rr/ f t 1 _ 4 ISANYDAIYFA'SLICENSESUSPINOEVI L1 YY S E C D 19 AN 60.77 REOUIIICDf011 ANY 011iVEllJ Cl vE3 LTID 1550 t_ill n I II 1 r. I~ 1 3 t t'. ' 1 1 u J I a I { E 1 f 1. VLEA5F EAPLA14ACL'YES "AN9WEIPS I,n a I, Nl 1 _ - I I ♦I` l )6bo.1 hYl I 1 ErJ T { S _ e 00, I ll yf IrE LI_ 1 lO tJ 1 1 E 15 1 _ J L r f LI ! ULOY~1~~~'C,A It I_. ~ll 11f A() 1 3 'I A 1, :o. 1 OOrn I No 5 It II SAn IM onanlN.uldH9dKf iAd u1` YF5 .iIJV DIAL PUICArt....~1h/JC!,b ~S Unn1, M1Mr1 rMuLLMln 11/111 IULr I'V ;If 1 J'SillA All vINANO tbt Al - rw1u11r1nr,.inrJLr rJOnfno'N E,Ny rlmr U5 a114~ lMUiryS AqD AICIpE II! S.N 1 wl rt uIAV 1 1.' J I 1)vt5 I tic, Ha, be -1 b Iw I tDI1 All ON VLOl Il11l I PAST J0k05 , St1E.Nt1 rE,~l Alr 1I - OL 4,1 dUUI rll rv' e 1 xr fnl rnu T inl lrwl Nus n nu 1 I IVISVAMI RLUINI f11I InlDI VIDLnT1tt11 UDR CUSTUMPAINTWICnnwrlb•Nrl 11011 LIVES CANNO h1AOVESIUM UII CIPn[IIAE N'ilErlS Noll 119115 CA It NO si J. I . 1FIW NO (7liYES CAN NO , WIDE IIACI Rp TINES No I)IIVCS CAli fin )WAY TEL F oil ONC NO 11 hh•r5 N.R CE NA01b,rtIOIC6ft VALOL I rhn'!-Ili5 CAIt110 rIOCHAIRR fOll TACIOVAETF11 PIIr550111, IiMILES _ - oil CAnR AIP lot15y5rt1`.5 j 11 11 W111Af S P.IL5111161 1 1 010 E( ~yl'[E I Ir.., 1 'NbtF rn 1loldrc.l I1 I l ♦ F "NI 1 11 1 ,al A in q -rr 1 Pyr 111 RA 1 011 fal ftN WIF YOUI IwI Ale l,i V1 III ! 11 I I•y (I ring l l el ".1 1 tls, 9 1,1-U if r m rv...w. f II r Ind 11 11 9. lMd QI F4f 1-.1 ^I IIVJIIn I yllr p. nla 'III INI I Lr 1 1 ! (J ri[vt J( 1 t i f,' flil.411 .1', Stills IN WrTI rra rl I nl•II AOfIrI nI11111A1\r.0C/1fC.W I ilolAllnn lrr f 11 1411 fLA$r ty IFf I11~e~iivl lnl Inf~ AnitirFliAu•F r ` n 1r'L 1 , frn +IrN 11F Er. II r 1 Iqn ,lrn 1 e rl if LI lM 1 It I Nlh 1141 C Mr Yd I l l _ Or Ii All 11 rl r 1 I IPi _ 0-1417T IA AabhE99 ~ A M V,l ln~ U /T ~.(~/3U Pi iA15 r Ymri~i~ II nn LILArscl NAW0110N 0) UNINEURFOIUNDERINSURfDMOf0A1SI COVinEfi SI6 ERCLOMON OF NAMED DRIIEn AND PAAT1AL nilECllONOf4 I Nm 1 At rsrlu Vld by ArtlcN S OB I, 7PSn Inl nPoN Caw, N r r+mNd 1 I ew b0 1 Ffim ImoH➢Llminl rMnnllVrl MPO'IIYNo ~ Rwul IL Itin li1''[6 Wrt1YN Un nIU INUMNItINYIId Mb"jr EMllpl Jlfmal nll [ elll nb n nlhNllr rOWrlpp Umlb lh/wMIMf IM <Y I Mw 14d Mw Wlfn IM nlhlm r1` ri'.Io- .SW UrINrUwrwl A1610dlIIpMNp II d1V Id _ 1111-A11Y• 1i`Fl "Al f' 'AlfI_ • ~ I t 7 iMNb/rIN11 Un11u fdlUndlrm4nQ Mnrorryh LaNny 1 r Mi rA U1 M1u1 Carl ltiY 7. I 1 MNby 1Nicr 0nInlelrwluddlr,M1lw NI Ivlolalal Ln-fq I nm Nil4d e11m1._ _ _ - o1nIN lY dlrrilll llNlll ly tpf llry, 117 pl AM 3! Fti nl tlmel TM fi IMIWttd lbew that llfYY Ism ill;, Val'y And bn Ill howlrnnlntl of { nr TI1tll A ll n9W fdmA fin inr fmlaumM 111 JIVM 1'nilt IVmrn IM2MY1/ndallmw111NtrUM Of lel lrrp161 Mnirp bl rbrvlpl, bt lNNalfN I Ir Oat lwl r r el EW IrlI1 un111 1 nbL11Y IFI CanV/M1Y In WnI1nF 1F 11 h 1111f111 Mn n W r IR 1 rr n yy N 116rr rl r V111 of IIr11M81 to 1010. . EMd. Hr Ld In.n IU rl ri nl . • ~ ' ' o'l MnIaf111 L'bdllp N dllhld, 11 oIMl. Yllllld FllLn r'elit,,#Its, HbMel tb!InNIMn'Idf 1iY11144erdfd br 1hlM1VI,V EPIa, WF,1 ' ACJICVIOtd UP PCpSONAL INIURY /`1101110/1014 "al - yyW 1T111d ill. e 1 yn111 FI NAllrl YJJ IJ IF Iy111M111Ji 1 14r TM urMflgMd MRh'I IEU P111MI Il fury 1'r011011n rn If <ni ArNe .0l 1 II +•1 1 11 1 1}I ren 1 V m PWVN 1 IM Mnle c n 91 i 1 Hlla S I Iy bM%bn did In Alt0# 0 1611h1 Le 11 lyi, mC6M It A110 AMI 1 •'S•' Inhlin lr'.vpE el,Nlarl lnrflnl to.eor P" OlJ YfawA.IrI Nwn11 111 114 l nvlll to 11, nW IfLPb9N IN NIgNdI11-f1111J•.h 111fln W. lmy 1• 1' 1• MCIts d11 n01lwe TII AREYA"lity AI.oN.f 1V IIVx i AMr Un119'1^II V'r 1f P,O vnA1V I A40,1 . : ififw. r..... m........-.w..r. 11J I1H011ALAL iN111nAn1IDN r i t+ ~il1 r ~ s s r + rs} + - 3 t r~ r { f t 1 1 e 1 j• ` y} - . k , ! + 4 glnjx~{~ht~++'t~'1f S+65N+~r~h6~hk'Yt}Yd§w.n,. ~ ,..A+e,a n. r s~ 554~'a``y 7s t 4 „ , u~.+ugs4esrN,.r+l.,e r..-sn ~ Yaaw:e r.. c.t !I4 v....!.. nw .(Y S,~194 r•-_.~,5 a t ni ~ iff+ ~ I •1 ~ ~i I r I N 0, I ~ ~ I I RECEIVED FROM- .-DOLLARS , ~r t ~.~_L.SL-~~}-~...~1~. G~'•"~',-.__f',ad~--~IQh,,,~/_-.-~~"C~ ~~{~i~1,`,t' ,~14 ~f 1, aS., . Acoatinro TOCtli 9;J.~,+ r ` lhJnY'~~:Li~ f1NCY An ounu bald l6 , ,11 l ~ 1 t ' I i• ti nF fnrCiprC+AI,+E'Ar+AM VA U On DU' is r ,ha 1. 11 !t I I I A ~1. Ir. ,I 1 ~ 1 f 1 :IF i , ra • 1 , t II e~ I ~I s.._1 I ~:i..a5r,3i+tea..n.>d.~.'tr~.yF7.1[lkithY 7.14.~1h~af{RS..1*,Y1~5QMj4.Pr~,'t'A.~v r4Hr..ri~4 eu on:i.. I :....k..~- n. a 11', 1 ~ I a . V O Male ahrlkw money wdnaa,abt la ih, Company _"M bRlox. tl•j`t ` I I SU ANC COh1PANY ~(~I UR ~fCEU MPANY ~~1RMFR5 TFxAS COUNTY (S ` 3 PLEASE DETACH AND RETURN J Ej 1^~ 4^ M ®MUTUAL INSURANCE COMPAN UPPER PORTION WITH PAYMENT 0 Irlrr Ttmt hmnq rrcud rA thtulrcar~aa tat t.ee 1Mr+d [~-D•~ to <WN tW94 Wood m my to r"W Im. <an cemi wW4,1 by w ~_r v0ur'slurried th.cL ie Your yetEipl. wit toe gWts tryq,' fff--------,,. J-~--- S > r ~Na+q~yu ❑ ®Nfx ❑Re bumenl ~Ca, r'ags ~C L~.b.N a'd,, 0 tlml IAdda : Ceu a Cbn r <er 04r, C. I h t I a ' II bvnr ni PoFp tran Cfa•q• • . ' pr ^q P 9 CuKe I O a , .t ` IM r ~h PERSONAL AUTO POLIClhCAil 619074136331002101C00000 f IL , 1 1. Named R J 1JRENN 20- a1u3 rNuftu3 R 31 ...1 I ' I S Insured R 1108 E SYCAMORE ST RIIIYIALDAfI rouCtrquo0 I F , Malling DENTON TX 76205 IINCTIVil DATE Address t2. From 03-02-84 To 159- 2-1514 3• 6 MONTHS t t 1{ h N, "I If 01 AM. 5b Mold Tune Di me addrelt of INR I n.m.d ImWed at Owbol ho'r'n: ID Rat D. Reis 10. Re 1 Auto 10. I NR sr^fal c'etr Aulo No.3 Na, srmEai tl,p Auto Nor J rya 5,wAl Crar _ r•' , t 4480 CUS'T ACSIL 350 a R08 3 AWe o- 1« AurR a Der DETACH ray Iwv 27 Ago a Tub o fin Now, trnlair N/RE - _Ageo, sPn o _ r w Sue CI r I•. ' S. AOR IMIIi Of LIAItLIIY fevi 801 IMISOF IIAI'My rtlM]UM AOY lIAY110141AelIIIY r1eMI1Ml It Al 1011:'300 54.00 e« a" UPPER 'I Ad 50 79.80 P0li B2 5000 x-, PIP { 40.00 $ «,rx» y wlrl r <f vxr. xnm ..«x eras n.e* PAYMINt . C 1000:'«',M 300 ;.'„d. s d3.D0 or. • .r : oxe, t 5U +.qr 3 11.00 ba,a.. 5 } .w. Premium fOr erfdOrta:•nhnl Ul INSURED-R J MRENN $ 228x00 PREMIUM INC.S10 FEE AGENT-'MARK R CHEW-PH 383-1093 ~I S 249.00 PAYMENT GRdu pldn fea.~„_„ Oedi1 Plan Fed, if dnV, ndl intludad In"TOIAL DUE" enlry. 21.00 CREDIT due 1 day due / b. EXCEPTIONS 7. UENHOLDER(S) ; c I I I 7413 &3 31 GAIT 013/16/84 I ~-•---ANY "TOTAL" BALANCE OR CREDIT LESS THAN 35,00 eVILL BE APPLIED TO YOUR NeXT BILLING. f I 1 1. c t { ' I I A ht.Yla'Sri`'f:••1r4;' r I 1Y{w ..Met - •+.--t.•.----•~y------•~~.~.~ ~1 l h«l" I'rv lit /rllPtt,{:r.tN jt'1_ S:rx:atFi ..t eel' .<I. v.rrc.r.+>,: A.rMn1a ~.n..... r<~.. 5. \ / t I t I i, I I t , ~I ~t{~\ 1 A 111}rlt ..J..~.-..1r ..E« 1FN5X.._AS AA~p.R^g. N1u' ~.r.tr-~vN-r•p-Y....-..~. r~.p~.~•~rF ...p-.X~~.-g ti.+~...--' ~ I_J URAO COMPANY 0 INSURANCEUCOMPANY LX 1MQ~MLSINSURANC~RU~OTMPANI Polls list ad at 2100 S. Intarre ionoi Hwy., Poky Avuln, texas by the Company Irdlcol.d by "X" I ~ IS; ~ t PHI~ _ti, : ' No R. repnr.M co, vaq. ca Aae .n .W/p Chu A,y.d +AaHop.1 fff ' 114 ~re.n DPOPey ~CMy. nCra^3. C ~NOw1 Cn0~/+ ❑Mrrq. nCw ©I.wd. Flp,CoMAI ~prvi I, V s' DECLARATIONS }`rtl 1, PERSONAL AUTO PFILIC 14-Al 61,107413611IG0210a00000G IS s l Nomad R J HNENN 20-333 19 7413 63 a1 "tired & 1108 F. SYCAMORE ST roucsntw+ll i :y adreg OENTON TX 76205 uatm.oAn nxwfse~ll- rwlDYffaoo(7` ji'. „ ti 1 ` I Ad From 04 TO C-'C18-!4 3. 6 MONTHS t' , ry I ij% 11,11 1 A.M +aM.r Ir~un at Ih. reU 61 I a i (4 I 1 wam. Insurid a1 Pored herein I D tors L0. faq 1 D Reif f I I Auto Nor I No lt,nh.l thtl Auto No. 9 rm. s,wt Chu AVID Nay O Ir. %'A., trau tl t + 60 CUST CSR 35% 1rt 44 3 LL ,Y tr ' Uun Hro Ipnl Auro d l.. ok~4 PH Wr AIV a.a_ \ t . t t Ir l $1k y 'M- Ajr d. srb ` e't H+ a fvb CI lem t"Il Of UA[II I1Y ffIM10M.. CAO[I IvAlfl OF AAINIIY f11/A0M CAO[I WWII) lWiltllY Pat" "A=' 3GrJ S 59.gq r~~ «~1" L 'a„^ T 50 L 75.JL' • 1 I r r^t l ge C 1 y~ ! P 00 tiul/ u,.3^uG^~e^3. 13.311 eay.It~1wr.0i.m{atMnrS +Yr N'h l..w,NFrT r 1, 50 ~p~~ S 11.00 "ar~.v T "~?r S L L S { L wew.as..~ S n.ewr..,.r.r L rv.au,.I.r T Piamlum to, andoriemenl(e( ' 1, V-' •E i un..a-.ror"lt er deile,t •LNSUREO-R J WRENN ~ 228.00 PREMIUM LNG.310 FEE AGENT-MARX R CHEW -PH 383-1083 % ~i 249.00 PAYMENT 21.00 CREDIT EXCEPTIONS LIENHOLbER{S} 1 I 7413 63 31 oaloil-"d 03/16/44 AITACN To Canlirwed an he telelse side YOUR I'M ICY pnmew a. ariF7Yntm 7 E ? I I. I r I 1 J .wwwJ y y W7 i r k .'r r!ss7 y15 , , a {~t t=t, rya r , t If+ .1'14dN.N,i9 t?~xve_'~kMx:~dk-e.. .^r~la- MvLNit.,-r,.ssv,_e,s,aer,nrrxaetk N$1i't1eeG~ai.YA~#CF i, Y' r < s568 TEXAS ap 1 Set Edition (A) t TEXAS PERSONAL AUTO POLICY AMENDATORY ENDORSEMENT This onda semeni loans a part of the porky lowhich it 0 allached. i' }{i r} I 1. Pad A - Liability C0+6rage - Exclusions, Para pit Aa, and A 8 Is amended to real as s11aks: A. We do not proVde Uablllty Coverage be any person: yt 1~ a ` r I(, 8 For damage to property'. a. fes nledtol E b. used by, or a, 1n me care frof 1 Oafpo760n ~ryw,,r,r ,1r t1 ~nl~r ~l 6=~r`4 This oxcluslon deea net apply to damage ID: x r { r , ~a r d 1 , >r`~~ a. a resWence or privale garage or ' I b, any d the lollavnng to 1ehliclos not owned by or finished or avai!ablo for the f egular use of you or any family member, N p ti passenger autos (2) trallere' of 4 °,j F( xi kN (3) p!ckaps panel Iruiks or vans, fiahtrer, the most we will pay for damages to any vehicle is $1000 when fabiny Is due ni to a camel contract, 8 using a irehkle without a reasonable belief that Into person Is entitled to do so. 2i,t This exclusion does not apply to you or any kmlly member while using your Corer aIf auto. 2. Pal Of -MedlcalNymemsCoverage -Insuring Agreemem,drnilonof clerniperson and Excfusbns,Paiagraph7are amerded to read as follows: I Insuring Agrearront "Covered person" as used in this Pill means t, You or any family member a. whleoecunying or when ",:rock by; ' 6, a moor vahiote designed for use mainly on pubtio roads of a Ire@er of any type. 2, Any other person while occupying your covered pule with your permission E Exclusions i'. 7. Su slainedAhills oodo Vying avain lcloAIftatasonablebelief that Ihat personsl itladtodosoThisoxi ion does not apply to you or any family inembaf Will 110 using your Covered auto. 3. Pad 02 - Person at Iffei Proll ion Coverage - Insuring Agreemom, definition of covered person is ameri to read as 161cre : Inswing Agreemem "Covered person" as used in iris Karl means ' t. You or any Nei member, a. Ain Ili occupying; or b. when struck by, ' a motor vehicle desgned for use mainly on public roads or a trailer of any Npe (r( 2. Any other person while occupying your covered auto wish your permission. I f Pan C - UrimsurAd Underinsured I. isfs Coverage - Exclusions, Paragraph A S is arrpnded to read as foldii A. We do not prex,de UninsuredrUnderinsured frolortsts Coverage for any parson 5. Us ng a veh'de rchoul a leasonabie bafial that the person is entitled to do sa. This exclusion does not apply to you or any hmlly member while using your covered auto. f 5. Part D -Coverage Foe Damage To your Auto - mdunag Agesemem, last Arilencil is amended to mad as loltbws 1 U b eakage of glass is caused by a collision or it loss is caused by content Men a bled or animal, you may oleo to have it considered a loss caused by colllslon, Part E - Du iiii Afler An yKoldeni Or Lm - General Dulles, number 8 is amended to rend as follol 5. Wharf ragweed by us: a. subml a riit, proof of loss; b. subml to examinalion under oath ,v 1. Pad F - Unmoral klerslons Tiansler of Your Interest In This Policy, number a is amended to read as foeaps, I ! 1, The 9UIYf71(ig spJUSe ilreWenlfn the same hotilehold at the lime of death. Cove lags applieele lhespouse asllanamsd nsured shbwn in the Declare ens: k This endo?semerais part olycia0Cy.it supersedes ardWei Iferhingto VewillaryIt is oheMisasubjeofto alIoh,erterms ofthepoq [ 1 ai tr,f 44.iys1, f Rt• , i ~K 01. r r Ir ,I Y, 1, 1, ~ E t M ~f 1/ i 1 ,f 7 t~ryK1 ` } L s 1 $l t 1 ~i1 ~,l>1^^,`S, 1ti ^ 1 r i f'v `vl1 s_ ~y 1N;,31:1 Li iLi:y LL '.,r VVV.'r ~r r.,k~.6..Yf,r.wnwfk(N~rhY\~Y`ftd9?A`1t:ka~'I.Aa'*' Nf.F'!Y&: r~lcSNrd4.r3r,•+vurtSwM1:s ...a.. f. ,...-..i:.:n l4.rnw77b'd` :rdi 4[t ~S..-AL, x, A k yi' I ~f V ` i S r 1 , I n t «i 7'q. r t PLEASE , KEEL THIS ENDORSEMENT • t ! WITH YOUR POLICY i +V t~9a tt { ` , S 1. L y `f u 4 hi sti i r. mike' 161E01110N 1203 .10001 11.1 1 " ' ~ n ~ i bear Policyholder. 51 t a , , t~ This endorsement corrects the Terminatlonprovision In Your pcllcy. A portion ofthIsprovlelonwanleft offwhen Your policy wasprlMod, Please rend carefully to know your dghtli under Ihls provision. Ilp If you have questions please eontael your Farmers Agent, FARMERS INSURANCE GROUP OF COMPANIES I a, I 5 X900 TEXAS I 1 ST EDITION E j TERMINATION PROVISION AIMENDATOPY ENDORSEMENT You and we agree that the termination provision under Part F General Provisions o't thls policy is deleted and replaced by the following: Termination -3 ; Cancellation. This policy may be cancelled during the policy periods as follows: 1, The named insured shown In the Declarations may cancel by: a. returning this policy to us; or t5 giving us advance written notice of the date cancellatlon Is to take effect , 2. We maycancel bymalling at least 10daysnoUCe to the named Insured shown in ; the Declarations at the address shown In this policy. .rkap%,A ,.~'v.i lr'4a4ee (S .rpy~y<z6'++1 'r w. ,f ~r- ;t„ r , t2.6 IVrMA Il Ir 3. After this polloyisInetfactfor60days,orifthisisaranewalorcontlnuatlonpolicy, we will cancel only: s. for nonpayment of premium; or j , b, II your driver's license or motor vehicle registration or that of; i (1) any driver who Ilves with you; or (2) any driver who customarily uses your covered auto has heen suspended or revoked. However, we will not cancel if youconsent to the attachment of an endorsomonl eliminating coverage whenyour covered auto is being operated by the driver whose license has been suspended or ( revoked, f E II; Non•renowal. If We decide not to renewercontinue this pollcy, Ne will mail notice to the } named Ineuredshown In the Ooolaratlons at the address showa In this policy. Noticowl 11 be malled at least 30 days before the end of the policy period, If the policy is other than 1 year, we will have the right not to renew or continue It only at each anniversary of lie original effoouvo date, We will not refuse to renew because of a covered person's ; t+ age. i. Autometlo Terminetlon• If. at any time, you obtain other insurance on your covered I ` auto, nny similar Insurance provided by this policy will terminate as to that auto on the1 r. t offset, i data of the other Insurance. If we offer to renewor continue and you or your representative do not accept, this policy will automatically terminate at the end of the current policy period. FaRore to pay the required renewal orcontinuatlon premium when duo shall mean that you have not accepted our offer, Other Torminatlon provisions, 1, We m ay delivera ny nolioe lnatead i)i mall Ing It, Proof of malI[rig of any nottco shalt r; be auffirlent proof of notlco, 2. If this policy is cancelled you may be entitled to a premium refund. It so, we will a send you the refund promptly, The premium refund, If any, will be computer] according to the Cancellation hula of the Slate Board of Insurance.. However, r making or offering to make the refund is not a condition of r:rncoilatlon. 3. The effective detect cancellation slated In the notieoshall become Ilia ondof the { policy period. 4. Any cancellation or restriction of coverage made without yourcoesont will be of no effect, except as; a provided for this Termination provision under (I) Cancellation; (2) Non renewal; or (3) Automatic Term Ination: or b. required by the State Board of Insurance. i I s G' This endorsement Is part of your policy. It supersedes and controls anything to tho coh. ; trary, it Is otherwise subject to all other terms of the policy. I { t ; I 1 • , .J. ~„i~JXl,I YJ .14 {fPY`.,. v.S yv E' y 1 , INDEX OF POLICY PROVISIONS I ' DOClaretlOns-Your Personel Coverage page Is attached lnslde the front cover, Beginning On lnnl Page ge Agreement , • , , , , 1 PART O-COVERAGE FOR DAMAGE OMialtlen> . , I , • , , On Pa I TO YOUR AUTO lasuring Agreement . , . Transportation Expenses . , . ' 4 PART A-LIABILITY COVH?AGE Towlnq and Later Costs DOYer2 lasuring Agreement Exclusions s t Exclusions ge 4 Suppplementary Paymanta „ Exclusions I Lamlten Liability . 1 P ym t of , , 5 ir`\ Limit 81 Liability , Nn v k 2 Benefit to Loss Out of Slate Coveragge . , , . Financial Responsibility Required 2 Other Insurance . 8 Other Insurance : 2 Appraisal b 2 I . PART 81-MEDICAL PAYMENTS PART E-DUTIES AF'T'ER AN ACCIDENT t r` COVERAGE OR LOSS AInsuring Agreemont Oeheraf Dulles . . 6 'Exclusions , . , 2 Additional Duties for UnlnsuredA , it, if =Llmlt of Liablllty : 2 Coverage . b "Other Insurance 2 3 Adtllllona ?Duties for Coverage for Damage to Yaur Auto b 1 PART 132-PERSONAL INJURY PART F--GENERAL PROVISIONS I PROTECTION COVERAGE Bankruptcy,.,:.,., insuring Agreement O ang . , S Exclusions . , , , 3 LeChgat ActOSion Against ' ' . 6 ' b i ' ' Limit of Liability ' Our flight to Rccover Payment . B . , , , Other Insurance 3 Pollcy Period and Terrliory g 'OlherProvlsions,......, O Terminaifon D Transfer of Your interest in this Polley, g PART C-UNINSUREWUNDERINSURED Two or Mora Auto Policies MOTORISTS COVERAGE: Provisions Applicable to Farmers Texas County ~nouringAgreemeni Mutual Insurance Company O Ifxcfuslons • • 3 MsxlcoCoverage-Umlted,. , l Wit of Liability lther insurance 4 4 _,z--- - ANY A0011'IONAL '90VISIONS AFFECTING YOUR POLICY ARE ATTACHED AS ENDORSEMENTS A Thfs policy Is a legal contract between YOU (the policyholder) and us (the Company). READ YOUR POLICY CAREFULLY, I i r I r t , 5 EXAfa PERSONAk AUTO POLICY bllity to. acts or omissions of you or any family member for Whom ovorage Is alloidtd under this Part, This pfovlslorl ap piles only II the poison of organtiallon does not own or biro i b AGREOMENT auto or culler i In return for payment of the pracrtum and subject to all the lementary Payments terms if I(or pal oy we agree whit YOU as follows; Supt Will of a In addition to our limit of liability, we Will on behalf covered PeraOa; 1DEFINMONS ilr to ,no for the test of ball bonds required bM0 of iolations. The accident wv Throughout his poiicy, .you,, and "your" refer lo; an atcldeni Including related traffic l m a i L The "Hamad Insured" shown In the Declarations, and ust resuit in bodily Injury or property damage covered under this policy 7.. The spouse If a resident of the sane household. p• premiums an appeal bonds and bonds to release attach' "uo" end "our" refer to the Company providing this In- manta in any suit we defend. surenca. 3. Interest accruing ahor a Judgment Is entered in any suit we Interest ends when wo offer to PAY that For purposes of tills policy, A private passenger type elite shalt defend, Our duty to pay he eemod to be owned by a person if leased; part of the judgment which does not exceed our limit of (ability 1. Under a written Agreement to that person; and for this coverage, pg . Up 2, Nr a continuous period of At least 8 months, becausenof5a tendancerat hea Ihgs oi or dais but our request pale, Other words and phrases are defined. They are boldfaced When 6; Other reasonable expenses incurred at our request ` used. } . i "Family member' means a person related to you by blood, mar' Sxalusions (loge or Adoption w;ho Is a resident of your house hold. This In A We do not provide Uabilrty Coverage for thy pereOTI t i eludes a ward or foster child. y injury or property damage; o 3 ,Occupying" means In, upon, getting In, an, out Of off. I. Who Intenllanally causes bodily 2. For damage to property owned or being IransPmled by that "Tfeller" means a vehicle designed to be pulled by a; person; t. Private passenger auto; Or 3. For damage to property: J 2. Pickup, panel track or van. a, rented to; J It also means a farm wagon or 6.+Im implement while towed by b. used by; or a vehicle listed In t, or , above. o In the card ol; that person. 1 "Your covered auto" means: This exclusion does not apply to iamages to: l 1, Any vehlclo shown In the Declarations; a, a realdenco or private garage; Or b any of the !allowing type vehicles not owned by or fur- , the following types of vehiclos on the date you be, of you or any fam• 2 came Any the of owner: nlshed or available for the regular use g, a private passenger auto; or fly inen her. b, a pickup, panel truck or van, Hat custIng used in any (t) pirate passenger autos; buslness or occupatlon other than farming or ranching, iraife This provision appHOS Only II you: (2} n; Or 3 lcku s, panel trucks or vans, a acquire thu vehicle during the policy polled; and (1 G p b notify us within 30 days after you become th, owner, 4, For bodly injury to an employee Of that person during the If the vehlclo you acquire raplacegane shown in the Dclara• couInjuryrse to of a domestic employment This emplo er exclusion uutuss does not workers acam1 to bodill pensaJon lions, It will have the some covore s as the vehicle It replaced yy You must notlly us of a replacement vehicle within 30 days benelils are required or avalMIA for that dornosllc employee, I only if you wish to add or continue Coverage for uamago In Your Auto. 5; For that person's 1lab1111Y arising out of the ownership Or operation of aehicle while 1 Is being used to carry persona or r It 1110 vehicle you acquire is in addition to any shown in the ro a tar a fee, This exclusion does not apply to a share. Declarations. It will have the broadest coverage we now provide {he-expense car pool, for any vehlcle shown in the Declarations, 6. WbIIO employed or otherwise engaged in the business or oc• vahi• 3. Any (railer you own. cu orlon at selling, repairing, servicing, storing or parking o the 4 Any auto nr Iralier you do not own while used as a 101n' cle designed for use mainly on public highways, This Includes porory substltu0 for any other vehicle described in this dollni- road testing and delivery. This exclusion does not apply t tion which is cur of normal use because of Its ownership, maintenance or use of your covered auto by: I a. breahdOW01 a, you; b repair; b. any ramlly mamberi Or c. servfoing; c. any partnor, agent or employee of you or any family 1 d, legal or member, e. destruatien, 7, Malntalning or using any vehicle while that person Is em• PART A-•LIAi3ft f7Y COVERAGE ployad or otherwise engaged In any business or occupation not f dsscrtbed In Exclusion 6, This exclusion does not apply to the Insuring Agrsentent manhlonante or use of a: i a. Private passenger auto, We will pay damages for bodlty Injury or property damage for b pickup, anal Inhck or van that you own; or which any covered person becomes legally responsible because p of an auto accident, Propperty damage Includes loss of use cf o. Irailel used with a vahltle described In a. or b, above. the damaged property. Yle will settle or defend, as we consider 8, Using a vehicle without a reasonable bollef that that poison appraptiate any clalm or suit asking for ihose damages, In Is entitled to do H. addition to our Ilmit of llabitity, we will pay all defence costs we Incur, Our duty to settle or defend ends when our limit Of g, For bodily injury or propelty damage for which that parson: liability for this coverage has boon exhausted, a Is an Insured under a nuclear energy liability policy, or Ii "Covsred person" as used in this Port moans: b would be an insured under a nuclear energy liability policy l I. You of any family memtur for the ownership, maiulenante but 10f Its termination upon exhaustion of its limit of or cse of any Saito or trailea tabllity, 2. Any person using your cowered auto. h nuclear energy liability policy is a poky issued by any Of the 3. For your covered Oulu, any person or OrgaPlealloh but only following or they successors' with (aspect to legol responslb qty for acts or omissions of a i a. Nuclear Cnorgy Liability Insurance Asso,lation parson for whom coverage is afforded under this Part. b. Mutual Atomic Energy Liabillt. Underwriters; or 4. For any auto or trailer, other than your covered auto, any I c, Nuclear Insurance Assoclatfu, al Canada. i poison or organieatlon but only wilh (aspect to legal responsl- r 8. We do not provide Liability Coverage for the Ownership, ma ellenance or use of; pgR7 01--INDICAL PAYMtiN7S I. Any motorized vehicle having less than four wheels; COVERAGE Z Any vehlcfa, other Than your covered auto, which Is: We will In will pay lA reasonable e exp oversee Incurred for Medical a ovmod by you; or necasczr and funeral services because of bodily injury: 4, furnished or available for your regular use. 1. Caused by accident; and 3. Any vehicle, other than your covered auto, which Is: 2, Sustained by a covered person. a. owned by any iemliy ember; Or We will pay only those expenses Incurred within ihreo years b. furnished or available for the regular uze of any family from the dale of the accident, Covered person" as used In this member. Pall means: However, this exclusloh does not apply to your maintenance or I, You or any family member: U34 of any vehicle which is' a, while occupying; or o, owned by a family member; or b. as a pede9Ulan when struck by; b furnished or r,vellable for the regular use of a family member a motor vehicle designed for use mainly on public toads or a , troller of any type, II Limit of Liability 2. Any other person while occupying your covered auto. , II so arate limits of liability for bodily injury end prOpOrly dam- EXCltfalons age Pa4lgty are shown in the Declarations for this covaraggo the We do not provide Medical PayhianI$ Coverage for any person I limit of IiabNlry for each poison' for bodily hri Ifabllf Is for baJlly injury: out maximum limit of liability for ail dairages for bodily inury sustained by any one person In mty one auto accident Subject 1, Sustained while occupying any motorized vehicle having less to this limit for each person", the limit of Ifablhly shown hr than lour wheels. the Declarations far "Paoli aceldenl" for bodilIn u Ilablll y f ty 2. Sustained while Occupying your t rvered auto when It Is being Is our maximum limit of liability for all damages Ior bodily used to carry persons or property for a fee, This exclusion does injury resulting from any ono auto accident The limit of liability not apply to a ahar dhe•oapens9 car pool, shown in the peclaratfoas for "each accident" for property, ddam. 3, Sustained while occu fn a age IIali is our maximum limit of liability for all damages to PY g ny vehicle located for use as a alt property resulting from any one auto accident, rosldence of promises. If the limit of liability shown In the Derlarailuns for this Oovor• 4. Occurring during the course of employment if workers' cant. pensatlon benefits are required or available for iho bodily InJury. age is for combined bodliy Injury Ind I1oPerfY damage liability, E I It Is our ma%Imum limit of ear t,ty for all damages resulting 5. Sustained while occupying or, when sfncck by, any vehicle from any one auto accident, (other than your covered auto) wnloh is; % l a. Owned by you; or This Is the most we will pay regardless of the number of: b. furnished or available for your regular use, 1. Covered peraeos; 6, Sustained while occupying or, when struck by, any vehicle 2. Claims made; (other than your covered auto) which Is: 3. Vehicles or premiums shown in the Declarations; or a. owned by any family member; or 4, Vehicles InvoP;ed In the auto accident, b. lurnhhed or available for the regular use of any famlly member. 33, We will apply life limit of liability to provide any separate ifmfts However, this exclusion does not apply to you, i required by, law for bodily injury and properly damage liability, However. NO provision will not change our total limit of liability. T• Sustained while occupying a vehicle without a reasonable Any payment under the Uninsured/Underinsured Molorisls Coy belief that Ihatperson isPentlllOd to do so. Otago or the Personal Injury protecUOn Coverage of this policy 8ie Sustained s i eOtto opatf onol a e vicled per hen it Is This ug Use Iso entitled or for for a to covered t ion re er Parson under will this reduce coverage, amount that person does rot apply to bodily Injury sustafncd,while occupying a , a, private passenger auto; b. Pickup, panel truck or van that you own; or but of State Coverrago c, troller used with a vohlcfe described In a. or b, above If an auto accident to which tills policy applies occurs in an g, Caused byor as a consequence of: l state Or province other than tffe one in which your covered auto a. discharge of a muciear•weapoo (even if accidental); Is pdncfpalfy MOW, we will Interpret your policy for that ac- b, war (deefared or undeclared); cidant as follows, c. civil war, If the state or province has: of, Insurrection; or 1. A financial responsibility or similar taw specifying Ilmiy of 0, rebellion or revolution, liability for bodily 1%1Y or property daego higher than the 10, From or as a consequence of the following whether can. i limit shown in Ina ecArations, your policy will provldo the UaHed or ncomrolled however caused; higher specified limit. a, nucfear reaction; 2. A compulsory Insurance or slml(Or law requiring a nonresl• b. radiation; or ClOtt the vvehicl10 innthlat staterosu orrp o in eh your po! cy willrprovide atsl ast c, radlacilve contamination, the required minimum amounts and types of coverage. Limit of Liability j No Ono will be entitled to duplicate payments for the same CIO. The limit of liability shown In the DONarations for this coverage means or loss, is our maximum limit of Ilablll for each person injured in any one accident. This Is the mos we will pay regardless of the Flnarar,Jaf Reshonslbllity Required 1Ir Covered persona; When this policy Is certified a. future proof or financial raspon. 2. Claims made; i requity this policy shall comply with he law to the extant 3 Vahlsfes Or premiums Shawn In tho Declarations; or I required, 4. Vehlcfes Involved In the accident, Other Insurance Any amehnle otherwise payable for expenses under this cover. age shalt be reduced by any emuums pald or payable for the It ahem is other applicable Ilablll ins same expenses under any Auto Liability or Uninsured/Tinder. red by this our share is the loss Our share is the p oportion that our flmlt Noupay ent risill bevmade unlelssdthe injured f (person or that Of Unblifty Soars to the total of all applicable limits. However p p person s legal representative agra~a in writing that any payment any IIablllity insurance we rovldo to a covered eraon for the, shall be applied toward any settlement or iudgmenl that person maintenance or use of a vehicla you do not own shat bo axcoss receives under any Auto Liability or Uri nsured/Undornsured over any other applicable liability Insurance. Motorists Coverage provided by tills policy, 2 Other Insurance 1, Covered persons; If there Is ether applicable aulo medical payments Insurance we 2. Claims made; will pay only our shah of hia loss, Our share Is the proportion 3. Vehicles or premiums shown In the DoClaialiori5; or That our limit of liability boars to the total of all applicable ilmits. 41 Vehicles involved in the accident. Ifowevor, anv insurance vro provide with respect to a vehicle ppour do not awn ghall be excess over any other collectible autn Insuranco providing payment for medical or funeral expenses. Other Insurance II there is other Personal Injury Protection insuranco, we will only our share, Our share Is the proportion that our limit of PART 82-PERSONAL INJURY Ifahlllty, bears to the total of all applicable Ilmlls, ifowever, any f Insurance we provide with respoct to a vehicle you do not own ' PROTECTION COVBIIAG` shall be excess over any other collectible Personal Injury Pro- lectlon Insuranco, Insufing Agreement We will pay Personal Injury Protection benefits because of bodily other Provisions ' injury: Loss Paynl Benefits are payable; 1. resulting from a motor vehicle accident; and I. Not mero frequently than every two weeks; and 2, suotalned by a covered person 2. Wttaln 30 days after satisfactory proof of claim is received. Mo$llfeslion, The Uneral Provision part of [[its policy entitled Our payment will only be for losses or expenses Incurred within "Our Right To Reeovcr Payment" does not apply to this cover- . three years from the dolt of accident age. ' Personal Injury Proldolion benefits consist oft r d 1. Necessary expanses (or medical and tunsral services. PART C--UNINo3URED/UNDERINSURED 2, Elghil percent of a covered person's loss of Income from em. MOTORISTS COVERAGE F , ployment. These benefits apply only If, at the time of the seel• s t ' dent the covered person insuring Agreement s ; a, was an income producer and We will pay damages which a coVereti person Is lugalty entitled b. was In an occupational status. to recover from the owner or operator of an uniesured motor These bonellhr do not apply to any loss after the covered person vehicle facture of bodily In ury sustained by a covered pmae, dies, or property drmge, cans by an accident, j loss of Income is the dllference between The owner's a operator's liability for those damages must arise f out of [he owr ~rshlp, maintenance or use of the uninsured motor a. Income which would have been earned had the covered VOW* Person not bcan Injured; and Any judgment for domagos athing out of a cult brought without It, amount of Income actually received from employment our written consent Is not binding on us. H we and you do not during the riNablllly agree as to whether or not a vehicle Is aotut+ily uninsured, the If the Income belnqq earned as of the date of accident is a salary burden of proof as to that issue shall be on us. i' or fixed remunoratton, It shall be used In determining the amount "Covcrad person" as used In this Part means, of Income which would have been earned, Otherwise, the ever- ale monthly Income earned during the Varied (not more than 12 months) preceding the accident shall be used, 2. Any other person occupying your covered auto; 3. ReasonaUia expenses Incurred for obtaining services These 3. Any person for damages that person Is entitled to ("Over services must replace those a covered person would normaity because of boelty Injury towhlch this coverage applies sustained f have pedormed;, by a person doscrlbed in 1, or 2 above. f I a, without pay; "Property dsmt,e" as used In This Part moans Injury to do- 71 b. during a period of disability; and slruotlon of or lass of use of: f o, for the core and maintenance of the family household. 1, Your covered auto, not inchiding a temporary subslitule auto These benefits apply only 11, at the time of the. accident, the Covered penes: 2, Any property owned by a person listed to 1; or 2, of eowred t• . ' a, was not an income producer; and person while contained in Veer gsvered 11414, ' b, was not In an occupational status. 3, Any property owned by you or any IsmRV member while con t These benefits do not apply io any loss after the covenkid person tafned In any auto not owned, but being operated, by you or dies, any family member, "Covered person" as used In this Part means; "Uninsured melon vrhlcle" means a land motor vehicle or trallsir 1. You or any family member of arol type, a while occpying; or 1. To whloh no bodily Injury Ilablllty bond or policy applies at b, as a pedostdnn when struck by; the time of the accident, " a orator vthlols designed fur use mallily on public roads or a trill" of arty type, 2, Which Is a hit end run Vehicle whose operator or owner too- 2. Any other person while occupying year covered auto wltti not be identified and which hits, your permission, e. you or any femlly member, b, a vehicle which you air Any family member are occupying; I Exclusions or We do not provide Personal Injury Protecgon Coverage for any c, your covered auto. Person for bodily injury sustained; 3, To which a ifabll41 bond or policy applies at the time of the 1, In on accident caused l1teniloaaily ty that person, aeoident but the bonding or insuring company: 2. Oy that person while in its wmniisslon of a felony, a. denias coverage; or b. Is or becomes Insolvent, 3, fly that parson while attempting to elude street by a law on. ` laresment oHfclah 4. Which Is an underinsured motor vehicle, An underinsured 4. Whlla occurin when struck b , an motor vehicle is one to which a Ilablllty bond or policy applies f then your coveredg, or auto) which to ow ild by you. motor vehicle (other but Its IlmEt of Ilablllty, j B, By a lemlry member while occupying, or when struck by any A. to less then the limit of liability for fills coverage; or b, hoe been reduced by aymerrl of claims to an amount less motor Vehicle (other Ihad your covered auto) which Is owned by o flintily member, ) than the limit of Ilab lily for this coverage, I " Limit of Liability However, `'Implored motor vehicle" does not Inciudo any vem- cto or scut men;: The limit of liability shown In the Declarations for this coverage 1, Owned by or furnished or available for the reguiAr use of you ' is our maximum limit of liability for tech person fnlumd in any or any femlly member, one accident. This 1e the mss we will pay redardieas of the 2. Owned or operated by a stlhlnrtler under any epplloabfe number of, motor vehicle hw. l 1 Owned by any governmental body unless: erage from which damages will be paid. You may recover under r- o, the operator of the vehicle Is uninsured; and both coverages, but only W b. there Is no statute imposing liability for damage because 1. Neither one by Itself is sufficient to cover the foss; of bodily Injury or property damage on the governmental 2, You pay Gte higher deductible amount (but you do not have body for an omount not fens than the limit of liability for to pay both deducllVes); and Ihlt coverage, 4. Operated on toffs or crawler treads, 3. You will not recover more than the actual damages, 5. Designed mainly for use off public roads while not on public made. PART D•-COVERAGE FOR DAMAGE f e. While iecaiad for use as a residence or pre;nises, TO YOUR AUTO i l Exoluslons Insuring Agreement A, We do not provide Uninsured/Underinsured Materials Cover. We will pay for direct and accidental loss to your covered auto ego for any person. Includlu Its equipment less any a plluable deductible shown In 1. For bodily injury sustained while occupying, or when struck the Dec stations, However, we will pay for loss caused by Col. listen only If the Declarations Indicate that Collision Covare e by, any motor vehicle or troller of any type owned by you or any „ IemRy memhar which Is not Insured for this coverage under this Is provldad, Calllelon' means lice upset or collision with on pollcy, other object of your covered auto, However, loss caused by the II 2, If that, poison or the legal representative settles the claim following are not considered "collision,"; I without our Consent 1. Missiles or falling objects; 1 f' II 3. When your covered auto Is being used to carry persons or 2' Fro; property for a fee. This exclusion does not apply to a sharo•tho• 3. Theft or fArceny; expense car pool. 4. Explosion or earthquake; s' 4. For the first $25n d ilia am unt of damage to the property 6. Windstorm; 71 of that person as the result of any one accident, 8. Hall, water or hood; 1 5. Using a vehicle without a reasonable belief that the person 7. Malicious mischief or vandalism; Is entitled to do so. B. Riot or civil cammotfon; 6, Far bodily injury or property damage resulting from the In. g, Contact with bird or animal; or , tentlonal acts of that person 10. Breakage of glass, ; B, This coverage shall not apply directly or Indirectly to benefitf, Anv Insurer or self-Insurer under any workers' compensa• If breakage of glass Is caused by a collision, you may elect to lion, disability banellts or similar law; have II considered a loss caused by collision. 2. Any Insurer of property. Transportation Expenses ' "Lo of Liability In addlllon, we will Limit up to $15 per dayy, to a maximum of 5450 for transportation expenses incurred by you this applies i If separate limits of liability for bodily toiury and property dam. only In the avant of the lotnl theft of your ccvo so auto We age 8ablkty' are shown In the Declarat((ans for this covorago, will pay only Iransportallon expenses incurred during the period the limit o} Ilabllilimit for "aeon person" Iqr bodily Injury Ilabllity 1, Beginning 46 lours after the Ihefl; and f Ili our maximum of liability for all damages for bodlly In. furyry sustained byy any one person In any one auto accident. 2. Ending when your covered auto is returned to use or we pay t ' 6ubject to this Ilmit for "each person," lhn limit of hablilty, for Its loss, shown In the Declarations for "each accldenl" for bodily Injury Ilabllity Is our maximum limit of Ilabllity lot all damage for Towing and Labor CGSIa Coverage r% bodlly injury resultingg from any one auto accident. The I Il t of This coverage applies only to your covered auto described In Ilabllity shown In tha. Doclnratlans for "each accldant" for and for which a premium charge is shown in the Dodarstions property damage liability is our maximum limit at liability for for Towing and Labrr Costs Covarnga, all demagog to all property resulting from anyonn auto Accident, We will pay up to 125 for towing and label' casts incurred each if IN limp of Ilabllity Shown in the Declarations for this cover. time your COMM auto Is disabled, The labor muat be per age is for combined bodily to uryry ,and property damage llabllily, formed at tit? piece of disablement, it Is our maximum I'll of ~labllll+ for all damages reeultng from any one autoacoldent, This Is the most we will pay regardless al the number ofR Exolugions 11 overrd persona; We will not pay for: 2. Claims made; 1. Loss 10 your covered auto which occurs while It is used to carry parsons or property for a fee. INS exclusion does not 3. Policies or bonds appllaable; apply o A Share•l e•exponse car pool, d. Vehicles or premiums shown to the Deolarationst or 2. Damage duo and confined to 5. Vehicles Involved in the accldenl, a. wear and tear; b. freezing; The limit of liability shall be reduced by the amount recovered c, mechanical Or electrical breakdown or falluro; or of fccoverable from, or on behalf at, the owner or operator of d. road damage to tires, alt uninsured motor vehlefe, to order to avoid Insurance benefits payments in excess 01 Thisl exclusion ha roes notd npl If the damage results from thu Actual demoes sustained, Subject only to the limits sot out In the DOCfaratpeno and other a plfcablo provisions of (his cover. 3. Loss due la or as A consequence of: age, we will pay all Covered damages not paid Or payable under a. redlontive contaminellon; -t any workers COMpensallon law, disability benefits law, any b. discharge of any nuclear weapon (even if accidental); j similar law, auto medical expense coverage or personal fn)ury i Protection Coverage, a, war 000181011 tit undeclared}; Arty pa maul Under this coverage to or for a covered person d. civil war; will reduce any amount ;hat pparson iB entitled 10 recover far a. Insurrection; or L rebellion or revolution. the same damages under the Llabllfty Covorege of this policy. 4. Lass to ui eq pment designed tar the reproduction of sound. , Other insurance This oxcluslan door not oppty If if,$ aqulpmonl is permananlly If there is other appllaable slmltar insurance we will pay Dnlyy Installed In youf covered aufo, our share Of loss, Our share is the praporilon that our oton nl l S. Lass to tapes, records or other devices for use with oqulp• the of liability bears to he total of all applicable limits. However, moat designed for Ills reproduction of Sound, Own any shall be e Insurance we excess over provide with re spool Iu a vehiNO you It llat B. Loss to a caliper body or troller not shown rd the 000101,,t. 4 any other colloohblo lrrsurenco. Mons, This oxclus on does not apply to a camper bad or (teller i Ij For any Property demope to whlah the Coverago lot Damago Io YOU: Y Your u a of this policy for Similar covoraga from another a Acquits during the policy period; and 0110y) and this covernoe both Apply, you MAY choose the (Ov b nollfy us wlihin 8 days Allef you hecomo Ilia owner, 7, Loss to any vehicle while used as a temporary substitute for submit their differences to the t~nlra. A decision agreed to by be b1ding. Ea P, o vehicle you own which is but of normal use because of its: ~nYPay ilslclhosannappralsechand1 wlllr a, broskdown; 2, boar the expenses of the appralsal and ul"Pire equally. b, repair, We do not waive any of our rights under this policy by agreeing i c. servlcingl to an appraisal, d, loss; at 1 e, destruotbn, 8. When In or upon any lrallsr, loss to PART E•-•DUTIBS AFTER AN ACCIDENT a, IV antennas; OR LOSS b, awninga or ceba AC or c, egllpment desymed to create all living (acllitles. General Duties i 0, Loss to any of the ;oilowing or their accessofies: We must be Willled PrompNy Of how, when and where the n- o. citizen band tadlul oldent or loss happened, Nollce ahbuld also Include the names . two-way mobile radio; and addresses of any Injured persons and of any witnesses, If c. re to provide nolloe preiudlces our de• b te'e we show that your (allu Phone; fense, there Is no liability coverage under the policy, d. stannlno olaiitOr recelver: of A parson seeking any coverage must, a. an device Or asuil g equipment, used for deteOilOn of radar or 1 Cooperate with us in the Investigation, settlement or defence other speed measuring equipment of any claim or suit. t This axciuslon does not appply if the equipment is permanently 2 Promptly send us copies of any notiees or Iognl papers re . Inslal[ad In the opening of Ilia dash or console Of the auto, This opening must be normaly used by the auto manufacturer for the 3 iSubmit, s open as`wereasonably require, 10 physical exams Installation Of a radio. by physicians we select. We will pay for these exams. E; 10, Loss to any rtustom furnishings or equipment in or upon t . soy pickup, panel truck or van Custom furnishings or equlp• 4. Authorizo us to obtain: meet Include but era not Ilmited to: a, medical reports, and r a. spdelal carpeting and Insulation, lumhare, liars or tole- b other pOrllnent records, vlslan receivers; S. Sub'att a proof of loss when required by us, b, facilities for cooking and sleeping; o, helghl•extending roars; or d, 0uslam mwai$, painting s or other decals or graphics, Additional Duties for Unfnsuredll)nder- Insured Motorists Coverage This excluslon does not apply II the value of the custom }crnlsh• Inge or equlpmane has been reported 10 us prior to a loss and A l seeking UulnsuredlUnderinsured Motorists Coverage included In the premium for this coverage, muss also: 1, Promptly folly the police if a hit and run driver Is Involved, 4 Liml! of Liability 2, Promptly send us copies Of the legpl papers if a suit Is ; brought; our limit of Ilablllty for toes will be the lesser of the: 3, Take reasonable steps after loss, at our expanse, to protect a from further loss; and 1. Actual cash value of the stolen or damaged prop. ty; damaged property 2 Amount nooessery to repair Or replace the property with 4 Permit us to Inspect and appraise the damaged property other of Ilka kind and quality; Or before its repair or disposal, € 3. Amount stated In the Declarations of this pulley, Additional Duties lot Coverage for Damage ;'4 f Our payment for loss will be reduced by any applicable daduc• to Your Auto - IIUte shown in the Declarations, A person seeking C04e1090 for Damage to Yuur Auto must also { r I Take reasonable steps alter loss to protect your covered auto payment of Loss and its equipment from hidinor loss. we wlll p,ty reasonable ex ponses incurred to do this; 1LL We may pay for loss In money or repair or replace the damaged nOlhy the police if your covered solo is stolen; and or stolen property We may, at our expense, return any stated 2 Promptly P , property to; 3, permit us to !aspect and appraise the daa+aged property , . 1. You; or before its repair or disposal. The address shown in this Polley. Ii we return stolen proRsrty we will pay for any damage re- PART P.-bENERAL PROVISIONS f r suhing from the theft, wa may keep all or part Of the Property Bankruplny at an agreed or appraised value, Benkruplty or irtsolvenoy of the covered person shall not relieve No Benefit to Sallee us of any obligations under this policy. I , This Insurando shall not directly of Indhrctly bene111 any carrier i i or other ballee for 11110. Menges 3 blher InsUrt+nco This policy contains all the agreements between you and ue as terms may not be changed or waived except by endoroemeilt if other insurance also covers the foss we will pay only our Issued by us, It a ohango requires a premium adjustment, we shore Of the loss Our share Is ilia proportion that our limit of will adjust the premium as of 140 effective data at change, Ilobillly bears to the total of all applloable limits. If this policy form t rev;sod to provide more coverage without il, I For any loss to width Unlnsurod/Underinsured Materials Cover- additional premium charge, we will automatically pprovldo the I l {t' j age (front this or any other pollty) and this coverage both apply, additional coverage as at Ills date the revision Is eilealive. you may choose the Coverage from which damages will be paid, l I You may recover under both coverages, but only II. Legal Aotlon Against Us 1, Neither one by Itself Is 0111cfent to covet the loss; No legtl aclIon may be brought against us until there has been i 2. You Pa the telpher deduOllbde nmbunt (but you de not have lull cOmpllance with all the terms of this pOlfcy. In addition, to pay bOlh dbduatihles); arld under Liabillry Coverage, no legal action maybe brought against 3. You will not recover more than the aclual damages, us until: 4 1. We agree in willing that the ecverdd Person has an obilga- Appraisal Vantopay:or 2. Tht amount of that obligation has been Unaliy dolormined by l U If we end you do not agree on the amount of loss, either ma judgment after trial, demand an appralsal of the loss, in this event, oath party wllI YY rt . Ur, u sele mplret Thepappraisersawill tat tsepalstoliysathewactuaill OASh br mg us bitt oily aahon to delarmino the iiAbllity of a covered ` aluo and the amount of lots, II they fall fva agree, they will parson 1 ~ Our Right to Recover Paymont 2, If this policy Is canceled, you may be entitled to a premium A If we make a a marl under this ol! and the erson to Cr refund. If so, we will send youths refund ppromptiyy. Thepremlum p p cV p refund II any, will be computed according to the Cancellation for whom payment was made has a right to recover damages Rule o~ rho State board of Insurance, However, making oroftor" l from another we shall be subragated to that right. That person Ina to make a refund is not a condition of cancellation Shall do; i. Whatever Is necessary toenable ustoexercise ourtight$:and 3• The effective data of cancellation stated In the notice shall i 2, Nothing a11er foss to prejudice them, become the end of lite policy period. i (Arelease of the Insurer of an underlnsuredmotor vehicle does 4• Any cansellalianorrestricllono€covaragamadewithoutyour not prejudice our rights,) consent will he of no effect, except as: t However, our rights In INS papagraphde not applyunder Part D. a provided for in this Termination provisfon under: I against any parson using your covered auto wick a reasonable (i)Cancellationl belief that that person is entitled to do so. (2)Namranewall or B. If we make a paymeet under this policy and the person to or ~ for whom payment fsmade recovers damages lromanother,that (3)AulamatloTerminallomor parson shall; b requlrad by the State Board of Insurance, t. Hold In trust for us the proceeds of the recovery; and 2, Reimburse us to the extent of our payment. (However, we 1. may on de not claim the amount recovered from an Insurer of any Transfer of Your Interest In This Polley: + rinsured motor vehicle.) Your It "a and duties under (his policy may not be asslgncd wllhoutourwritten consent, However if anamed Insured shown l• Policy Period and Territory in (he Declaratlons dies, coverage will be provided for. ! This policy applies only to accidents and losses which occur e fy~ 'st. 1. Tno survlvlnA spouse ll resident In the same household at the 1, During the policy period as shown In theveclaralions; and lime of death, Coveragg0 applies to the spouse as if a named f 2, Within the policy territory. Insured shown in the Oaclaradens; or The policy territory Is: 2. The legal representative or the deceased parson as if a named r insured shown in the 0eclarallans.. This epp IISO onlywllh respect j 1 The United States of America, Its terrltOrles or possessions; to the repress atatIve's legal responsib(iI to malnlaln or use 2. Poe rto Nice; or your covered auto. t,, r+ 3. Canada, Coverage will be provided until the end of the policy period This poilcy also applies to loss to, or accidents Involving, your covered auto white being transported between their ports. 7Wo or More Auto Policies Termination If (his policy and any other auto Insurance policy Issued to yYou by us apply to the dame accident, the maximum limit of our tlablli~ Caneeliatlon,'fhls policy may be canceled during the policy under all the policies shelf not exceed theh1ohestapplicable llmil period as follows, el liability under one policy, i i. The named Insured shown In the Declarations may cancel by Provisions Applicable to Farmers Texas a, returning this policy to us: or County Mutual Insurance Company b, glvi s I$advance wrlltennotice ofthedate ofCancellation The Farmers Texas County Mutual Insurance Company Is la Is to take MON censed to operate under chapter 17, Texas Insuraoco Code, 1051, as amended, and such statues shall apps to and form a 2. We may Cancel by mailing at least 10 days nonce to the part ofthis pelicylhesameasllwriltanorprinledyupen,attached l nomad Insured shown In the Declaratlons at the address shown or appended herato, i in Ihis policy, This policy Is Issued subject to the constitution and by-laws and 3, After this policy Is in eilect for 64 days, or II this Is a renewal all amendments thereto of the Company, which shall form a part or continuation policy, we will cancel only: of this poilcy, f a. for nonpayment of promlum; or E4 b. Ifyourdriver'slicenseormotor vehicleregistration orthat Mutual rw-MomnWere hlp and Voting Notice t o The Insured is notiFid that by virtue of this policy, he Is a (1)any driver who Ilyes with you; or member of the Farmers Texas County Mulual Insurance Com ppuny of Austin, Texas, and Is entitled to vote either in poison or (2)any driver who Customarily uses your covered auto by proxy at any and all meetings of said Cam Sny Ttlo Annual Bas been sus aided or revoked, However, we will tat cancel If Meotings are f old in Ile Home Office at Austin TeXae; on the i P second Tuesday of February, In each year, at two o'clock p m t you consent o the attachment of an endoraemo,^,t ehminnting coverode when your covered auto Is being o erated by the drlver whosellcenso has been suspended or revo~ed Mutuals-Partlo€paiing Clause Without is Noo•renilwal, If we decide not to renew or continue this policy Contingent Liability we will mall notice to the named Insured shown In the Declare( No Contingent Liability: This policy is non•assessable The Lions at the address shown in this policy,. Notice will be mailed at poticyholdor Is a member of the Company and shall participate, least 30 days Wore the and of the policy period. If the policy to the extent and upon the conditions fixed and determined by period Is other Ihan 1 Yyear, No will have the rigght net to renew or the Board of Directors in accordance with the provisions of law, COnlinue it Onfy at oacls anniversaryof Its original elfactive data. In the dlstribulfon of dividends so fixed and determined. We will not refuse to renew bocause of a covered person's age, Aulori Termination, If, at any time, you obtain other Insur• arcs on your covered auto, anyy Similar insuring provided by this policy will terminate as to Ihat auto on the Ollective dais of the other insurance, , . Ii we offer to renew or continue and yyou or your repprosentallve do not accept, this poliev will automalioally termina[a at the end = of (he current policy orlOd, Fallure to pay the -,olied renewal or conbnuatlan DDremPum when duo shall mean that you have not accepted our oller, Other Termination provisions, i, Proof of malllna shall be sufficient proof of notice, We may Ivor any notice instead of Melling It. rrir~r . Mexico Coverage-Limited J ' Auto accidents In Mexico are subject to the laws 01 Mexico only-NOT the laws of the United States of America. Unlike the United Stales, the Republic of Muxlco considers an auto accident a CRIMINAL OFFENSE as well as a civil matter. 0 In some cases the coverage tinder this policy may NOT be recognized by Mexican aulhodtlesandtheCompany maynolboaliovrvdt0 Implement this coverage at all in Mexico. You should consider purchasing auto coverage from a licensed exloan Insurance ' 1 +tz Gom an be}ore driving into Mexico. p Y 4i f 1A' 1. 1 I+ Thlscoverage does not apply to trips Into Mexico that exceed 25 miles from the boundary of the United States of America. The Covers as for your covered auto provided b this policy are extended to accidents accuring In Mexico within 25 miles of the United States border, This extension or ,`I applies for In requent trips to Mexlcc that do not exceed ten days at any one time, Additional Exclusions i We do not provide any coverage: 1. If your covered auto Is not principally garaged and used In me Unlled States; and 2. to any coveted person who does not [Iva In the United States. r ; Special Condlltons 1, Other Insurance, The lasurance we provide by this policy will be oxcess over any other collectible Insurance, h, i 2. Losses Paya~ble Under Covers Is (or Damage to Your Auto, We will pay losses under Coverajo for Damage to Your Auto In the United I States not In Mexico, If your covered Pula most bo repaired in Mexlcc In order to be driven we w111 not pay mo' o than the actual cash value i of aus}t loss at the nearest United States point whore the repairs can be made. 1 In Witness Wheroof, the Company has caused Ihis policy to be executed and atteaiod, but this policy shall not be valid unless countorslgned by a duly authorized representative of the Company. I ,SI {r~ Seareia Vlce•Presldenl i , iril vF Z~ I i l ,I\ I y ~ „I , 11, ~ i } too >~y}li~r r tl Nyt t+ Ij g~ISIi Fyur+"~, 1' Iv+ uc.H t{41~u n747% tWhf'kwHoi Tsm%by IM COn"wi INWO 1 h1' "R! ~5 w i t 3, II. BeLA 10.k I F. i ~~tCd~ GL1 iirt r I~ OOG ,I Ir R J NfIENN k r ar{j'!vl~X i 1'4 ro7413 63 31 it t + i, + sKr NUM11R 11Oa E SYCAMORE 5T 9" IrIILIMI'rA}l NA9WAICAII ratnwH. j IF;" j FI DENTON T% Lrtal 76aO5 2.;Ftom p y to 0 0 85 0 Cr NOMfNs• ~I , + u u ~19.Y A fl,,a~4~"a~ ~ ~ ~ ~ ~ 4dt .r , 'la rtr" f ~s t YU v S + t 11~ ~{,I~ + ~ i [ 1~• . lnN r?ifiYallc;"p I_ ~ a'. i~Eel.'..4 t W 1"~({I(~fWli"<Na, Ck* k~!... IH t,.W Ow , , rr yr 'a. . wvv.. I PAYIS Of IIAIMIY rnwlw I4a110r11w IfY AAIMNIA A IAYV10111ANInY HUtI WI A01 ' 'il Aal R.a" • Yrr" •1 s , l f[l ~~A1 LOb4~~' 300i~<", s 65.00 «w SAP gO* „v s 454'00 s +."»w. 182 sox PIP 1 40,0 a°w a+.l t 3ir4 nLCQ o wl a n. ,ro+ t f « t 13.04 »ea.v»..r 4 nra w+...4 r«a"s'.-w S Ytemlurn fm andolselnangsl _ .~rM ~f M7 X41{IfUS liALAK 11.'r imsmi 100% j 4gt9 NM M11~M+A1A, ~ ~Nv►I+AiN P4~' "Af E IIENHOEDER(S) i ~ 7413 63 31 Dnlatisvad 4A/c~8/84 AlrACH IO . Continued on the (A V0110 Vida YOUR AOUCY ' . ]UOIOIfiQfl Bd x ii o IIIIPU ♦ w ~ - 4 ~ ~ III- ! 1 1. I ,I L~ I 1 , I r I r CITY OF DENTON +i MUNICIPAL BUR .DING - .UINO DEMON I ' t x nr .i NUAIOI:R OATI: NAME UJ, L(,l, t 1.1c. L l.( _ ADOFIESS ' SE lIVIC F. ADDIIBS E UTILITY 0EPOSIT COMP PL RMI TS _ Loot IAP ' E etl~Waler ~ in~ CDUfR ~GutlU ~I lamb ~EIce~IVm ~ Sevnr e.-L, C. III TOTAL l~•~.~ (".JC. K EEPTVIIS HEECIPT FON" ~ ' 1 fIt;FUNb, RODF tlF pA YMGN7 ANb DEP0511 i r'E I. lil V2 fl llv I f „ 1 r_---.-----------------._ _ _.I -7 } I Expiras December 31, 19 DATE { i City of Denton Np,$1Fr s~ j ! TAXICAB-LIMOUSINE SERVICE PERMIT I ~s`R I KNOW ALL MEN BY THESE PRES T5; I THAT Is hareby licensed tooperole I~ +t Ins tiereln described vehicle as a (t0xl b) (limousine service) for the period staled herein, upon the public ! stresls of the City of Denlont Texas upon the express written conditions that sold Ilcensee shall Conlinue I 11. I to comply wllhall ordinances of this oily and laws of this state applicable to $old operatlan.The owners I of sold vahlCle have deposited wilh the city o corllfloale of proof of Insurance In Compliance wilh the r' city ordlnonce, t a "'F Vehicle Owner: Mahe of Vehicle 199 darlcF atr~%xe~a. Z 4e- Vehicle Identifloalion NO,t ~o'1"Tf _ I Vehicle License No.: _ 53/4 l Amouni of License roe Paid I Certifying Officer of Police Department: I l Date-/.5- F6 _ _ -w I f IN WITNESS WHEREOF, have hereunto set my hand this _ day 01 A,D' 19.0, and caused these presents be sealed with the official 4401 of the I I city, I GI ecretary t City of Denton, Texas NOTE: This license Is not Irans arable, either as to the licensee or the licensed vehioie, L.._.---. - - _ - I s, I r , .;nl~'♦~'~Ih'}~~l ,y~GiwJl*RfriS:.eh~`. ,c,rv ~ 'I f 1 Gifsssuua[Ea:st~eacr,.xcr[,:tze:sscr:.a.::eaGCN[BAl IIAB IIIYAU OhiBBlt. PB I ~1a-saau:a:ras3~,s:sx:sa~a~sst m aa.,.ra ! I r F tcY a r~r 1 No, GLA' 271533 r,soCIS COMPAN:- sl~r_3c1,._62@.29 Ri HFWAI OI 1•UV/IR i 1 NATIONAL INDEMNITY COMPANY 3024 Hill Stroot r r . OMAHA, NEBRASKA 66131 • 1 rrrvvv OECIARATI0N5 ' Ilem I, Named Insured and Address; na, a,tn, tbwnm mN, coo mr, soul WRLN AIRPOH,r SHUTTLC r 1108 last Sycamore i ' AonLon, Texas 76205 ItIR 2, PolrcY Period: lass. oq vl ~ • 4 Flom 12-3o-85 to 1,30 1~, 12-30 D5 ID It r 30-8 12~,OIAM,slandnd irme el the aJdreu of the dam[d lnwnd as staled herein. • v ,;dtixxAx7AtrYivPSUraAameeaar . a'S;:< r via ' the neAred Intend isr r~t • _ , . [}d Individual ❑ PednNShlp ❑Corparalron LJ Joint Ventura p011h[rs Business of the named Insured is rtwt.A.rwwt Audit Polod:Annual, unlessolhNwlse slated,t.wT..R.wwt Airport-shtttLle_ servior.- Mani B. The Insurance afforded is arty with Sespecl to the Caverap POW Indicated below by specihd premium N,altelsl and altkhed la and lotmlof a part of this pallor. _ r. Advance CSWni!e Carerge PoNrel Wants cmnVia. Cerarafa PoslG1 Prtmlumt PatNZl. ►temlvmt Part Ns tl. f Avlornablle Mtdlnl PaYm[nlt Msuraxa S ofessional lla➢11 llosp it al Pr ily 1nsuraxe ~ 3 Automobile Phyllnl Dima[tlnsurinte S MarmhNUnrs'and Contrsclors' tn➢ility r ' Maim) tnsunnct Ift} ~ , Aulamobllo Physful Damage Woo" lability (flail Avlomabc) S r Automoblle Poytftal Danagtlnsolno S lily pion Ref 1 1; ' I S Basic Automobile Llabllrty Issuance f f Ccinyleled Bperitiontand Prolucl$W ihij S ressioral ns971n[! f ComprahtoSneAutomobllelrabildylnsvnxt.__ S f _ ComprehenureClnerelUsbihtyrnsurinci f _ S Ca+nprehenpre Parsoeel Willi Kt S f CanlrtctualL(Wilylnsurax[ g a. ' S piuSSIsli1.101lily Imunxe _ _ O1aiPLA1NT~ T1Ga ~~1I0 LD ANY QUESTION OR DISPUTE t lraaalorColl ismnlnlunxe it ARISE. ABOUT V UR PRt1,11U" ° OR A CI.0,11+1 YOU TiVflaRR91• S rte M dl`s PiYmtnlflrl rau mcerro tin b ett' Ll_. ;OEi1T~iY~ Sing QUE -UL r p g f Ue6Y=1L IITfO`i _ Hrme s loin itemive fergonillnsunnce POLICY Oil Hill TC VIE COh !FF fH PROE34F.fr1 IS NOT f _ tarmersMaaailPa nulmuiante_ S ESOiVEEJ Y0 1AY-ALSO 101 >;-i11t-9lot-0AN -0F iN s CauAelooraxa _ SURANCE _DEP . C 1110 SA I )ACiNTO, AUSHN, TEXAS 78786 Of, _ -a-num6a of en? riimrnu, floor the I at nIH d an S TX 03•-24, TX 07-18 r~TX 03-69, TX _i0G9u,_ orer a ~ut(sC,uatat~ea ~jlrsua S 3.160.00 Total Advance Premleintart~lsdd V CN-1, NI 2633 Cxcess over manuals 2064.00 11 'he Polity Pit lad Is more Ihan ane yeas and Ito premium It toba pale in intlallmenit, premlilm Is payable on: Efeclive Dale [itAnnlreisery 2ndAnn !veto lry f f f ` 1-7-86 ja CounleiNgned: I Arlington, 'i'exaso U , r •noa aooreaeram fns N f;,,J yr! Iq b ~Yat.~~✓~•'M1 ~ OKPa3Lllal lrMfl No. InUS A. AulhpvlPd PPpIESenrtliyo I & 191 I I ib Y t ~t1sra { 1 rr U4iv(,1e, c .wdoU re, ,t .w. ~cr, r~~~~~lg'Wh~'v,~r5'~.3 a.Yh~. v i~`ta~•. .><ar t, H,,.xi w t, CDYIRAO[ PARY, r~ BASIC AUIOMOBAE LiABIL" INSURANCE A POr ettethn; nt trl Putrey Na. GLA ?.71533 trued is !.Iron Ail poi 1 ,;putt lc2A 411¢clive 12`30.65 - _,i _ - i cEN1OUlE E gee Insurance allosded Is only VIA laspecl to such of the Pot!06111 Coverws is a+p Indicated brr specirr0 plemlum charge or charges. toe limit al the compsny'f liability ogelnlt each such OOVelagt shalt be as slated here',, sub~eof to ell the terms of lids palsy Laving r6Nftnce Ihetrlo. , Pn mums dlmln dl llebllit Cererylf Mouse nd doll,rt Bath ptluon + 3360 00 n „ ' A-Readylnjury uAAal[r ' a ~(.t. 7X IAD3rnRlillarseachgtturrenCs I InoI - t _ Ihouund doctors euh ottuttlnts g--Psoputy Ou~Aee Llahit Ir Porm numbers of dndorsemtMf bflbdwd at Istw ,r S ~3G0 00 - _ IoulYr,fnlum~ - _ ' r. r f ,s .PLIRASPLRlllig:.._._..GAAIiD&1gidL ~ i Town Or City R Stele In Which she AutornoblIe Rill Re Ihmclpatly Oeragsdt Y , f' Psandums Oncription of Owned Automobiles - r " t a ls, ~I PO ONos Model trade Namo Tvise of Body Motor Number Serial Number Tonu ' 1G00.0 Intl, 1 83 Fard Van 12 pair, Y5533 52620 Ter. 7 1680.0 Incl. 1, 83 Lincoln ell G yalaH, r I 52575 52520 rL'C, ,7 S 3.Ci0 D S_Innl. Tate! B I and P.la pfail ums I. C04FRASF A BDDIEY fNIURY AfASIIIfY D,pW1Q DI I rk . tb re qtf .ueleds_SUCh use lA.sDIS3BG1y.dflLIAIAQ.EDd CO4ERADE 11 PROPIR1Y DAMASE EIADIIIIY ,CAAUiW13 the company will pay on behail of P insured all sums which Isle Insulld shill rg) to bodily Injury or prepnty demall Arising Out of the discharge. shDerul, . ' betonl, legally obligated to pay. as domayos because of release or escapd of $make, 4Apos, fool, fumes, 1 elsetis, toxic A. bsdgylnjary ar IIWItats, liquldf or goes, waste malertalf Or other trfliarsf, conlamtnents " D prlpa11Y damagr or pollutants iota or upon laid, the atmosphere Or any wafeftogrse or lead! Of wilt0 but [his ecclwlon does not apV1y If such discharge, dlspeskl, 1a which INS Insurance eppllps, caused by an occurrence and arisingg out of the (little cr escape Is sudden aid eetldantel uwotrehip, maintenance of use, frlNudol loading and ohlolding, 1m Ih0 purposes IL .PERSONS INSURED staled as agiltable Iheteta In the sc rtdule, of an awned aulomablle or of a tlmpo16 to Itltute aulomablle, and the company shall haro the sigh) and duly Fath ai Ilia fallowing Is en Infurad !(odor lhta IMUranec to Ifw Aelen(s61 fWlb lo lltA any Suit against the 164Red sensing damages on Accoonl o such baditf belawl i Mjury m pripsrty dimegs, even If any of the aliepition of the suil are ground tai. the nailed Insuudr I r , i less, !arse or (raudulent and may male such imastigatlan And selllemeni of any IA! m rtlnei or exetullie offclr 1111lil but with lfS7ttl to a Ithailap s claim of suit as it doems espedltnl but the fompany shall nor be obl, Died to lubslitutd W1oAlobllt Only while such aulomablle is bet ng used In Iho bo7 S pay DAY tlAlm or judgment or to dtferd. my suit a11e1 the applicable rim l of the ntss of the named r Mundt ` Company's Ilablih has been exhausted by raiment of iudgmenis or setilemenls, j Exclutraru Its toy mobs 11("5111 while using on of th salemdb l4 or a llmponry IPbiblval t tulOmoblte wNh Ih6 pomisslan of Ilia named Insulld, pravlded his actual ~ ~ r, ihlf Insurance dot f not apply, opOratlCn Of Ill ht II net oDerplinga hl5 other Atlual ufa Ihll6af rs x(!!11111 + ' 14 scope Of such permlssmn, but with ctspecl to bodily injury or property Yet to Ilabhlty assumed by the Insulld under ANY conlricl a agseemeuti dimn10 arising out of the losding or unloading teereos, such other ptoon Iby. 10 ally ddlgalrah for whch the NfLird Or any calrler as his Insurer (nay be fMll lea An fmi only 11 he Is: {k`[ ' held IIa to under any wod.mlds ,ornpersoloi, u itmpleymenl compensation 111 a lessee M borsOwer Of Ilia aulsmoblle, of ~ ' or disability benefits few, or under any similar law, 01 an employee of Ilia named insured or of such lessee or beirorai, Ill [o bOdtry Injury io any lmplooe Of the Insured Arising ail of And to Ibe tawso of his e1hplament by the insisted of. to any obll alien of the ili Ids any other person or organliallOn but only with respect to lilt er Its liebllily , - to Indemnlly another becautt of damages arising out oy such Injury, because, of acts or om Wows yr nn refused under lot, (lei of ley above. f, f but [hil eltluslon doll not apply IO anp such Injury artsinl out of and IA Nona of the fo ioeilog Is An Idfurddr ..she court, Of domestic employment by the Insuird unless bMlfts Ihtrtlor III lily a+x011 while Pngagid In the business of his empl0 !I with sesDecl 10 , , i lie In whale or In part 0fitr payable or fetolfed to be pravlded under any bpdiPy MjulY fo any Tallow employee O1 such person Inured In Iho LOlnte ' ' woArrons compantalton law, of lilt hnployinadt, t for to pe4pedy damp! to III) except sl slated under Ile) above, the Owntf of a linv burr lobslltnle ft) prOptilyownedor being transported by the Intusd, of Wlomeblft, or any. agent m employer of suchOwndl 171 property 14111011 fo Or IN ltd care, cuslody or control of she Insuiod, or (U1) BAY PO N1 ar org nliallan other Mae the named Insulld with respect tm r S as Po which life insured is tar any purpose exerNaing physical control, flf A motor re Mile while used wth any Wllsr owned or hlied by Such other Thad properlydsmala too residence of plleale garage bya pf(rete poison o7 organitatto11 add not coverd by Ill! lisurante m Nil tam 11311111101 eutOR10 IN covered by Ihls firlwance, pony (except a trailil designed for use with a four wheel private ter to b0dlly Injuryry or pnperly dimple due fo war, whelhm or not declared, Null plslengrt luloinobltt and not burg used (of business pu+poies with war insus11ctlon, rehNilan or revalutlan 0+ to any act or tondillon Incident 611011107 Iran MAIN Wide), or to any of the fool l~g wilh fespect to clpemts for rill aid under the 121 a 1181141 wNlre used with any molar vebkte owned Or hired by Such per Supplementary Payments pronstanr son or Orglmlilkn and not covered by Ilbe imumite (n the company; , , ifs 1A-A7dlLE.rhfpfv.aE.JIELWi~Y.IfA➢17¢E..a113~'D RuI.Gl,lfl0.p, [gd, Ilv) Any poison while eniploYed In Or oths,hlse engaged In duties in tnnmc ~.?13E~GIld1~L.1P,1gsP. f,I ~4OlogAlgg..q`.dl(~Iyy,,,,gt0 [ton with as AuNfroblle biltaess, OIhN than an Aternablh busloeu Ala r -AII It l91t IA .aYf2RpglldHIIM OptNW by the named tnsarod, , rn,,s nnn.x nn uT , ,gin,,,, ,rv Irww,ww ow.,.xwu~,....,,,n•«.a ~.eal` o.un,r".~ .It i "Oil r : I 1I! „ ~~*'Ar""'''~~ ncrs► vtfiaatutOPNFRAL LIAOILRY-AUfOM061LE POLICY tWAx , Lxv I See GLA 271;133 STOcK COMPANY 1 11111dWAL Of 149601k NATIONAL FIRE AND MARINE INSURANCE COMPANY 3024 Harney Street j OMAHA, NEBRASKA 68131 j 0{OLARATIONS ; I Itia1, Homed Wiled and Wine; [No.swit,roNnaeny,cavn[y;elltu WRVN AIRPORT SIIUTTLG 1100 Eaet Sycamore t Denton, 'lroxas 76205 1 t ' 1 "to 2. PolicyPaflod, IM/.DayYr.i 9 pp r E From 12- 0-85 to 12-3 S 12,01 A.M.,standard llmeatt a address of the nested lnrifed as sealed herein. a~%rr, is 1 I ' 11 IM Reael Neared it, individual ❑ Pntneuhfp Cot Pole Von hint venture ❑ 01hei, Business I he heated lIneeu+ 1111 ,rtiw0 Will Period. knoll, unless olho*sntatro. a„ aReuw> f° Y'po);L Slellt1 B BeYVice ' Ries d. Ue Insuraeoa ehofded is only with respell to IM Coverage Partial Indicated below by Intift premium charge(s) and attetMd 10 end totti a pail of ' I% polity. ' AheMe CeN'r''gqe Cesrlisto Wit AheKr Crreyage Cew[ d/arllsl Pnstlaae Fall. 1etl11. Irelddstd Pent 11 :11 $ - AolorrWoMedlrelIWootelmorenra { HosplulProfduioro;tfe6iliglnsdente { Aulamoblle Pnyelcll Dsmege Immanu { ~ ly (Deiltis) _ It AuIVANPhystalDollIInsurentr Illty (Fite t Aolanrtitl c AVIV011e ph r Ital Norge Insurance f W ily 1804.00 A122 _ (honlrlrt Bair Aulomoli Liability Inw ire ; 3 ComfliledOpir+liamandPradwst1sWify f lesslonal _ nsuunre f Can+prehtnsireAulamcblteUeblhtylmacance { S CoroptrhrnslreCentrtllhbllllylnsunMe { _ _ Stareliottl sImMite Cproprelemlra Penen11l Iroonnn { ~ On:nsurnl Molailte InsurtMr_ : P ConlrClot Uililtitylids rente { Dredglete'Utbllfty lmutwe 75,00 oIinzFt3e { EIe Wldi Collllldn lNUlrMa ~ { ~ 3 Ynm[*G1o~n'll,bhlilyrndFirmfmpioyees' 72,34 tat+9 Tax MWfnlPe}mdolslmuunu % S v - _ pnme'aCanpwhoWnrowullnsu+ence _ ! - fumU'eftldiulPeymralslrouunte ~ S v c:`~ ; r i Cengaln11ounca , _ Tana dea f 0 IR 1, $ FM 3537, A927a, 1"M 1237a '1'X lOtiSl1 A 12~~if~' Ire M -LU 1 1951,51 34 Fatal Aayaan ffimi a let1111111Mlky, B O O II Yi nfllSC fY00Ui FOUR f ItF111 IRIS OR A cLn r e~~p I' MI FIRST WOTAGI k1IF AOCiVT Y7N0 SNM THIS It the Policy Period is moral thin are yell and the prrmlvm is to Ira paid in Inhu p~ ~yly { a oe erpAllY, IF NIL PROBLEM IS 1101 Llretlivt Dale tsl Mnlveuery 2nd Aanlvere11ty POLA~li kYr(IIC 1i1~ r 1 r ~r 1 1 s 4 WOUXI), YOU MAY Al S0 1yiR{li,.hi{k01: pUATIN BTEXAS078186, 1111M 1. Duting Ilse poll three veers nh insures has eencelled lnfuN tat, issued M Ig1J1}SgQ~ll7j>,1m ir~d~AtSk~IdI~GIIJdndlr, unless olhtrwk!Mled hordfn: Counlwelohed; 1•`7-86 ja r ` I' t ArI iagton, 1,e v, 1lF/ pr t///~I/{/1J/At/~t/ l as ?lot $00itabl4 In 141/1 OY,r'an0nl4-xa Mdln 11,11 A. lv[hN iced lfepresmllalire „ Is 101 r"''4 NI Y is 1iJ Fnr r'" i..i r. L! J I IF CF 00 00 IEd: 0174) 'i cavtRADE P,ni RUIOM4 It: I ilalBAl oAMhAE INSURANCE iNBn•Fleetl A 1211 Ed It •v, Fat attachment to policy ha__ _ 3GL G2.829 , to Complete said ptULY, SCHEDULE PNN Item 1. The Inturance k1forded Is emy with respetl to such oT the NI10KI19 Cew4ea00, And ondel each such Coverage to such covered so ambles dowitAd in PHN Thin 2, a{ arc Indkbtrl by spedlic pllmlum (hopes or charges. the N,nN of the company's liability agalml: each such Covorsga shall be is staled or drug + wad herein sub)ect to all the lermv of (hls Insurance having eatwenm theielo. lllllT OF IIAtlILr - Each wiled aotahobM la ;y $ COVERAOtS PREMIUM FACfUALCASN VALUF rACYI IF uTAr(A 6MOUNT, _ OTHECWI5 lo l " Cnlel Eme, maening it a SOpa+etHr , ACV _ end DEIIUCIIIF LE AMOUNT end DEDUCTIBLE $is itd 1d PHN Itom 2(c) 5 1 0 COMPREHENSIVE - F - P COLLISION _ 1353.Q _p& -12-3 F LtGRININO OR TRANSPORTATION ai lit =FIRE, A~l..ao - - EXPLOSION AII EARTHQUAKE 5111C1 - ) - -j - OR - i-~ $ WIND51 A,N II - . S If COMBINED ACUITiONA1, t~ ~ g YnD.L... - - - - y 10WING INoI arm S o F 5 for each is I tent J , l PHR lahla In CeAloinlal `p r form numbaJl of mdonsmenu aNicMW al tow ,i` , t, b+T1 ; s 5 v , 1 70 Ill 'Plipwce _ v nog ~u_ 7 _ ~ ul Witlrve Dale of Ime Iamranto Hnclud:ng nlwl-y acquired athldts, sublec( to the pravlsluns at yc,aoI FLY) of the "Carried leaAe101m0aMa It CAd rum 2, eutomoblN' definition) It 1 is I Descripl odp PWDOl1/ aI Uat iP A 0 = PNnyN and BUdne ri C - C0 nr»ICUL__--° . a r (+v _ x 7 0101 Till- Cael1111 Ilreµ La 11, ell 11111,1rc e11UnQ, Until 11 , Pdetteade delotid In rnpaN d 1W y OuUaa 1 r , 0 ! Auto ode 11144 Rawl Se 11611$1l1 i tell Na Cdtnaeta 1160 a Neloe (fern, 91AW or Us' i~l 183 o>d Van 12 Pass g5533 Denton7Texas 52520 1. ~t 83 Lincoln G pass, 0575 Denton,Toxas 52520 F' , r ' " (a Feels Res ttlln Purdhesa ',r „ -`lure Attoal _ Ponhnad Aallos Any toll under Coverages otter Than Toning It payable 1s interest may Auto Plot Cots lot s P.-Raw ,an free for Ismba( appear to the named Intufsd and (ha Lass Payee nailed below- i i} of Lin- of LiltIDA It netilt111d m THIN Item IL._NeI Rates Premium _ LIMIT OF LIABILITY Etch rnvered auttic lle described In tdl above and covered AWOL Auto 2 Auto 3 Cove I as o16et than Collision --Eisler, 1 t t' Amount or 'ACY' inn 1 "ACV"=ACTUAL CASH VALUE Deductible ACV ACV ACV CoNiilan Enle, "AG4 and + , + . K Oeiucti Ala Premium r ) + totals Auto l Auto 2 1601 Relo3 0 - uampiaheniive Collision In s - - Q - fsw Ughlning of Transportation i g f. _ - - - 5 - Windstorm Halt Ulthquege or Explosion - ,34 +tyt I a` , T - Combined Addlbond } t F s - -I , S ; { C V _ Tawidg - ..,d H - - - - morbfante, Ito IhB i ao m olhar -on cum name d Imwe f , S Insurance, aeon r ent_ 6 sole owner of PAN Ile Except with respect obaUment lease cgndRverel sale I Athasio every levered automobda designated in PILN Rtm 1 as covered undo INS unless o ernlse stated harnn: I, COdUAACi AOAEEIAENIS COYERACf R iNif1- eSvsed by [hit[ Of lareeoy, COVE"111 5, WINDSTORM, NAIL, 1INTHOUAKE OR EKPteSION--caustd by wild yaw ` I, rho Tomp3ny xNl ppT ter fast to eae6el aaI1NlbNet andm slolm, tail catlhquaao of explosion; r'j / aa except 101H11A1 but, fof the pus- COYERA$C 1, COM01Nf0 AOOIIIONIL -avse;i by I ` OOYEIIACC V OOMP WNEIVC-from in tau 1`. pose of tWE Clrtiage hlra 11 of glass and lots caused L~~ missiles, lolling , hail, daH1111IO or t- cai d oD)ecU, lire, LA¢A al IuronY wlydHOrm, hell; earlhquale, File oslon, dot or 011 4) isi GE H olm wmmoimn, mHititul nnteflP or vandalism, Filler, flood, nr (0111Ag with a bird It) rid) or tirll Commotion, tl OF enlmal, shell not be deemed lost Fluid byca11HHll tai the 1030 landing of falling of any mrclafl of i13.Nrls of equtpmenl, r +t (d1 lna Hclaus mischief or s,ndclism, F COYEIACE P. COLLISION caused by 9111111141. 31 T s ' ° 1 F lei flaad or rising xatels of COVIIAOE 0. 1191, L011111NO OR TRANSPORTATION - caused by [IF ellalnal discharge or Itailet of watelf 1 r , (a) Ura of IIAAintng, proaided Thai. Adis rococo to each carried ttlemobtle, t ` tdl Single cr i}rcvdge due toa svddco, uruseal amt leully II of any )iced IH unetf the Comppl ahonsive cowagti For( as 14 less from any of The posts 1 . tol heaHn4 equlpmenl ser ring IA¢ Ivr,FiJStc In ehith the Neflel a6fai1111 Is Ieselibed In the File, ughtnloR of Transpo1111'ron conicaga) and under M1 s , . " ` 1N.a[eJ, of CollisPod coreiaga, Such paamcnl Shall be only tar the Sitcom of rich 161 S.. to) On strand nA, slnslrg, bu+nlnp tolls ion of deralTm4n1 of any conveyance in in eeecsi of the delvehAle amount, TI any -.filed is the scntdule 3s aPpI;0ble , h A f27a of upra writ ,ha Nttred avloplHle is being ludspodedl therelo. tile. aaa1 (oven N'k a J Y i4 , 4, i T T , , , r ~ rr...d .r. .,s s.,ca e'fs a. X r. .C_. r.. x erv•, ...y.,ac. pkti„ 1s I I 5 f~ + ' ; 1} 11 1 S f I ~2 y4 413 1. A , r 1 f 'rye s t t~1 'fj r s l 'v: r~l~r sr I', Frl4'r !i~t~\ ch')w : {p r S .is Si E a + 11 , 5 4 s it ' y L s ~ ~4r s y~l r l~ rl s ' + 11,1+ LR3 } s ' 1 II 1 P {I as ~ f ` + TX•03.34, SINGLE LIMIT OF LIABILITY q rI 1' Ir Sy ' f~Z 511 t ,'.,r This ondersemard forms a Pall of Policy Na. (1LR 271533 15eUed lu Wren 711 C[7p Yt Sf71{ L'.10 f In + 't by the National Indemnity Cp of its Agcncv s+s i, 4115 ,y rl5' Memo of Itimid a Conlpanyl {y i , s tsi i 1 locolyd Idly and >ralet RYlingt Ori { TOXdtd „ and is cllectlve from 12'30`85 rtrl - ' i s 02 01 A.M. Standard Tfinel r {tE [ IThe fnHrarotlee ebeve le Tepulrod only when this endorsement Is hissed wbseyuenl to pfepeeellon of the pallsyd sti' l r ~ sf 11 This rndortenidnf falmt o poll of the policy to wh¢h a1lad+oJ eflarllve ham ifs dole of issue unless a+h Prwlw !tried hlreill. ° nr i s ~ I This Cddorsarnrnl nwddies such insolence as Is oftordod by (lip prOYlSl~ns of Ille policy role[. q u... Ing m the following }s s a AUTOMOBILE LIABILITY INSURANCE 1 R COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE BASIC AUTOMOBILE LIABILITY INSURANCE f'l GARAGE INSURANCE SCHEDULE rs+; ' Caveraye Limit r e l L teWH rY ,n~trtis ` 1 I 1 Roddy Injury LlablPly and Ii Damage Liability S 500 000 Co<h eeeupente yrF I 1 II h agraad [hot the provisions of the Dailey cupfloncd "LIMITS Cr LIAR ILITY" feeling to Bodll;l Injury Liability and Prop, 'I SIS i ally Damepe Liability are amended to rood as follows: }RI s+sc rl,, , " LIMITS OF LIARILITY of (1 s edy . dariayp~les(3)folathe lms nOde ror sula rruisitedii brovglil u on oaccoiunt nlfcLOd(2) MWls Of ch lhiis r''rr)r E syi ily Injury or property demogafor 14ftatsi onna lafa to rwhior Plov s r policy appllos, the company's liability is limped as follows: I +~s11 r 1'~ ' ~ + k Bodily Injury LIe I+llily and Proposty Damage hleblhtn p*y a ss u ' , E, s The limit of liability slated In the schedule OF this enrlor semen) of op Pl+tablc to "each auutraneo" It the lord Ilnfll of fhe company! liability for all damages because of bodily. Inlsry, hlctsidihg damages for care and loss of serytcofr or property domegu. 0$ q Ir ~f + s Rq of any end when this policy r I& carllfied l as r tsffaoi of wIIh fioa nCOt respect 10 on bile Sl Lilly under o the Fisd115 of notice or Vehicle Motor S rinWyen in onAal Re s A of secuf Fp j poodblllry La'M of any stela or province rude limit of lioblhfv dlall lr aDllhed to provide the tepmofe Wills reauged by such ' ~d" for bodily Injury liability and (of properly, damepu tiubi nl to Iho relent of the coverage fequircd by such low, but the ScParale s 1 , s. opplleatlon oi.4lich limit shall Pal increase the total limit of the ir, opany's Ilubilify: , , vt 'r IC r I 1 , 1 s (i 1-"a ~ Ili d'+ : r Ry _ R Ir ,iss i rs (Duly Aulhoriied Rer,csonlohvel 5 , FORM TX•03.24.-SINOLE LIMIT Of LIABILITY F'} 1+ s y Texas Slour d Automobile Fnduuement } 1° ` sf Reviled April I, 1013 [i A; i p~ vii 41F IR16flhLlsa•'n I } T.. , I r. Is, 1 ~ 1 I 1 r i CITY OF DENTOT? MUNICIPAL RUILDIRb DENTON, TEXAS NUh1UEF1_ ..DATE Ig{~`T NAME ice( a Aeoness L SERVICE AUDRE53_.~ UTILITYUEPOSIT CORP PERMITS EGOP TAP FIKI Wete( Sa COURT Build, Nu b Elecl.Wale( swar 111111 ,L.._ _ I KEEP TNIU FIBCEIPT FOR PROOF:OF PAYMENT ANO DEP'1 I7 REFUND. 111 s 5UJ26B J/-_ fONM I4-7 W MI YEDO I III i rrr• V it en Pl Nil 1 41 t~ , ~ ~ 111 V4! '•++^'1^'^+,~^'"~'^+ ;t }r ' \ ( 1 r I Ilil~ ! } y R tyr tt yj5 ~y{ el r ~Sr Ft , ~:4~13f11~vi~A~lWPfllltik~Flk'Kf~d~a~' Y1VA4Yv.r.J~.~S.k..~.+U~~s.Yri~nvt}~.litir~tt~{a% l~:l a+' r ~ 1+' r 7yC r . 41 Ci, 4~(~li is d„ ,.u 1 V }t) x)y~y~dl 7 I l 1 1 "r r r ik 1 r'y 5 1110 Ilosidonce Sol-vice I)Opartwilt, Ne, till 1r 1 y , t l l , -r r 3 PO Box 5048; +J t; I :j Wilton I 'fexuti 76206 1 1 817-545 9934 y : < 1 x 4lf if Y i Itobruary 8, 19855 Sl( ' lz 1 r 1 , ,tl a 'It ,a ~ ~ I 5 ~I ~s ~lir 1, 1 44 ( ' l 0•~ 1 Cent Ielite] 11.... Ili~{~4t l ts{~It r i~r~l5 f j J 14 fi ° 1 c a<} 'lilo purposo of this doctnnent is to requesC n pcrlnlt to ollernt0 n s}luttlc ltir tf} 4Y/ { xV ` ~~}r}4I~; servtcu in the City of I>cnloll, ~+t~~,r~~,, I~ c I The tIhis/I'ort Residence AIrlortllund to ,loInc. 011 ve Field and i4providonrotulll passe o, Ile *~{7 15''' ' "'tt t tri14T'1 , ,r 1 Ik 'h hnvo daily and wookond schoduled do larture (fins with ve-sot Cla'os for r1r ' `k n , -.E.~• y~i oach airport• (I'.Ioa50 Wel' to tko~attached $chodl110 ~Ik ~)1 71 ~;f ' 4 i. At pro3ont tbo v0111cle to be usod Is 11 nolil 1084 Vold Club k'agon 14 !IasSOngor{ ongino titnn150r 1PR115310XI:IlA78213, '1'0x114 plate ototbor Pll-G7.7, 11 h 4'; Attached to this )oquost 19 it copy or proor oC npproln•lnto lnsuranca ~ 44t1 j~ nd cordllltg to Doutou city ordl lilli os, k' ~ ~ I1 `7 I ~i:`1 Dr Irl{l d 1, ~iy1 iven; of this vcilulo will IttcluddH y, U 1 `r~" i 1°.• Dennis J, Sullivlin, owar, TDI, 057,13819 Mary Lou Sullivan, ntvncl, ''Ul, 010111.10 Slun•on lirnu101.t, Coordinator, `I'nl, 06886963 vtl 1 i7~1~y1 r I;. 1.. r , , 1i''E51r~+~ i} r 'i'hoso three po0})lo ConBtituto the prllnnry operators of 'Ih0 ktosidmle0 Sd.ivlc(: ~ ~~,tF1l,r,t UopnrtnlentI hicr AIIIIK)R'I S11(11,11 H. 1 t, Alert t' OUl' nadn 1)(180 Of 0110111t10n4 IS IoCOLod al, 1105 Guitdlllupo Vlaeo, Ill 1 MFI ei li tj{jl i 1 - '1•(,,x414, '16205, Our md}i11ng ndldles8 is !b Box 50,182, Ikint.on, 'Il 76206r ,t1, ,77 I Y»rii E ct o,, , c)u1• business )ho^o is 56,1,4936. '11118 telophone 18 ansl,or0d1 Ilrofc:sslonally a, l It 1 oil it 24 hour ~,11sis, } t tank I Si11Co1'd;lyy Y r4 ail y la ps ' i / dv d}~tGt'sx 1, Mtlty' lau Sullivan, VresiJont DomnI J, s! liI, all , 60crotfilly , Trollstu•or , t!c!I , Jt tl~ {fi +dl~ d till~~ III Jil" 1: 1 ~ + 14 {71( tykl , I 1?5;r~ 4y ly I r 4d4 ,J) a w , l , 7f 1; ,V!' I it ~ I I l a ~1 II t r, "I'~"~?*'rh'Vt49 ti'4d,l.~k+(yt7da1Ek1N4 e,l• rlrn ,}y•- ,ur ~ ~ t 7 1 7 ~I, } 1 tr, i ,r, y`/+ d'i r ' r It I !1(~1 r~tll li, 1 , + 1' tlLi`a'~ 3r„i r 1 " t r 51~) 11f , rz) y LIST OF DRIVERB bNT Of ALL ONIYIf10 14, 0~0111ATINQ 1"la TV No W111140 1111TH ' Nl p YI1M AIX ri dY iVtoq NAk1l AND 10 ► 1}IMT, MtppL/ Ittl , MII AA'f/ land T iIMlOVf4 Ylf AD e r imw i AS /A rr ^AZj IP• ~ l j +Mr01o IYpaln IM I" of my vit"lon, 4u1d1ne, w phytiul IrtVOknelnl 1 f>YICRIPTION AND AniA OF OPERATIONS IPnu14J/1 hwwwt .'IZL~r _ v.Yn ar1~1. M wa wannr► ' . f, porfy 001M1n IMml+trou41WHO4nt MlM'A%re M&Aof 00*60"1 ai01 (101-1001 011111,1101 13101,001 17 100111 M 111/ 1. On tow, MNI y4uf NM MM 4YOIwkIwiY1.,..,. II net, vMS 4wet l1i NIIMYw NWhMN00w 1 /Nk V►O- Tmkt -T Fee two... lF#FF I,Tv6lWt Pull TrW/n 1104 ,Vw N+*Wlt/NMN I'kM Upl-oTiuOki~~TiMIwY ~~..Hn+TrNfNOPull T/iMn 1 Nf W 10104 toMMM01M 01114" M i Ir net, Mv10t it rlnMO a un14r wr11Nn Nw1 ' Y 4 w011w111,-,_,_ N ~ In I 100. Md W p111110n OIM N pNNV 4wNM0 111111' i imIot'Poolof lowvwf4w too if IuMwwII1Mn4/IMMlnttnfMrAllAl~,, 114 Vow to" we 100 I104oll) - Co Wu rgYln NoVlra/ I)oo1rnlNlpn IIM1__ NyW,YNMY oNN1 stmt fol Illlnll Lw1/K A w MM?" NI"fie111 remnwl m"w?„------- piom" 1~ N Vft fer . UN NI kWA VW tVPN N M04 WWI { Do you hwl ww own wpo f www*? N Iw1, YA1e ill,. 11e Yw+ Io t w Mat vow 10AWMt M 01hMt H yM, NMd «1w 011 Mal M 1010 pr011Mnt %m ww' IY4yW hln I ~If MIMONTANTI WINE APPLICATION WAY R/ OOM►LRTRD MID $O RD O0 k00MAL y If 1 1 M WN. U/M11 i1 rill N MI n Y~t » N'MM IMnM11M M YM0M0 1 MyN~~'~1I1I~~;+~fIM IM 1w1Y 1M yy : YNt4k11rIwwNPeytpMNYtrwt~rlt~ tMwnr~aMpwwl~IjlfY~1►~11wrwwAklr«Irw_ r tv+kll~.rNl/.'I~1~'i~1~1'1~"p'ww~»w~ ' 0twtie 11 powC%pM+h' o w« M wry "*Vpto Mitl+wN, t 1Y t~1~ i 1 11~~},M~1~1M00111 n ntuwtJM~M4ww :A" . I+IIW 0t1YtM tY0110N 1 »,,,.,,,,.,il. W W iM IAeYwnMMtrWUM k1oMINM OoYtrtlt totNOtp4010tt U YW ItOW w Iol' 041wM44AY MN4MN M 4Mk MYyk out w ~II'C` ~ .1 till 'Ww l 7w °li7i C J '""MkwNww 1 I„at I,AI1*+N'W f ~ w_ , cOMMERC~,~,Y,(IRt~Le LiCATI ! rpprw~ MINt'Y UN ON1Y I ` mil ~'MnNMawr `G tfylAiiwa( p vim MMIMI ~elrwrr~i~r~r~rat► IJ IAYw a Irtlllru J~'rrLk,.~rl»~ + 61141', AOOM1e ~D [ri,I~tl~Pl! P~.Ll,_L._(~[l,~ifJJ.GX~'~ JPIA L~~ v ITV, QQuNTYl1TAT1rCttA~.,_ _L~••~ 71 0001./^. / {t' / , 1 1 TM e401010 Owe" N. , s p Ih1N1eWN p riew"O4t etYYM aleni O*Mwe rV1,A1e1 ~ w.riel ;;;I$ .~r fC.~:f M tAMefeYY,M N IYicuer ow of kN luwewe Iq OwAsowl rwMM M OM IF Y N ' P"Wfi W WYMYMI D • Mwoweteq 4*04 W7.+ r h~N M"" lMw Wes' Fi I'Mii In , rlr!N ~~CLY2 /Fk7 5~f671~"' ~7t,~~a ~~t'o .'l J I A410 LM a 'A►dl d2~ LmFA42[I ku WY Yw~ i Yii w riM Mer_,!~n~Yl"Yi.Ae iYi t~w rr;A~iYri' MY. /1M1 ow yisy~ B ; i hdo" P~ M" MdMM41r 11Adurrllt"M1" 1 Y%40" PWA IYae r~ %ow NyrgMlWr N!' _ IyM Nt, r lid bilfte MN+YM k~iYe rYli~iYii""fiic+~ Yi 1K"i'al " A Mill arils `Y • 'h jwO IMryd 1Yr11 M lrl'IMkYI1d YY Y11t1 ►IirYi4i t ilY1 a OL wal ll YMM►MfY NYY$40 1wA YeNA wmip 1MM k M dMw Mrnla, lr•Md N YM fI11 MfrM N INIi MYwMtY hYrNN MMryna MHNe~r, _ A2Ytatw.MMrIONYY~M11 AMY. .„~......._._UAMIU)YCOVtkAfik um v uwm M w "Jo II OL Mp MW im" wd i 10iYVkv_ K I2 ►_~~M~1 ~!M~I~M~~'~.~..- ~-qd~ ~lwrfYYy , , . odmw N*Ihb "wm e 111YiIQAL PAA1AAt PoVEf1Ao1 aMY IN•.I AYM l t NM Mlwi N1 ► `Y.,.. S ~'T xr 1... 1. I1NMMf A~!!~Mw la ud ANY ,,,1 p~ M ? r Y11!~!_ _ Acv *!M tl~ltM~..#h!w► _ _ . ~ 1 brNrw ~11yM+M Imo. r o rYrne~w~YaMlt-,tr~gYllptlrw Iww~w..__. WYIIAfIN11 i$]!'~ "W Pam ~L ; i~i~y ~yyii ~~~III~~~iii ~y LL ~ MMMISMI W NIWd M M MArtMMM N : i, M NYI M IM.MWI MM Y11 NrI;IiMnyMMe*YnL MnWMtl M N+kyiiM/~Mbn Mi YriM YYI 1Y11 Y1M1 ~MiMM7ry I{ MMN Me~IIM M 111 W Hlbn w W M M I IM' M MY YY I~j I MM'~1 W / AM „i Y k I A3 lot Owl YI Lti 4M RYA . irhl to Ap I I11,A71h MUr.Y . r'rti i,iT•, r.Yrr+ r.i t1 /1 I rlnr 1i fur. nu•nr d , t pJJi IN I` G r}f t• ~lil r ` 'Y4191!11`tki:414d+fi`fdFDn}''Df"{~Y~.Fi.t4'r S{,xsi14"Sir3,4i,'i{'y`{St`Ya,f~xxY iSSi44<'tJYrilrtl~f~.•`4 YYl { 77(t,r i A x'~{ t r • . 7 t , c r., ,r rrr 1 tl 'j.~ ly S•'. I +1~ ~ {Lt ` '1 , r ~ I \ CITY' OF OWN, is ,I } OFFICE OF THE CTry ATTORNEY L ~ DDD- r'i SfEb10R.tNDUIH ` 7 p2 (,rt JQe 1}. 14i0Mi7, Aaststank City ACtGrney 0. L,i th ; { Robert 8. Hunker, Ami-Ttamt City Attorney a i Kk r I ( .,3}{}VCl III .w.-.~•.~~~ - . ,1, ~II Ttl+ Charlotte Allen, City Secretary il>j±' ' l tl, yA'r , / ! } r 17 Robert B. Eluntor, Aesistnnt City Attorney f y'ly,~t fit', FROM; DATE; December 6, 1913G tp" 3UBJFCT+ Tho riesidouco, Service Dopurtmont, Inc, R 'xi+ l,eir~~}pl L E ' fit,, t s 'i p , At your regoost, i have reviewed the attached automobile liability insurance policy issued for the above-referenced airport shuttle i fir, I Hervice and have found that, through Endorsement No. 5 to the policy (Form TX-07-18.--Public Automobiles), the policy complies °lr with the rpquirements of Section 16.45 of the Denton City Code tl dtttP~",r relating to vohicleB for hire, u 'i + t Ik `ft, I . + t{\ ) HUNTUR , ~I, ~I 1 fi I r1;,1 1+ `i ,i~~rtt Icy,}I+`~P ~ ItBllt~c vl( s, v,~~'t ry Attachment dt a Ii~l L I ~L I} k „ r , ~ t •i1; ,rJ I 1 a IVA'.a L a j ! I l ~ ~ r,nM - .RR,., ALL1 ~LHY~+w . rYAi f rAvq~ t•• Y YL ~ , n„ryat,.u~:a'AnNP.cCt,LFk 1~{s116kI:uN,v,. - t+t•.Y,N»51,7J L~In•43:vt 11 ;.i. l~31~e+sl ~ ',i; , II ' ~~q, s r fi rC ' j'F'✓f~xtr Ir I Si i xr t t V(~'t5ji t I ty ~ r~ i r a7 ; t GAIRAL'UA1111l11'.4110M0BILE IU X11, "I"I"' NOV 3 019x4 'I 2I GI . oC. OWM~r N NATIONAL INDEMNITY COMPANY • ~v~~ cn 3024 H+en.y 3ProaoP + l- Gov .j 9,2 OMAdA, NEBRASKA 68131 Lr) O r. fled 1belelmitmond Advoil rno, luus, fewna clln,covnlr, ktld vis not"" mil In 6, No "m OWNw tam lose k Policy I'l (Me. ryy yf) SA~~ 1! Fran ftM to 121411 AM., st"f6liml+t iM Wills of IM sseniw Mf a ueled hkdn, ~ L. r. rh# mw lm* lo IndhAdwl [3 Pe tnxthip m Capaelbn 0 mint Veoture ❑ Olhu BuflMSSeIIMssutlMlsrt/b~ f~.rui.eewl AudilPkiod:Aenwl,unlottolhuwisetldw.t.n«.wwl ~ r' "so 1, Tho encs oPorded Is only with respect to thf Cournty PUMA Wkeled btlow by spocill Vol dw(Wo ero kts*d to ono fonnint a patl of this pky. IMt m mm N~rye. Couettte Pill Mr Hies INI I. Cows" P+rlhl ' . , 940 S otabsb edial_tminblmunncp f NoWiblholosfiorollbbllltYlmunnu i i { AolowahikPhysical knillplmurfncs 1 M+nlllklu ;'and Corlrklal'l4hllily , lOOObni { Au!o~gplN Mrycktl pwno{e lmunnoo - OxMr t eCIW's Protkliw llsblliry (FkltAulomt!kl _ II f { AulanablbPh 1'alOtmlN!munncs { O+n~rc bndkrds'onl1lnenb'U01lily sMOnFMst { to ANanob~ITi lleuTty imVllAtl ( Porsonsllo}arylbhll!IPlmvnnci { ConofeledOpenllageMProdunlio0il!tY { Phri!cem Svr{tam'endOoMots'holesslonil aunnts uAlldy ImUrlnee Wdkol~ blmetiMe 1 aM AadaaElll llsE111i 1A1dreMe Pool i W Owls! lleElllt~rAOnrxa 1 _ S f !aurwo { Ce~q eMpIIW hroonel ImwsAGt p_ UnlnNxw Mpialsb Imuresce Inttwllloblliry!wwrtnle 1 { ~ py{Itb'tlehllltylnwresco - lm, kWi FOAM P~n116N IIAOw~ietinn P~nPis { (li!AfsCaproMsrrlWPsrwnellnekana { Fyfi li ? Medial hysnenIt Inanscs Bo Pittlnwne --.L TOM Rawrl. of tewr~+ Mnbl, ~r±I { 1- o:W~AMyW 1reM call ~y PAN . i ' ann •e06 00 l r If the Policy PttMd b Rare flan om yov and the ill b to bs fill In IMLd',nonll, Memlum is poyeblf om MIAMw l1BB f91M~ tffecilW Otto Istmnbtfury PndAnnWiwy s s ~ untenl{nwr o+ i~Jl~/M w ~JAlpllt J1L~~ rlrMl/I~YB vtix.a MAR 1 31 1~f~Ra.iA u,oA. utharlt/dRi(Neunletlee ' , - r 4~r TX•03,75b, ADDITION, SUBSTITUTION OR ELIMINATION OF A TPMQRI`F I a t Thh tadoreentent forme d pan of Policy No, TIA..24.057.2..... htued to .Thu...Routilowl.$Rkry it. .Inc, by the .Ntl4.~.9riR1 ride> 1-~Y .0,TP n.Y... f ' cNonu of InsurarKe 6... ..Y) at ill Agency t r r „ ' d ?(acted (Oily and Holtl „ ,..hD4lt,tana ,T ,t, and is eiftailye from 11/QS./ (L.,. '1 117,01 A M, 5tondoid Tlmel 1`r 1 (The IRfetIRVil4n Vilest le tequlrel only whom this enlerlement It towel Iulsagaent is ►BPerefloa of the PI This endorsement forms o port of the policy to which onached, elleclive from Ill dale of hsut unless whilmiss stated hefeln, This andonament n.odillti such htsuraace as N afforded by the provhtons of the Policy Win. ii - na to the follo+Yingl ` COMPRIHINSIVI AUTOMOIILE MAIILITY INSURANCE BASK AUTOMOIILE LIAIILITY INSURANCE ji•ic AUTOMOSILE MIOICAU PAYMENTS INSURANCE ` f PPRSONAL INIURY PROTECTION }r, iii VNIHSURID/UNDIRINSURID MOTORISTS COVERAGE t ` In conildewtlan of ,.Addi.I;WnA1 premfunt of f-.:..111 rQ!}..., II Is agreed that of of o du effective dots 4j IAddllla+al--Rqufnl i hereof the policy h hereby amended In the following poVllculagl II ti ' r' Aulemellle AdAI if i`+~ i' P ' ~ . ~ + t DVjlfen I IL, 71~` , r y ,rq/ c7Se ~i ail t fr: ,r+.-. +'i a To afford Insurance with rafpect to the oulomobllo destrlbed In Ihes blviston, lubjett to all the firms of Ike policy except of t spil6ftcolly amended heRlnl Descrlpkon of the Automobile and Fact$ Respecting Its lourakaN by the Named Insured, tli ~ n tl~ r I" Yw, Milk Twee He AsMl txeV'ree M.r 4NW ~g set Pitt ``l it ,L 1 ~1 s5 ..1« Uj I i 4 ,A µ `i' t i t r its !V6 it) "co, AM P60 w Pleasure and0uslrb N;S. Service: R. RHolliC• Commiscrot. lute GCw for hudItfoclors fSOtc ' ' il, (,{ie. '•Ablerxeolanemry n+eonU he addfeNtlbwA On nx beclarminnt. 5r, n AvfemeNle IIItnlnits l ; r s q'1 I Drlden 11 Il sr tt,~.t r; Yo discontinue (niurance with respect to tka automobile described In Ihte Dlyislonl ' inky Nu, MOH Tessa Neme Mold IM+f~~tipafl+M i p , ;I f it 111 " Numoet r ,1+ t . ++7 one - fl" 14 m Division III _ ,t r t5'S The Insurance afforded for the added outomoblfi h only er# rndkdied by on additional or return premium of the words "no N+orQe in Ihes promiumt aofumn,o 7luelimll! Bfnlha CompontI s lip v4l 5 +``I blllly ogalnn each such toveroge thall be as stated herein, subject to all of Uq forms 01 this policy having rehrence rheroio; , t tit [ COVERAGES 4i-~ 7MIUXtf LIMITS OF LIAIjl17Y _ _ f~ _ Aneu-_ _I - AddltnMrn nil Return ,1+ i r f 100000, each poison _ 00fdy Iniua Liability S 300 _,Q~t), oath occur` Renee i _ 2 !.233 fl1L_ S f Property Damage LlebUay y SQ~~Q each periaenh~ Amomabue ydcdtml Pavmenls ttld Derson . t, PCenno) Inlmy Prmenwn - f-_2each Peron _ 90, 1 -._23 d 5 Unh+iured/Un etlmureJ-MolorBH Coverage ~ , ' 0odlly Injury f r + 100 Bath poison +r rt -j . ~40.~_ each occwrence 10,00 26,(16 propony barrage t _ + Nil eod+ at<urr_enu Nil $3 ;"4 as pa endorwmont attached - 260% PIR f 011.9.2.4 t Haiti if oulomobllo it eiiminaled and no automobile Il subsrlluled itnomfoi in Olvitlon I, return plemlUmc IOr the outomo: ~ t bile eliminated ore to be slated in the premiums column, ` PnnRar Allied Underwriters End, 05 By V0 Ibuly Aulhotleed Reprtsenl611W} {a~', , FORM TX43.PS1,- ADDITION, W~eU`I1ON RW} ATION OP AUYOM014LI f r tr r S TOM helloed A 'i A Rtybgl I,IRI 1, MIS tt/li l 4r , y X14 Kv yjttlI~i`t~ifrtA,-r. ' kl sP_ Li;' +~S )1 i, + to I t , r It l . COVgIACE PAM CP 00 05 (M 1,741 I BASIC AOTCMOAIIE LIABILITY INSURANCE v For Illlchmant to NIRY NO-01i I',-__.____, to Complete saldNIRCY. dCN[OUIt the huu+ance Itlorded Is only with rtipetl to such of the folfowin Urnsis it it ore indluled by specific premlun cille of ahelllL iM 16m11 of the company's liability against Itch loch Careupa eMlt W as adlad Mcifa, subact 10 ell the Ifrmi of this tority havfnp reference tMuto. PnMliew _ Ua 111 If Uslillity, _.-...~~W1 hA 300 thousand dollars ekhpoison A--Bodily Injury liability thavord dollars each dacunMpf _ ibtutkld dollars Cali «urrom 141111 11 aimsO 1116u1ty Fonw nu" it e.darea hints atlkW it ;11m* 1 E J '~PelAlr■e 01krf UPnti ONMd bu~emablNl U'J 11oodd r,_ _ r~. 11 Pfl T W pICY M 1 N+II tike Name il+h VIPM1 if r/p~all Y wk Idr ti dgl in NwnM lepryNnrl`hI 1 Da~Ip1e a Clp1t rlµrill {`rumr Milani will N hln6-fpllryy Alto Ihr or lul 1e 111n1 CAW,% _ MOtOr Numplr el use 65:.00 86.00 bMt"o ritr 3984 lord van (8 ?a") 78233 0 '.A r tall 1•Il hail P.D. MMirewl 1Pvius of Ufe (P 6 n lleunl lad (ellglll C ~ celaallrebA ' 1 I. g VIeAJE "ODIIF iNIII 1IA11lltt publfo of livery conveyyance, unfelt such use Is fpddCLally doctored and CS11111M "OPEITY OAMAIE 1IA11EITY d ltilMd In The ichs ulel This tqnpinp will pf DI the 111 euml whlch lilt lownd shell fp1 to bldhy idJury of ►redltlY deaths uhlnl out of IM dl Mrte, ddhpen11, be.. Ip1ItJr~y ettlnr' "laws 0.~1a1~pa of amore, wpota, tool, (units, Iel~e dlheli6 Ica sat oilwT l e n a Pcp1e ID 1XII a0lawlµle AMmIMt,4ry4ppalOr *btM~tNtgr~„atlas 1 InwbIUA vtllPli, +0 pR 11KIIW It ulvyv It'll luq imi2MltlJk 0OaaIQ00-~ TM le at sty g8110109,kolOf Oil Its lit ry htCl R wweg luinuy Donillf 114 al1i"WisP IN1 NIK ~lM Mth hu'hwi k l0 wMpph IW' A"iYlj iW to"Irl a1bUNYM nlwa e)llapa kr h1 t lumtlue nu 1, . n 11:10, Ow^Mllhb. pOPa purpall II, xl!p Ivrbull to luc Ootlvllal Ot nit at s lu„a r ,u1C Used 1 thafat ~nIc n el I or 01 1 Y rl n, . I ~w a IWwNtn, pan 11 haw the fight nd d Y ~ 1t1""ft I ueri Mrs ~tel{1 aInMnP IS~6l~llilr .ll~,tar OeM RYFiRIH1M'pAllgl) NMIVMhdJ'W141'doUM Olglu~y ~(I or1 v IIw1 r or I4• clmbvu r uuAll'14 si t el rnrcteUt 4 ua Areund 1 tt~nlrlvlel, un elulr fl~~l 4c m -e hlonlgr; d glary a, Iwn II any or Ihe alleptfons of IM suit fs , Aa yqir t` i Lill lbl ill it ".WAiM'w`IA ~ ,1004 bbYf` ~ ' IW ~M any wN INef IM Wit lmlt of the WaN~f' Md6aIllMhpeNdldlrax lwnrwu JIM of at wi t ~i taryllgy I am u4, Ifltllppll P+MIM df ImeMe or 4111I1mIM4 a n 1 u, ttI o9i on 1e~1~8~i+ln~ l! aJYSIPi1111 bl 1li I a IY p ppppppeppa Pdllwlr„ wwu+ fUt Vlafaer a arnCrllal 01 tvp loG 4wlpluA p 1hlr~rmisilon IM "NJ IMA~~~11d, pr a Fie a~ uei a ~I + I~ ~y )yy(~ 4q W p ~ql ~r FLI, ,Or I f 0 her =1 n not la wllhto i ~I ' `Ilrc n011 the 1 {MI11 Or ley Clrlhl !e hl! Inlwal may bl gLlhia,IIt n' ~MbNy w h 1 ' Dominulien, unamDloy Ina fomp~n9!~,' I r borrower of twlwaelffe t~' `r ! ~ 1l' a I' a r I I t r l ww t 111 n to inn, lei !M assent hlayed saw "Mlle) ar barewyry'• it fO 1~fY h dnyle~r'pl Val ilaa~l ir1ting quI orend 16 IM fdi Ifij'Hkttr~pM~' dr 8µ~8klhd8blrlllil ^wtlh ioM4!'byp l lMdlfi' ~ ymenl by l Isuer or Is any obllppellon of the fnloHd v b1ewM lk~te onardlnllry etlpnMnwld wlplwl) ee kl lilyd.r y to I el fddMlpl(r ww, *co* of dlmslel orlllnl euf di ouch Injulyl hLOf t 1~ld~y 1Jt V irlllyj'~bbttiP l rm`dl W M None M ihlllalklYM h#l'hfvrd ChilblRt11~NN 91•t~r~ IIUyh for flY iN Y ^ rid' fa ld M de fit anlMlpoison while Injifed In th` bbaul aIii of hli i In uif with respect to ; I oN Wait ofi p D PI ( 7ltdcl to 3 °lvl "A aides" Uln Mhly r, l'. ie P e".tpittutP, ds Nifty MIJO lpptOlmaMl•.I I `of ~aa rl Uti sueru qa pm!r of hlalnlA gsi11t1 1 + t t , G'rl e" Q,~ out m yw~t~u `u, r~~~n~lt'1 rIVa urrll 1y11. .1 {jj~ryd a~a1 15b1Yt I'I,;.y Ow IAre 1 e,tils,`M~'f~,j!~il~l1 I r lie tO~a"y',o^fr1e IIIiI'll trJl'T'r1~17 ~1M A1I is~W. a 1, Iii rl Ir. c, Ii I 1T: r1.11npI~Ra,N /e: "dII t. IItI WI ql9 in bit it r + Ilon, otMi thli the started IMIItd, wflA respect log I r M Y, nlad to of n the un, cullody or control of she In{and, or Y i 19,14 A /P 1" c Whet a w 14.4"ld II de0rOY 1 ellkrHing V~icssl Cdatfol, fli air vehltp~ee wfdfe usrd Idth enY InII~{X` orP1914 I'll 10 ,nrr fd%' Is IIMfEI d r of ptisil Istin by a P wfe I'v' ig' air listi hallon eM trot ~abrad bP mprrnConn d11A{If IY 4CaM rN ussell pII el l^n;, ~ toe ,r1- IoMM1Y INvllpt a~Inlllf desipnpd IOI uk whh I fOVr wM11 PNylh i I1a to Ndlt d[ i kv dsalitd r14(hor Went Qi old, Ida 1+iNallf ee~IMlMIt In not Mfn/ uad fm lxplneu pu pmu'whh NN dfV tp{{ on, 1 Mon Of revrolu A d~Kll ecl rt llnpolve Iin{I~tpt kldlwr typo factor whlcfll, Of I r ui i "'I'ts j h v M (aela np^ With reOf td' 1 as 1 All 'aid VM@r the "v' t21 1 L11411' while 11 ed,w4h aly n motor hi11f p pedAr hlhd by such piI• till rd 1P t eN lYt lrF ,i I LPlllJA J0 II 1 L.. nl bIMrlt~n lhd M1DtOwfld 11I11M1{IrlnCa In lhd COmplnyl L' t , 41 i~ Ili/" i,e i4 (e r a M l~n pl IN Dwner{hl~ llnidh q + IIIIhy yY~{ob Na timDJp7 M'bPOlh{rip de aftllai in dull I In 4`11 N01 116 , E}6 OIMI MP alfll l dMdl+ M1ykXls of llah faith r1P. MhNplllI DtMr ih(~ At 111 tMJ r Mldlutl lYN}daalld WIF, l Idth lit it saint L ad 19'e opera by the Noted IMYIN rlr'~ /l. I::. 1.,t f, 1Y f ` llCCffi 1! ii aluaH V 1rrirdvem tea a1.a 1N..1<I N•. .r.... .M:.1ls'„ :IP::4 a.. t/n nVts, i',:,.~ill. t. far n.+roar k.,;l r, ..-a j , +z , 1 ~y ,t 't „1} , y t A 3,11 n . , . F,a,...i «aa sad pl itA li' ii OF YIA81lfrr it an "e1fae4 iultmablle" Includes a tytlls not dlscsibe~ In this -0allc, II y Aele1rdfett 61 Iha m mbsf of {Il fnlufeds undN this paltry 121 persons of or do dgrid for use with a foul whist private H111 M0 d4 psloNld and Ii net ginlial Ions who luebin Y4dll n ury or pro till dill 4, (dl el Ims mach or beingultdfor buslnefe purpose wllhonol type 0119041 of + sidle 670u99l on lec6c 111 of I~d~l InJ1ry pf ~nFplly d1A fsggi or (l eel OeleYNW "p leafs lea" W eAIMAIb111" (bean a private P 4 n er as 111100 w a o6 Id which Ihlt ptlltY appllal, IM canpanys 7klllty is limited 41 ~ollrrni 1Ype "1001111111 614 dM WfomafllVt~e purpose o~,bl xAlC~,os tlah~fn )1, DOrln~a "The Ih1l1 c~ bNll Infery Iblllity stated in IM ialxdule Ili . fM stMdure ar pleesu 'led )ulleall!' gqsbte to 'lath arson Is the Imlt of the compdnyi Iltblllly for all damages, "IempOrtry nblUtetl detOmppYII!" meant an lutes ffIIU not awMd by tM noludlnC dimaiel 101 tare and fast Of sori because of bedl7 infpry 101 ri 1AW411 ar any, reslderrl of the came hmusehofd, who/ lempolarlly used ''s r Ialnld by one pasOo as the result o} any one par Vpne p11 but {ubJeot to thhe oyove with the perml111 0 of IM owner at a C~blIli to( in owned luflmot Iif whIA provlloo ntWtll09 "each person," the Iolol Ilat 11 of the compjny for 11I dr4wndrp rr~ Dorm} use to( not or (spite or bkaufe of !la bleak damages Intlludlry 4061111 for an Ind ! 11 of a Aloes, beclufe o bb WI It In• down, lots of diIWO Ip14 f t Iu tugalMpad by we I O P11101111 1M rlJUl 0! any 41>. eppemAr1 eNaII 'cells" Intl 01 tlml~tfeNpr but does not I led "esell 1 tAf rj ` I na7ercied IM Ilmil,'1l YedNr Ie)wn I bi1) 41t1ad~n the It adult at pptftable t f lo. lab kQW $"I , end is to "purpllllil ep ell"f 9r y' cov r i S-1w total (lability of the.opmpany for II dame S because of all "toelelltdlAl" ro one 0nol prfnct ally In the busin4'i r eu a foe of the sleet t 5 . I r f+ ftipl~eesMe sualalned by one or More tersan~ or orgehha~lpN R the result IAeulfl Hela`~ fn IM IDheduli, IOtludMg ofNel~lul,use fla.pgaoH4 I^4 si, M InY One ee~prtlwrh fhhaaall not ertold the IlmI of plepedy damage liability sure; family end other buslhe" PuiyOSess lglhewMduleaplpPlla f1AtW blel6'4scbaapmML t , F i OY11 .o A 1M Far 1M urp07$ Of detennlOlni IM Itmlt of 1M oOmptAy i PhWUn iN ►nlslpe" meant pauonel, pleaeur4, Umlly and Dullnns use +}r Ile lllty ell io011y InJYrh endfi epi "Rots ArtlMg at N dlnUoul or 7s pealed $gpuyn Io subs ahll4l y the lame itieral tohdll ohs sM~r be t~nslderM ' Y! AA01110Ng! CCNDI11CN1 at $111161 but of one Wiulnnls+,}I r,,,~ff ly, Palo TIArlTtllll A. DtY1r feex+wd-TeMpdteay YcUtHr1~ Wd Ntwly A44*04 A010O NN1 l, 4F Ihli Iniyrena epplla pnl to kedd IA o! Pl $ h dam a which aoUU Wifb'1Np4cI to a toms y iplitltYtp ieNlnNNp; this IMUnnH 11MII be + P e cue ImuraAtl o4ah any M Wlldrd cp111cIW11 fAWriAC1 Wlllsble to a.. dltllt he teMflary WRrlb~d In Qleryltph i1) ar r of IM do 51110A of p0110Y I~a 1MUf14 , s V, JpDIiIDNdtDEFINI11b,Nt With AgSpk1 can lederlen4Yll awnanhl'ofwhichIsnewlyscqufrtd by IM M1111s) ~ASYaIA du{fn( ha PQ~ia Orl, end 01 4,tlibOd 16 Whin pp;edIo tferahfe to laInmran<i Ilncfudldg dndonf n3n~o farming o t sehddufe, l!hle' I6ayI Ap a',YMN'4pptyyl 1 pIA 6r IQ 4 Wes , I ~a,# Poll 01 aria pollcrir' ' I pUdnoe fs Irallab~d t0 tM pentad INe9n~ 4{,,p Q nQ (f NI YgqIIMR" Dills the byy mate of octupatlOn of tllllng, leplhing, B Oat Ye 1NIi Ihefwtl m ut, ,r ,sf u t I' If .e1Wla 006 Itoting. of parting solo IN r a~ l. - p - prx e1AOy ' 11 dIiBU Ih$pf0y1ff0Ae pf IR4 ~'01br ~lAtCN'Tn4ACfi1p)d~omT6111N I1W r•'+ ' f , , , ~ amr a WA 01 colas In1W/Ai low of If Iml ar IAw O1 In r t't , II t ` 1 1 1 ~ tt b I ~9N 1 7~ dl et , GY 'M NiU4lplifiNl w51th 1s o+rnld by tie diiiN Isaw$d Wd d~polWla In thi p ~A+41i41nf f1' rNd1rN YA AIIIA real Hip + c1W 1 r' ($4paM'la the oppMloA r cep cite1 e -moldr "FoIn In Ib" aide of boron ee i lb) 1011l#i orrri^ of which Is Atwly "fled tM W$flMrtN ~nYdlhecpor y~y s Ilml a 01he yyyryyr of the comPenfrrt Nab Nlly Ind Ik~ di of !d eagle iii y' ul l 1. policy period; pfpvlfed ` 4NOSQW~b •IM pullsyg~pI1)be s pe Iorl tOnlyturh p1bIIW o1,t Id DtaB " 6) It splitia'aA OWrbd Wteafellfo a daflped YA {11 jb'evi, of ; ; ent4 s ptov~ddd b i hall p,'bf l Id the rrml eitulieq 1itch IsW M~ pny witIh fupec (o the o fit or use of s in for vehicle 4 's ; It',' • I11 tM cam arty IpeurW aMolt, NNt'owmed'b IM ImeN Iaan4 in in cull or r Ma D l1 s , f R f b a fnwfanS+ un er `h royI{Mn pIS t 1h111 Bbl feduI Ol hpr W11d pINt~N~le IIf Ce oP ~oy alp IICBC (III ~t6iu C~h Iu ilAe III awlsNledMOnso a hN AtOtar a a Murep fa no pyfpt mpwar I uald I nes compee G p I ee sy penan e i Ied fo reO~lvedu Ilcsla p f ~ InN1 aaul tiAd pit by oddlllanal Ym n Ired if ar$ Oi Oil nlefMnll of leaf, r f ,n , ci . .rr ~kl •I r i 1 I I Pl 1 ' r I ~i l,', y ~ 1 „dt. ~ s la at a { f (Ids ' l a rk~t ~r ~ ~Il v ~s3~ r f~ ~.~4,g ys.q Yet iJ f1f F l t ~i~}~'711}St~d' 7.'?A.1V't;#9S,~F`?F9'.!9t4vi°.h+6r§.la .9 r.........., . 4 .r h11 . 1 lr r 1 , k ' 241b, PERSONAL INJURY PROTECTION ENDOWMENT I +'77 1lule Autonrobi$ Liability Ineuronee, s t f't+cempfekensivo Automobile Llablilly Insurance, Carole lnsuranrei t. ~ D+ axL•twnt Ina. ' •A_ ISW,. lo...Tha_RFIriMac ...S cyi~. p,_...... .t.. yr This endorsement forms a port of Policy No.. SA Agenc by the N~Sbpt1.l1At~.ty Co!P!p' . of us v (Name of Insuronre <am "nvl r. of v pfik l.w' ` ozloslRS , a , and It attoafye from . holed Idly and V610) ....NOSeeltOpr (12,01..A M, Standard Time) l i'~' I } r ' ITke information obeyo le nvulfod only when this ondorlement it issued sub"cist to preparation el the ►d11eY,} l 'I ^pjyls~s'{ , This endarssmonl farrns a part of the policy to which attached, allcN ive Irom Ira dare of issue unless alhswslt slolad herein, t fycrl' I ' t~YjL, SCHLOU r Est Adrense PnmlrrM Coverage Liroln of Uoblllfr sf t 1 s i%,, s Personal injury PfareNlon Coveraae 3 21600, each Berson t 76x00 ~t . r,. Pd r k tt r l a p w ss toot tripgonaf InsundMaloeVeklelee 1,giut r t s 'r r t, {rli (Check approprioleblock) f'I 41, r + if C1 Any oulomobile awned by she Yarned Insured it I 's , d s'r ' i a' , , f ~f, 'S ~';tj t f ' 1 tr Any private passangar aVlamobllo owned by the named Imwed, t ` + r St Ll Any malor vehicle to whkh are attached choler's license Imes iNUad to the named Insured, s t~yt rl , ' (M Any motor vehicle dasionated In iltn 0ociafaflons ul Iho poll ty by the letters P. I, P. and o motor vehicle owns ship of which lispr~, a I; + 11 ocdutred during the policy pedrd by she nomad llisured of a rrplawmmnt Ihsefar U`75" u ',v to ~t 7 :'Ikl In eonslderollon of fhe premlumfor this endorsemeni, the Company agrees with the homed Insured, prble(I to oil of the js,r r (ds prov,slons of Ih I endorsement mid all of the provisions of the policy extent nt mal{Ilad hofatn, as follbwN ~ i li, P3RSONAL INJURY PR0T10T1n?d }#1~';~ ' ~ 4st s{ INSURING AORItM[NT r s1 h I n o<cadonca wish the provision of ArUele 6.06,3 of the Insurance Code of Texas and all Acft amendoturv of supplementary tl s} 1 :1 f icrato, the Company will povl 14 trt,th (II the Homo Insured or any member of the Insured's household who suitains bodily injury, caused by accident, In a motor I' to do accident, std r(t td , rf r +t. f /,kul : 121 any other poison who sustains bodily Inlury, caused by occident, l;a~~sklr ' (o) white occupying the Insured motor vehicle, or ° 0 r1 f, rt i;~s + ! (1b1 while udng such vehlclo with file pamisslon of the Hamad Insured, or Iho spouse of the Imurad II d resident of they (yl ty li, i' l! , 4!,'1 lama household, EE d expanses Intuftd f foilia date r Itl0cesf furnlehed, l and for. such I r p rt' t I, t I noces Pry poison for loI I oil reason ble such t r rs14+ „1~~ 121 (a) II the person tusfofning such bodily Injury 11 an Incunit of wage urodu(e+ of fhe time of such oardonr, benefits for r n l s r] last of Income susloined by such poison, while living, as a direct snd proximate totals of such accident, and i (b) Ii the person suitainina such badly Inlury It not on lncomo of wa'e psoducet at the time of such acNdent, bentllis ~rry 1 ' ! I , In rermbursement lot necessary And reasonable WOWS Ineulred lot onentlat strvitas ordinarily por(ofine ! by such `,ik+r a tnfured pet on rat the (are and maintenance of Ilse family or family hxnohold, r r a durrng the peflod of suer Infused pail a dliability, r This Insuran<e does nor apply, I V' r (a) to any We" whoi ; 11} Intemfonally tauset the atrldem rewlftrsg in the ba111y Inlury of such person, or Y 121 sustains bodily iniury white In the commission of a felony of while seeking to elude lowtal opprohonslarr or attest r by a low enforcement official; Ile) 10 the no mod insured of any rdtmber of Ilse Insuferl's household who suitor is bslfly AM1 ury while o(cupyI rig of Iheough i betrig sltuck by A motor vohicfo owned by such narnad Insured or any member of the Infutd s household which Is nor , t an Insured motor vehicle, (3!L A3Vr.Rit SIg3 FOR 9uRTH3R PROV13101hiSf " r I Rode 41 fua~~tr~Alli~d IJndr[Lfeik~rs ` 3 , C~J'16~64 WI d} ' PV - flhfly Mnlsertsed Reprosanlallvr) ° t 4U FORM 24111, - 3A30HAL INJURY. PROYICTION 2,.001133MCH7 ` Taros Landord Autamoblle ladafsemrM r 't r NOW A►fll 1, 1919 ' , 3ll ' Ili I1 ~ t '4 1 i Yf ~r °..,.rnxs0yri55.S>t~S~e~Sik~vr~~'S~'Ht`rf JytiJµYRt.v, rv. f , S] / i r ' S,ri r[ r.' u ' r Wars 1 r ' F 5 y~. t3~s i l low, ~t i914~ '~txp °.Vr. ~~''#~•1 ~.€(k :.e71;r _.4 r+.tn. <a~r- ...xs...f.~,x-.~.,.,...~..~...d ..r.,,.,.. ,r~ ~I I r 25C, PREMIUM DISCOUNT ENDORSEMENT-TEXAS € AUT0M0eIL1 LIAIIUYY INSURANCE ) Tliil endershmenl forms o la it of Policy No..GIA 240992 Ilsut r to Tbs 4*11tes ServiC~ D"O%t to, f r r l b The %ad"Al IpeW"Rr ~4"r at is A by y) gIY I me of InlU to nse L`ampOng located Idly and Stale) and Is effective from 0 2 01 A M. Slaudaid Time) ' IThe. Inlernsollon eboys Is required only when this endorsement Is hlued subsequent to pritperstion of the polity.) r This endofstmeol forms a part of he polity Its which ollathe J, effective Ileum 111 dale of issue vntoss otherwise slated herein. y II 1$ agreed that it a pttmlum Perlo,ninq to Team for Automobile Llobddy, Medical Payments Irisuwnce and Persawl hijury Protection coverage , 7 Is tubjtct to discount In accodance wills the lollowino procedure, i s~ Provisions of tows Js,r TMit ANensp111d lleiilhy Slenderd heMlem, Such INtm um pertalnlnq to Texas <amtn,ted in dccordonce with low polities deslorwud in 4sarootgrh a ixreal, 0dwsr lhon ibis endorsement orvf taclusise of Iha apphcotion of ony IetrospecUVe noting plan, shall be 4nown as ine Baas Automobile Llobilhy Slandnrd Premium. , "11r, ) ) 2. Yc l Stonderd is;"Isro let All Stutts.'The Autoriv+bilc Liability, Medrcal.Paymems and Personal Injury Pootetliou ceveroge Premium 51 yv`srli 1 cuw!led in accordance with the provisions gf the pollcles destpnaled I'm poogrdph 4 hereof other !Iron Ihif entkose m and exclusive i it i l Errdasemenb any PramlUt ,R21Wn Non fn 5! ~t el of the alp lcallon of any lefrospeclire toeing plan, any Automnge Prc}n um Adjo Pic 1 , dasomenl, or Wiwi Premiuw Discount fndasiorl shall be knimn as d+e Total Standard Premium. 5 t, lk ,c ~ J, hemlom Dhcounl-Teas ~ r , ! , t 1 , (a) Fen 014Y ill of so" yyw of Nssr To* Texas*,domr} de Liability Standad Premium !hall be subject Id the byopHtablo dbtounf +J i1~ tl percemages to Ur Total Sturdoid Premlum obtained loam dx "Table d Texas Presi Dlsctxinl Pe(cefstagel,Au160414 LtobilPY)" tit oul an lows reveller tide I,creo periods br more than ondlr ea~Tle Taam Automobile Lotillfiy Slogeord Prewtum for each QQnnuol 6d or portion Ih fa roller r r' ihol of during Ilg polrcy period slWl b! cabled to the applicable daeounl Iwsrcenloget si In laid "TOblO a 7eaos Syemlum t r r Datounl PerceNOVI IAutomddle Llols olspodte the Total SlondorJ premium IV the porkies fa each 1uth, pedod or patlon h ~r r S~ rl, dareol during IM policy period (c) 11 relros xd,ve (piing Is applicable to n poN of Hie glen hum perialnlrq to Texas, me amount 61 premium discount opphcoby 10 Ibe i Texas ulomobllo Liability Standard Premlum, dtictuslvt of any (~remNm subject to onyy Retrospottlve Rating Plan, etv,lf the )r : t d,flerente between 101t* ducounl derdmtned tb~+ 0{~Iyirp to ltd Tovos. AulonsobTle, Llabiliy Sti nddt, Aemirim; the oppll able I (y , apply! pro5hot pdnT n of u Ixrclontoges dated in sold Table I Iho Tal Sla udd premium, and (2) the arscoual deboninl It l by floe Texos Aulondsile`JoNkly tilamd rd Nirnluma"lvl+lckls sulllett to le((roinechye r91in9 the oppllcoble Ilercelial sinled in sold Tobleopssolise to Muth of the Total Inodod premium as b subject la re,flospethve (61169. +t 'rs , ',I r d PoH< NeerNrs Idlmebol Stenderd Premium 19 1, #02. 00 Me00 b ' . i , 4 t l . ,r L0 , 1r TWEIAl11I1CalllfK to n ort AT WXllsId131eaa.., 7atal Applicable Premium discount parcerllaoes based on 10101 estimated advance ttandatd premiums ' Public (excluding khaol Dulas), Lang Disldnte dad Xooo Rated Autornobi(vl % ' f s Geroge Wablhy % ' I „ All alhm Int:fudlnd School Ruses - % (SIE REVERSI SIDE FOR FURTHER PROVISIONS) , rsa n UM use ti rrm pry (Duly ~Autlloiised R6Mestnlaliyd FORM 211IC,-PREMIUM DISCOUNT ENDORSdMENT-TEXAS ! Tevas Stendord Auternebife Endorelin l Rlwlsed July l 1912 ' ~'!~ResSa t ~ tdS {Este ~'tM i ~ yxr Ibi , r u r € ter" ,c,.~ i~ AMY rot ~ 'r a\ 7r I I r f , n ~p9 tj ;1 S ~a~t 1 ' ~~~!(~A~3'~~~{YtF.'+t~,~¢3}{p}j~!'~'~R.tl~tVmnrrva•ts+rn~.,.,naxrlrc~#Sltrtr#. t..e,»c .c:w~va<4na ti.'w.+i. tr~v~.tfn, r~.a (r_..ri` /r r t ~nt + + TX-03.641 AMENDATORY ENOORSEMENT--NOTICE ( { if s { This endorulnem larms o Poll of Policy No. fJLA 240934- Issued to The lliaidanaa Service 11+0partmati-Inc. Oft r s,l . tip li: by rm !Is AgenCY + t? t + 11,0. National Ind44mity Comp s r• ] y._. Maine of Imurenca Componyi v,~ + , rxI t located Why and stares Hou9tOtle TX. and It olftclive from 02/08/84 , ~/0S/S4 k l~l 112 01 A M, Standard Thnel vt~17 + + 41 ITAe Inlormellcn tbov4 Is required only whin Ihls /ndcrtomonl It Issued lubsoc l 4 prspareflon of she 0e141.1 i 7LSS ondbnalneM forms a pall of the pblltY to which otlachoJ, alfoctivr Isom lit dote of 4w unless olhcrwlso staled harem. I 'j u + irr I'• ~ t 7hh ondorfemenl modifies such Insurance as It afforded by rise piovislons of the policy relol• ~Il+ Ing Ili the following! f pr+ i+ COMPAIHINNYC AUTOMOBILE LIAOILITY INSURANCE 5 St+r Sri i 1+ 1 ~ ~ BASIC AUTOMOBILE LIABILITY INSURANCE 5 ~ s r OANA01 INSURANCE I t ~ r ~ T(r '"I,ti lu' y,l ~ t+r zrk;T CSt I i ty, ` a'~yl 1 At IPfped is kdlly !mutt, Ilablllty and property d4me91 IlObllly, unless the company 11 pro udiccd by the Ittf utdI1 !allure to rCCrl 1- r i ~qr+ comply wUh the raqufrC menl, any provbion of Ihh policy raqulrinq the imukd Iti glue nolictr 01 action, oitursento 07 lips, or It. qulrinq 1h0 Insured to forword demand!, nolties, summons or olhor legal process, shall not bar Iloblilly under this policy. yl~, fpl{rl~~;jn rr r' + Ir. ' 4 ~ I~, l p the°r 1r1 1 lib zer' rt~t t + 1't B~[1g6Y^Alllad 1~$d41'MCiYa[a 1 r'~ ~I >E rt ~ ~ ~r9! 03/16/84 Ye w IOuty Aulhoristd pe reteninlivet } + , VGt~~+~ f1+ xtr t' I r r &.k51 , . `1 t r i FOF I TX,C3.69,•--AtAEN0ATOAY INOOaSIMINT.-NOTIC[ yt i 1 i tl I Ir s Twit Standard Aulom 6114 1ede11Cminl ulxldtf~ yrr I' + s'' Pseuribtd OtlOber 1r ~91A brit I 1 + jtl ttfyyyF,77 +l r' 1rr l V 4. ,SS rlt'.r ~5~~1 u. ~ SSY, f Or ~ r. t + 4 r,( [t , 111 I ~i',Sr ' I Ilrf+, ~ I l II it E , xl rr ~1 _ ~~y 4 111 ~ {~ir' i Frl,t11 rl If ~~rlx ri ,r i 7~ Ar 1 1 I v`° '10 ry ~pn<+ 1 r = r ~3 + rO~Wrt~ I,Sr t S ~tfl[ ( YC I 't .1.'. Ix list ~ r rtJ r Y i Ir . lIi 1 ~ 1 ty 14rr r, ~ . t cif r , . rti I I' s.. tl o : , rsxl s,:' _ ~t", 1 RA4 it r n~ S y t rqJy 'jvj+r., ~ 11 jj wnsr9nx11~S14Fl jrAlb4tihs,41 6P'rrw n a TS ' , ,v t tt• rI 5}'S r 1 1, i Tie Is ~ S 1 i ~ - { + , I I , , rr 11 u" , r '41+1 ' tl e S. +jr s ' } $ ,2ra r lnr r I~. 'Y~~yI I~ a • l ~ I ,y Ix j ~,rti ~ , a, ' a, , , ' t 3 i t )A t> tl,{rte'ihrri..y'<v.,~kkl~rt't'.~'NAT?t'.7r!°,4f°e54rrb~ne,-w.-.,.. err +.._a..a..-.rams... . a,..!)3, Y,[,.+u......a.o- .a ? r . «M~ TX•03.18A, NUCLEAR ENERGY LIABILiT'/ EXCLU5IAN ENDORSEMENT i Ismail Pfitm) I ! This elide mrmtnl loans a pall of Polity No, Issued lo. - - - - ' + Fy the A clot MAtiI u11l..Egdpladty. C01"Bur al iu g v I amt of inwrontc Con, pony) ' n ,r r s gOUSCOge Us and Is elfcetive Irom Q2/Q~/gh ,L locoled Idly trod slrP) 111:01 A,M Slcodord Time) r"• ITha (nfo+malli+ fibula Is requlred only when this endonamtnf b issued wbflqutni le preparsllan al IFS poIItYJ . i , i from Iis data n1 Ollie unless oU,etwlfe doled herein, r , a This endorsement farm a poll of the. poRCy to which attached eflctiivO , t, ~ r . e s) 1111 , _ f ' This endanoneill rnOdlfiat built toiufon(a as IS offwdcd by ftta Pforiltont of file policy to ) ' k .l~ haling to the followlnq: + { ALLAUTOMOBILCLIAFILITY,GINIRALLIABILITYANDMIDICALPAYMENTS ts~'1 ~s INSURANCE OTHIR THAN PAMILY AUTOMOBN,E, SPECIAL PACKAGE AUTOMOBILE, ( s , COMPREHENSIVE PERSONAL AND PARMIR S COMPREHENSIVE PERSONAL INSURANCE 1~ +3 ` ` ! t ' ~ I , r _ - + Est . , ) ~ r S ! I jl ' h Is agreed Iha] 1, ' r I vrlf , t.,, I, The policy does not apply r'tA'r t,> t y' ' t sY1i A, Under troy 1lobihty Coyarnge to budlly InlulY or Proputy d11malN st{` 1- 1 ' , <<, )}I (1} wh wtpec to which an nlutod under stir policy is utto an Insured under a nutlear energy lability policy Issued by S se's, i i0 is NUClcaf Energgy Liability Inuimnce Asso:iallon, Mutual Alonne Errorpy Liability L'ndarwrDCrs ur Nucleon In Of mh i+ r selection of Canado, or would be an Insured under any such Policy but Iar its le1fol"d son upon axlwustlon OI Its Ilndl ('r' t 1 , r of Ifoblillyi OI ' t n , . f r,: 1 tr a 121 residlinp Irom Use harardom prapa Hle11 of nuele or etalarkol and wills respcel to whkh fo) any Persist err oiuonitallon Is ( s reglilred to nmintain firlomlal proleclloil piusuont lu Iha Alon+lt Enrrey Ad of 1954, or any law nnwndatory thereof, qr ' r ' Nr 1, Si ?j '+t (b) the Insured is, or hod Ibis policy nos bran Issued wuutd Ir, rntilied to Indornnlty irons the United Stotts of Americo, i, f err any agency thtrcol, under any Ogrecma+l ante red hilt 6y the United Siosn al Amrd<o, or any aganty thneol; wnh , y f t rl any parson or erdanllallan ' N Sit 1 GIi~ 0, Under any MaJlcol Payments Capeta qt, nr under any SuPPlemonfary Payments proylflon relating to Intl aid, to expenses In- 1A 1 + turfed with resptel to bodily Inlmy rasalling from Iha haeerdeus plepnUes of nuelaer rnfitodal and arilir>fl ad of the oppr• w f ; },ti ,'~I, ' d': often of a nutlear faclllly by tray pelsan Or organllmlon. + t kr } t , ;111 i t, ifr , a, ~i C. undee any Llablllly Coverall, to bodily )usury or p16pa11y damdgt reSVhing Iren1 Iht hetaldeut prapertlel of nutlear ma• r , In1al, If S , I {„y ' (I) Iha nutlHr mltedel fa) Is of any nuclear facftlsy owned by, a operated by or an beholl of, an Insured or ibl has been t"4~t I s rig r l dlsthorgod or dilParscd tharufrom; i r y i + recessed, stored, front- s1 4(+ , t'; 17) the nucte6 materiel If canluined In spent fuel or waste al oily lime Pessetsad, handled, use J, p A t , q G parted or dlspmed of by or of behalf of on Inal : u, err y 9tyG ' 1JI Ihd bed Hy Inluiy ur property dasnaae orates out ~I the fumisltinq by on Inssired o4 Servlcek, molerlels Dolls or equfp• . i~Gr t +r; mans In tonnadloh wllh the plannln confiucf-n metnienolxa, opafmion or use of any nuelaer }atoll}~, but Il such , ~,rs i, + ! ~k )tra)))y it sealed wnhln the UnBeU9States of Amurlta, Ill torrilodes of posseulont err onoJa, tlih exc uslan 131 ap• i , ,s + piles only to prepirly damage to such nutlear 4 Wife and oily pfoperty thereat, f r i 'i , tc s t ) ' II, As used In this cndofsemepW + " i s ' "hotelelou/ propWlHu Include ladloacllya, toxic m uxplos1YO PfaPCllle'li t I,t 'f ''nutlesr traletld" means teWta meltIbil, 111110111 studesr m0L11dfil or byprodutf metedaU , i 1 n. 4 'rtew<<a melerld,r' '4pec!al nutlear mfiNtlal," and "by11rfidiut maledal" hiwe Ism nitmsirsgs given them ht iht Atomlt Energy , t Act of 1954 or In any low omrndalely lhereol; "span) fuel" m<anf any furl rlemrr" err suet mmponrnl, fossil of Ilduni, whltit has ben, used or rxpmed to radlanun h' o nu• i I filth pesifarl ' , "waste" means uoy waste n+alariol III containing bypioduet materiel other than the lrgtngs uy wastes pio aced by the extra(. , " lion or concentration of uranium or thorium Dom any m. Procc9eJ Pftnmdfy tar its teurro melufal tnntrnt, and 1911 resuf ling ,t Irons the OPciatlon by any Person err ardo Huai") of any nuclear facility Included wtdet like first Iwo Parogcophs of ilia dabrdI k 1 lion of nuclear he111ey) f r ""vilest feellUy" means to) oily it Notsap, 7 .1 (b) at Y equipment fir deyl<O des)pned or used hoe (1) st Pnrolinq the nolopes of uranium or pluloolum, 12) pfoce.ibip or Lilt. Ifs "g spent fuel, or 1J1 handling, ploceuing err Packaging wisle { td any equlprarnl at debits used for the reaesslnq, lobsleoling as olfuvtnd ui IPet1al nuohaer mfihedal If al any time 0+e t' total amount al Such mil mial h+ Iha cutladY ul Ifla Inturtd ill the pren+ifes where such arses pm<ni of dtyl;e Is lot led IO, stela of of contains mr,tt Ikon 24 grams of piulonium or suartwo 253 or oily combination tllatcol, ar more ilia" 750 gram, of manlum 235, h` IJI any eructuic, will, ex<orotion, pftnibes or ploto pfepoird or used Iar the slarago os d,spasal of waltt, , and Ineluder the site on which any of Iha faregolnl It aated~ oil trprrollons cundutlcd or+ such tiler an all picmises used for such o)rarol Oral , nos......... , , :i „ ~.r 1 ys' r ra ! ~ ! AS~j y~sFy45ytk4Lr Ar yli al rvG op .n+a v'h r r, 1 err' ' ss f' ii • f ,3Ff f ,I ~ t 1 I ~ i } ppti` 1 1~ r 1 , I )IF ~ 1 r V 12 ~ ] { r r ~ r1 S rt S'fat' 3r ! ~ SE 1 11 (I c (r _ , [ t r r it Y ,Yi', rt Oil rf,r5 bF . ] ~li~ a$rt'r ' drt'I]ra kt~f yr~ ..akyiE~JS1`,"SN{(c-`M.R th!ullr •~"1M1P.aW.....a.... r., 1~rv#.;.r r-1~~ ii ~.s L.'M..c46.t...iLL-aw:.aw svi... l r 1 k TX•0718. PUBLIC AUTOMOBILES rl rl,,, , 1 Thls Cndorsrmool loon 0 nail of Policy N0. OLA.240532 niurd 10 The Residence Service F>.papEtll inc. t I_ by the NaClnoal YadRrnitiy con IM at N AgrnCY {1r:: ' I I EName of Insu ra ncr Confponyl 4 1oC01td Idly OnJ Slnlel HOIU E:Ona Tx, - and is elfe(Irvc from r 7 f ~ ; 1 , 09/9b/.81r 1 , (12:01vAM Slond d Yrme) f r' i , r r i (The Inldrmatlon above It ICqulted only when Ihij dndostownt Is Nwed subirgvrnf to pfepordNon of Ihr Poddy,l : This endouen'tel fell", o Parl 01 the Policy rn whr(b atlorhrd, elfro ll from Ili d rte of rpur omen otherwise poled ivol Ili it ,tt~ III tr Jtld 14 ; .,1 1 ill iht 1 rNlllov nl nrtiallfrCS Sual ,nf bruncP a5 n oflo:dpll by the Prnn,lun5 of Ilw Pub[y Ivlabnq to 11M 4 r~ 5.. 1 to II Io lnrorN} l~r ••rr u r t Y 4 COMPREHENSIVE AUYOMOBIIE tWILITY INSURANCE Trl~. i ` `tll 1 1 i{r 1 y, eY t BASIC AUTOM081lE LIAIIIITY INSIIRANCI ~~wr 1 Y rl a~r rr Y,T} T Ir4 DolutDIlon of Aulom91,11o:. r ILI `~1 r t E r I r ~R/6~ ~l]JI( II 5 a8f l I1wl fill in5ufortre l1, r S1ktl Io IhC loin Idrlle du(r had No-in of k ' Efl r r dr5 l Ndgl n N'(V Icy of SubleLl 10 71li, rn ~ ] 1' r il~ r { 1 rlor {e'a: rl is oho sobtett Itl 4 he 10110 l adrl Ilwwl Ikfv do , .I r r '1 f I } ~SIJ T{[g1~rit, r % lr O'D Wall i, used to llolnpmf Ile p~1rL Ow Il1wonc( Irl to !II dom P P Y Ode lUlniln nPP'rf to pfa Plrry damage to } r Aii r'I I11olM1lY of VOS,CO er, while such v0 klo , ran'cd it it, r } it~r r 0 f I Y' ( aptomoblh xttdr 03 Rensos-allltad Uddasvttlors f(~lyAfil 4,°sfil, OS/16/l!4 tIE xv _ s`D,ita' r IDuIy Aulho0wed RrPreMnlotivel C 1 r IORM 7Jf-0Tr11, --PUIUC AlI70M0111E1 yt ~i , virl 1 Taxes Skidwd Aulovs IN Wittlemem I ,yr r ` ~I rl r 1f i ~r .,l PNitrlMd June II 1410 Si t c ya 888 • r hbR` rt 5, r 1 1 Y 1 1 ~tF , r tif I r,, It ' ~~~4t i~l r 6 yP E] ,1 l r r s h pl j~ nl >3~ir V~ rihS~~Ylt 1 r i A l,1ir .rr]' r VyE r ) i I i `i tl , r r~ ~f t { t ~ ~'t'~5 yrl~ l,r tl ry I , ' 1 N,. 1 ( 4J~} tl r r I S~AIi°{r~ i t5{~'I'{}I r ay Jar , Yls r I~t~,~11` , , sit it ~"n~fdt IS ry3 11 i 11 : r ~y r4 {i I{1 ? I1 .,..r, 1.4 i~ +v1 NirN z 1 ' ~yYII 1 LI r~:}s 'S 5.. r Fa:i 1"~~ y li r t~y,~'r~Er' 1= I• EMI rlrl . E ryl n, ~ n l2' Itrr,. I - I a~'1 r I 71 s; ISei l;f I e Sfhk~ t ~ I 3r{ r r .r nre5 tl7eafir .JS'4{i•!A~'A'1~4i.CAL(.r,Yr7YPlra(,5rrjbrl{It,vn ~~rt r _ 1 h1V~ ~ld-Itltarl~n' 1, IS Ir ti , t r~: 5 2 yuk rSI flnq 1 I, i r y , SFr { 17 \ r}rl it ' , r I.,~ 1 r +i,r sly, 7 S J,'f 11ir S , . la r i r to` r i tl a i f~ll]~ Ir r r r i l r}l: 114,,~ i tlj ..r. ~ I.,1 j CDVeRASt ~tA1 UNikSUREOjQNUERIASUREO MOTORISES COYEAAOE f A lt8d s { i 18adllyfqury•-P)aplrq Oanagtl eta coos t ~ for althe hen Mt 10 Polity No._if[,(y-,2hQ3;u__ to connote If Said PC Nty. E ' • - ACNIOM E € gh! Insurance ailOrded it only with cal ell fa the IoUawing COVeNge as IAd;taled by Ill premium charge. Iha hn,il at the ronipany's Ilablrify against iurh I Corsage shall be as tlaltd Well, ab~ecl Id ail the {sans of Ihim nola Y havmA r<ieren<e Thereto. Ceunp IiMllf 01 Ua61111y f U-UnMmuredlU-Alfmtwef Ool Injury - , Advance Pfeil lOD IhouserAdollan 300 Ihourenddatlars S 1.00.00 i.; Maiorif is Contrate - I - Property atApenan . each octurlente , F - } formngvhUlolendenanlnliallacherthedal aamlrngc us MIL thousand dollars each nccunenre S NSL f o f[ i Y 41 Wild sue S 10~.0~ la , I f ' OaserlpUan Of M,mte Manor Yekki1A rCheck appropriate bell Any Auldmobllt owned by the erierd Inauud ' II , t 5~ ❑ Any prince pnlrAge lulamealll owned by the Almrd Insurt0 - - - I Any automobile to whrcb era Allauhed dicier s license plates issued In the named Inlund W Any Muldmfblb dettgnalod In the det14011ant of the policy by the tellers "UMiU1M" And oil Automobile ownership of which is acquired during the Policy period by let soared IAturrd as a replacement theater CO4IAAOE U-UNIMSURtOyUNOEAINSUAtO MOIOAISE6 (OamaAn (or AadUy IAlury Ind Prettify Damage caused by liontured of Ito' jury Of Fl OdiIiIyDldaM ge UnddlAluud miler Ali 1141} of leitned In an Oi~cuirmee hyhl persontwhodlls JA Imuud Ihrll be educed Ey the comprn will pep Oil sums which the IAmuNd or his legal represenluive Ill all sunrl geld On NCOuAl' of such bodily fajiny or properly damage •r shall be legal~y entilred to reeoyef as damages from the owner or o e of D~ Cr an Whill of of aA unlnlund Or radrrrnwrfd elOter wlkle bascule of bodlly injury of 64 64 I Ito owner or operelar of the unMluNd 6aatmr sablttl and y g out of r6u ownership, any other person or Organisation Join 4Y Of forphq lityy liable Wgathu mainlenance of use of such uninsured of uldulil ld molar vlhiolis prowled With 100 ownor or dpente for iurh 660f1y Injury r: poll Carl a, pffpltly for the p dammpoeagt, of Ctumrd this by en coverage at,tuvdeltrthce mlna and lfon aNatstnto whether the Insult co luding all sums paid under the bodily IcJury of pra dimimage Ilahlllly c: or such it rtleniava is Ugalty onllUed to ratfyl such damages, and It so covueg! of the pcficy, and the amount lhlrlol, may be Made by agreement belween Iha InsuNd ur such M the amount tecoll Or eecowrable from the Insurer of on under. ffpre tobtin and the company or, If lity of to offset, by ubifrallon In IMUred molar Alhklr. tttorOente with the arbilnlion pfovlo0e of that pallcy, of by Judicial ids Any Tai l mtds uoder this Insuiol to Cr for An Instilled shall be f de erminallon y to opplie in idd rn OI the amount of dame whkh he may M enldl o Judgreanl Against Ony person or errgant r Y ed , ullan AUr ed to be legally to acovif er from from Any person Inarnd uncles he She hadlty jil sly Of pr4posly, usponltbla for The bodlly Injury or 01yerty Almond Phil be i luflvr, is dtmgt Iltbiluy coveilea of the policy, r between the Insisted end the COMM e issues at Lebklty or Iu h ason it) Any amount Deyable uhdar the terms of this rnsarfnet Ill of stage Of alganitfli06 or 01 fh1! amnunl OI damages to which the listed Ss Ii9alz damM gAell ba bubjotf to a dtducllble+mounl nl 5250 pttepl es may La enlilltd unlless such IUQSmaAI Is eMed pursuant to An ItUan prosetultd d0lerml by the provtslanl of 10 Wool. by the Insured with the welters OMent of the tail to ill if the in slid has both collision coverage and unlnmred of sill f{` rho tomplanyNy dashillmsdal A tbeo whabWhich gyied Ihis to 1.114 any prYmens be0+use 01 hOdlty oDlrty dimage liability tovaroAe Iha MIOnd may elect to ratbvlr under Infugnte a~pgor arid wh i ch allies our Astir cdver+ge. In the evil nrlther coverage Is suNltier t along to cover AlfMaury the or pe ormerltlp, Mains loo.e or bat of an undlt fouled Mater ethics unlill ell dims pa rdfu111ng provided lorri a singly oCtVrranCa , IAt Mlgrfd may rtCaver bond Ihr lull of iobility under eil y col Of >>16~fr dAna a fiabllit undo both coverages, , I J bands or slim it of HlillOtill ol bodily dnj le at !ha l of UU atcutreau fit whoa recovaring omit both CovOragOS, the Insured shed deelil llt one j ` to damagt44 berauor of bodlly injury or because off osapArry da sit the hove barn corOratto as the pttmsiy covuago, 4nd the damages payab l e shalt bl eahausled by payment al (udgmepll or Ietilen,onts. Any Csymtnt Ihlll be mods 121 the pilrnaiy the as ofOvlded in (0 (21 of limits of Liability' under the terms of the tlndition covi lje musette eirhautled befois tiny recovery Is mice 'I " Tu11 AellIMtnt under the fttonduy Coll El fuafoll rya II bath coverrgfa are ulllirrJ In the ptymrat of camasYes from 0 simple I this Insurents don not apply, occurrence, it the Mauryyld cOVarog w shah Vol be sublecl to the deductible a . sal f/ bodlly frJ017 Or Pi l divil with respect to which the Magred, his pl,Cable to t uM of the d t to erwte op uheCabi6 ion dal she atfou when th whom thegee amo Iha lath ise or Il uclib re iebll rlprlf Allvt Of any pn1CA enlllled to payment under this lnlufontr II an the amount Of the dlduci,ble erap; IC461a to the pIll curtrago, Is J CCs shall, without wilUfn tonsant of the company make Any stillemlni wish but 00 0 the Amount of the deducilbll ohnivioo0 opplft4bk to 14 let, any piscom or orgthffallen who may bo Iiilly liable therefor, orl coverage Is slaver Than she tmoual of th deduaUbla applicable lot ton to Inuit dtretlly or fit lly to the entfil of any ill corn Dponto- to the prima tovauge, payment to the Asir I under the 11WMefy Iron or dlublilly btnlfitt urila; Of 45Y 041104 or otgengallon quaflfyieg Coverage thelly6ye gduted only by the Amcvnl of the elfrfronce LBlAean t € 11 A 1111 uror UAdu Any w0il compensation of dltlbillty bonelils law Ito Iwo deductlbldl - Or any tln,lltl low, l TO soopas to fnun dNltlf y, l or Mdli Id Ito benefit of Any Meorer of 141 Ihinetiuilnda neBaY wNeiid d recover undh b016 Cowl mars Man e (di Pd b I Cr yy In ~rry or prspetty damlls of bath, rtsuiling from the ihitnflonal IY, POLICY P[AIOOI SEARfEORY ' bill Of 1h ntundj flit policy period and insurance app'Icm Only (0 otturnnCn dbfMj the let to to ~A b~ fo a1 [All while accupyinl d Mater slhlclo (other than urchin the Untied Slllle of AMC CA, Ill iH'Itdfirt of pnslgldnf, 61 Cando to Neuad tot vehicle) awned byy the armed Inturtd or relative, of IMoogh 4, ADDITIONAL p111fil fONS Doing Inn 8y suth a refill rlkkla. when used in (efrrence In Ihis Insurance lin0uding e4doistm0h forming o PEASsNs IBSURtb a poll of the pallcy!; Each O the following is in fnsufrd under Ih4 Insurance to Ihr ert•nt set bodlly jnJurr" means bodily ll , sitkneis or diiemo, Including death, forln below, euatarfas by an Insured under tae of rb1 of the Poisons jnsurtil provlsron; rri rer• ns,rad Inmraa And adY daalreslrA Jill and, whits raaldrnlt of the "dlsl;mfed Inlurad' mraro en individual named in IM1l ithtdule undtr y',:. rer r., , , r - ' Ot t'~ el L {±F`LGtt~~T Ii I yr. 4 f C`IIITIItIOATL'OF INSURANCE Il~' This fl+uhcatC Ol inRn,iur.c I'll lhar ar -lnnlallVCly nr neyaUyply elttenllr, exlenLl or alleis Pm coverage afforded by flit Policy or Policies nuutbcscd m Ihls ~ 3/ Ls~i;hrslo. ~ Y jJdrelt 1601 Ita_84 r ys , This is locorlily that the InIIOwing uescritwd policies have, been Issued and ale in lull force and enact. 1s t fli ' F~ NAAIEOFINSUREU~=.RFSII)VNCf; SF: ME DI:PAIITDIRNT, INC, , L`' P 0 80R 50482 nRn~T~DI ~'}5~~5294 :k.`L t' PO. AOOlICSS si4 r trl LOCATIONCOVEFIEO~ gAME a 1 -D ESCRIPTION OF WORK SHUTTLE SERVICE. P A+~t _ r ~ i t s POLICY NO KING OF INSURANCE _ LIMtI'S - EFFECTING E~ kP111ES ~r WoAmen's ComPensolion ---Legal ~r • • ~ and Employer's LiabillfV E'` For eaeh ,fem show "Not I o Irlll if no General Liability', , i Coverago alfordad, - . ! Godly Injury.. Lech Ocuui once $ sOr Aggregate • Products ~,`atL Completed Operations % Property Oamage Occurrenca 5 l • r Aggregate • Operations 5...~-. , Aggiegato - Products • Completed Olsoratiom 5 I 11 , . phi rtl ~ i I Automobile liahkuly Tach Person S_9 Q1] aDf1 Bodily Inlury.. r ' M1 LV Each Occurrence. $ non 11s'IR.. ~ C 4 OLA 240532 Property Oamage.,, .............Each Occurrence $ 50.000 0'.'/08/84 - 02/08/85 ly Covers kit f~ L T„ t ; Excess LlaUllily Automobila ~jOaneral Liability r u a Name of Primary Inwrer It~l Exeess Limits- ia! lCtb~i, r This Cerlificafe itsuad to: NATIONAL INDEMNITY COMPANY s I O:R A.I; :U IINI~ERWRITEIl5 ,ts s+ ~ GSa t _ PRONTIt:R NORO By n t Ali N STf'NMONS NRPEWAY Tilled J t IrlwI VILLL, CX~ 754b7 NOTE TO A0ENT • Mail Copy to Home Office Immedialely r4T ~ ' j ' - ~j NI•Uxk toeB h/711 ~T;.. Lc r_ s ; F4~ 7' i ~i:r 1 tr 7 + ' !f ct-mi'IrICATEOr INSUFIANCE This ce,tI I icaIa 01 mstu mtcq rnc, skier al fl ra wiY a IV 01 ncyauvulY ame dn5, extono os utters Iho covelalN alimded by the Policy or Policies numl» red in rhn MARG1LLth 19 B4 `J comficate. rqt a, This Is In cer li ly 11431 she I0110whiy dascrllmd policres have been ❑sued and me in full 10+co and effect, t'r + + s 'lice} r , NAME OF INSURED--71 ' NCP. SERV[CE_UEPARTMENTs NC,_ r. 0, BOX SU482 DENT'ON TX, 75206 P.O.ADDRE5S~_-J 1' Cat S LOCATION COVERED,. s` I I 1 .r.. Y f ` 11( fr4~~1 e s , SHUTTLE SERVICE DESCRIPTION OP WORK r• t 'eT r BLS EFFECTIVE EXPIRES POLICY NO, KIND OF IN5UIiANCE LIMITS workmen's Compensation 1 egat rl y s and Employer's Liability i 4t Ai how' NoCovered" no G=neral LieUIIIIYi =c-veeago ed. i Bodily Inlufy-,...,........ . r - Each Occurrence S Aggrogate • Produels - " r completedOperatieos S. 4 r ` r~ tech Occurrence . +Property Damage,,. r , Aggregate Operations $ Aggregate • Products • r ! Completed Operations S. k , t Aulomoblle Liability) 1.0.._ . ,Bodily Injury lath Porsar $ ` - ,r Each Occurrence S 1nn:l.. r EachOctunence $ 50 f1Gn• 02/08/84 - 02/08/85 ,411 ' GLA 240532 Properly Damage....: s 1+ iyr .s 11 Covers t , f j1e ) Excels Liability; Automobile DGeneral Liability It of Primary Insurer: ;,tr r i. Primary Limits: Excess 1-hods: This car tilicate Issued lo: NATION L INDEMNITY COMPANY E ALL E IiNUERWRITERS + SPLY 4L' 17NNTON _ By.____ ; Pit ea h, CI Y SP IC.ETnRY - Cllnl:t.OtTE ALLEN Title MUNICIPAL BUILDING " n DENTON, TX NOTE 70 AGENT Mail Copy to Itt Ofilta Immediately ; NI 17210 Tex it 170111 + a#J fl.rA, or+,,, nM ply tit fr,Ji:iSri'tCYYld7Ae4Pat;1'1it4 t> ^w~ I. , i r: (Illy OIL Isf~'l'f?N ` - h1UN1CIPAl. BUILDING DIENTONJEXAS nnrE. NAME 4._, J AU10FIESSE.~1'C Y'I\lv\"IC ,il\C.r i~ SERVICE - _ _ - , nnnRESs UTILITY UE PUSIY COIiP PC FIMI TS LUUP ~ YAP CieclW tl01~ col Build init TOTAL - KEEi+T11VS HE CGIPT FUR PRtlUF OF PAYMENT AND UFYdOGI7 ElEFUNo t I f: ~ lV~ ntl.L r I ' f OnM 1M1-! RECC1 CP [IY 3 k. L 04 (ITT OF 1)EN ON i • fi1UNICIPAL•BUILDING UFNTON, TEXAS r NAMe service AO011Fi55. UTrt IIY UFI'OSIT COfIP, fEhMI TS LOOi/TAP r i J Hw7~Nlaler ~ San COURTllomlU Plumb 1Ow wale, Semr _ TOTAL KEEP TIIIS 11ECEIP1 I'Oft PROOF OF PAYMENT AND OtPOSIT - FIEPUNty !I R1 i!1?. t01 III QI s9UE DAVE IM)"OlyYt R, 2.4-85 PRODUCER THIS CFRTIFICATE IS ISSUED AS A MATTER OF INFORMATION 0W1•Y AND CONFERS .'KLRi0l11, UPON THE CERTIFICATE HOLDER. THISOENTIFICA1E00ES NOT AMEND, Davis-Walls & CO. .STENO OR ALi CII THE COVERAUE AFFORDED BY THE POLICIES BELOW. P.0" Box 461667 _ Garland, Texas 75046 COMPANIES AFFORLIING COVERAGE COMPANY A oTLR I.andnrark American COMPANY LFiIER INSURED The Residence Service Dept„ Inc, comPANY C P.O. Box 50482 Denton, Texas 76206 COLET 1 COMPANY I tEITEN k T HIS IS TO CERTI FY THAT POLICIES OFINSUMNCR LISTED DELOW HAVE DEEM ISSUE O TO THE INSURE D NAMED ABOVE TOR TH E POLICY PERIOD INDICATED, i ' 1101 WITHSTANDING ANY REOU IREMEN T. 7 EI1M OR Coin) IT ION OF ANY CON I"ACTOR OTHER DOCUMENT W)111 RESPECT TO WHICH 11119 CERTIFICATE MAY BE 16SOEO OR MAY PERTAIN, THE INSURANCE AFFORDED UY T11E POLICIES DEECRIBED HEREIN 15 SUDUECT 10 ALL THE TEAMS, EXCLUSIONS, AND CON DN TIONS OF SUCH POLICIES: 'I CO TYPE OF INSURAKC I'OUCY NUL{DER KAV Il RTNI mxci I AtIAW LIAUILHY_UMITH IM THOUSANDS Af OAEMI E O Mf{ WWAV 0 DAR FWlmyY (X'CUfNF- O[HERAL LIABILItY Dc?DILr $ $ CMC%H(NSM FORM PR wEsiBPLRAIICNS PRmI{TY UNOERO{IOUND DAL OF. $ $ Fm C,5 LN A COLLAPSE H VM) HI00{1CISAMPIAIN) FtRAIONS me PD. Ctk WIVA cOMeu+eU $ $ P wEiDENI OOimmoRS V BROAD FOAM P W(MY DAPAU ' - PERSORAL IWURY PERSONAL INJURY $ .UTOMOD ILE LIABILITY EimY $ - A1h'AUrO FAA KION ALL MYNLO AUTOS (1`0- PASS I FriT ALL OMIED AH09 (PAS.ASS it Ap II/UL - Pip A(fwAl l $ ) GLA2011986 2-845 2-8-86 a I4IE0 AUEOS E1tak Tv oA uoe $ A IpNOilA1E0 AUTOS a+xABLLLIB¢m' ='bNED $500, EXCESS LIADILIIY ma PO {AIAAEm TOPM COMbiNLU $ $ DRIER THAN L'MSPELLA FORM WORKERS' COMPENSATION $ TEACH AftIDEHT) AND $ _ {O!SCA9E POI ICY LIVUD - EMPLOYERS' LIABILITY $ {D.StAS{ LACIILMPLOVEF) FIER OESCRPHON OF OPEMTK.INSIIO(,AtIONSNE)ICLESISPLCIAL ITEFAS SHOULD ANY OF TIIE ABOVE DE6CRIBEO POLICIES RE CANCELLED BEFORE THE EA• City of Denton PMATION DATE THEREOF, 111E HSSUINO COMPANY WILL ENDEAVOR TO City Secretary - Charlotte Allen MAIL -tL1p~ DAYS WIIHTEN NOTICE TO 111K CERTIFICATE HOLDER NAMED 70711E LF.r-T, OUf KALURE TO MAIL SUCH NOTICE SKALL IMPOSE NO OBUOAI1011 OR LIABILITY I4unici pal Bldg , OF ANY KIND UPON TIIE COMPANY, ITS AOENTA OR REPRESENTATIVES. Denton, Texas 76201 nunroiuziiDn:I f~}s"a An GENERAL LIAOILITI'•AUTO`iOUILE UINDMARK AMERICAN INSURANCE COMPANY AUMINWHATIVL WICC-F.NULLW000, CULUriAp08016b r Not ~LA 2 0 1 1.9 8 6 DAV1S«VALLS 6 CO. 'a 07010 HK C.E. iM1726190 Y.O. IWX 461867 OARUNDes TX 73046 AI NI WAe d gV4lU 00 C7) I I Item t. Name of l reefed and Add rest: Uto„ Sueti, soon or Lily. County. ehl.a Tl RLt7DNNC6 8ENV1C6 D91i INC, g 71.0. BOX 30482 ' l CM DVMNo TX 75206 Item 2, Policy Perfudi IMO, psy vrJ x From 01/00/63 to 02/06186 12A1 A M , standard lima at the address of the named Insured as slated herein. ; .i the homed Insisted is I 1 CJ Individual 1 J Pallnership 9 colporatfor. ❑ loirevenlure Dwelt- _ i puniness cl f I ae.seW) Audd Pertod. Annual, unless otherwise slated lane ano..) Item 3. Ilia insuren ce aAOrded is only y %llh yesPpeel to the Co'lerage Polls) irdltaled below by specific premium chargelse and allached to and forming a pall Of this poll icv. CevNlg/ Advent ' pmroj Lliblilly Co Role). eje miue Automobile Pelt Nool. Premiums Cdvenp Peel+l Poll t ryamlams Carutgl Wife) - - ComprebenCve General llabihty Insurance S Comprehensne Automobde U abrllly lnfw PC. i Automoblie Medical Completed ODerellans and PrWucls lUbiuly Payments tAsurance Insular" Automobile Physical Damage Insurance Campiehensive Personal Insurance ct - Conluctuel lfeb IVey Insuienoa___ _ Aulomoblle Physical CvmaAe Insurance if loot Automatlce i Owggistl I IabdlV Insurance If • Pnysleiine Curgtooi and0 nbsi: Protessl nay p Automobile Phillwl Demege llnurente llablllty Insuroa@ thlon Fleel _ - - - '.P Automobile llebfllly Insurance Menufaclurers' and COMracsou' liability S "loge Irrutance - - ' nsurance thlnsured Motofnlls insuranc 80.00 --°--PEIR80MAL 1N,lUtAT Gwn iAblUr d Genlldi 'e P1aleCtiYO d PNOTRI"t'tON 2418 108600 Ualdl~ty msurailrce , Gwrols', landlords' end fertile' llablllly S Inaurance Pennnal lnWty liability Insuranco_____ r - - - - 'lXTI789 17107171 tX05T4 - s P~asnyos Medical Payments In-surance TX03511 TX03641 TX0318A NesOhai Prolessieoal Habluty lnimatce i 1 M numbe { of enenemtml/ Form rumbera 0 M uemenl{, ether Fhtn ffiote Pealed on other.. (ban shoal entered on l Ccreu a Pait + ellschW 6111aua Coy ergo pF~g, attached at lead$ - - -1---51'- _ _ Sub Tot e1 lien iul U bin(y Punll nn S Sub Total • comcolo Premlum 11 - --n-ee- - total AdrePremium Mr too pocky. S 1q5~, 0~1 ' U the Policy i load Is more than one soar and the premium is to be pall In InslallmenU, premium it Payable on, lllective Gale IstAnolvessary 2nd Anniversary s s s 03106/83 XT RUSSELL ORACSil YY Ccunlesslgned, fa. 1101 1e TX old. lnu ea. AuLtarlrod~epresenlativa~ orgasoqu wo ' Ia e) fX1RA COPY r 1 OP 00 05 (Ed, 1.10 A 115 COVERAGE PART BASIC AUTOMOBILE LIABILITY INSUBANUE ad. 1'I4; GLA20lIy8L for attachment to Policy No.__._._ to complete sold polity, SCHEDULE The Insurance &Imead is only with respect to such of Ira followin6g Coverages as ate indicated byy apecipo pxlmlem charge or charges. the limit of the company's IfabNlty against each such Coverage shah be IS staled Wall, subln t 10 all the leans of this polley Navin rafeladaa theteto Pnmlumt Coveraget _ Limits of Llab my - - A Bsdl InjuryliabNlly thousand dollar each person ' flr Ihousanddolla+iBoth atuuMe 3 ~A~rOD - - - - B Properly gems{e llabillry *ot IhousafdCollin aoccurrente -Ill 24310-0 Form nu mbCrtol ea10rtemen.s aNathtd N Hsue * 38t TX~?~L'yi 500, UDT) f SL 3 f yoel Pnmum t -17b6 d6--` - Plaraldnrl gtlcrlPllOa of Owned Aulomo511u _ _ _ , gam. - ___.10 - ~ ~ Iowa of Cllr nd Stel~ eadx loo epd laodul Yratf I Ideallatapdn Mumbo arty uee Ia WhICh the y,oho YU01 trade Nam, Site Ion Clllonete Gtee eM+i4l hum Dn reU sty; or Bur ttapnt crAetlV lint Mumbo 1-11 Ue1 Will U l,lntipillr Oesnii{d_ ENTON, TX 84 FORD VAN 8 PASSENONR 1078213 515100 7:16-00 148100 EN'CON, TX 83 PORN VAN 8 PASSENGER 031051 52510-0 736.00 148.0-0 ' PwpOeee o1 Ufa (P & D - Pleasure and euflnett 0 = Commarchall 1o1t1 g.l. and P.0 Pramluml S 14 1. COVERAGE A-BODILY INJURY LIABILITY public Or Ihaly conve ante, unless such use Is specifically declared and COVERAGE B-.PAOPERIY DAMAGE 1.101.11Y described In 0 scbedulel the company wlli pay on behalf of the INUrcd all sums with rite Insured shall fgt to NOdlly Injury or property damage adsing out of the discharge, dispalsol, bdcapre l¢gally obligated to pay as damages because of teleasc or escape of imOo vapors soul, lutes Acids, elkalls, toxic thetf4lals, liquids a¢ gases, veto matalials or othe+ inilanta, conlaminaals A. ;l ilylnjuryor or pollp arts Into or upon Gild the atmosphere or any watercourse or bod Is, p,.perlydemege of Wai but thts arcruslan clots not ap ly If such dlicharge, dlspertal to which this loturanta applies Caused by in Cteureence and arlsingg out of the release or 010119 Is sudden and accidental ownarsblp frilntdnance Of use, Inctudlna t0adidg and unloading lot Ih0 purposes II. PERSONS INSURED listed as Agyiltable therelo in IN schcould. of an owned automoblle or of a path of the following Ia in hoisted under this Insurance to the extent sit forth tamporerP Iebslllub automobile, aid the Campeny shelf Nave the a hl and duty belmwr to defend any dull aflainst INa fnaulld seeking damages on account a1 suth bodNy fat the named Inturedi nd injury or prooorly damage, even If 2y of the allegations of the suit are grou lempolatYY lose, false or fraudulent, and may me a such Investigation and selllemenl of any lb) anYY ppaafine; or etteilive officer thereof, but with ids fit to d claim or suit is It deems ekpedienl, but the company shall not be obil ated to suhtlfile aulOmoblll only ill tuth autamoblIN IS being used In I buff' pay any Cahn or Judgment or to defend any suit alter the applicable IN of the nest of the named Insured; company s liability has been exhausted by payment of judgments or selilements. Icl any other ptrsdn wbNe using an owned Automobile or a lempprdrv subflltuto EACIudOel auiomollle wlth ilia oarmhsslon of the named Inialled, provided hls Actual This ImuranOt does not apply, operation or (11 he Is riot operating) his other actual use Ihareol Is withsn the scope of such permissloa, but with respool to bodlfy injury of properly (a) to llabfllly assumed by the Insusad under any contract or ag+eemeuq iiYa allthng out of the loading or unloading thereat, such other person . r {b) to ant dlil tfop for which the insured or any carrier as his insurer may be shell to at Wip"d only If he ft: - d held liable and0r any workmen's CompummUmp, unemployment compenSalibn III a listed or b ffo'wer of the automobile, m( or dlsabllity benoi few, or under any strnllar laws 12) an omployee of the toned insured or of such lessee of borlowei, to) to bedliy 11jury to any employYee of trip Insured erlsrng Out of and in the {dl en other oetson if eras Illation but oily wills respect to his or Its llabllily course of his o n % p O y nenl by ih0 Insured or to any obllgalton of the Insured because of acts or omisslons of an Insured undat sal sus or W tboveib Ife eof one hot because of damages arising out of such Injury; None of the following Is in Immadi rintly but this oxcluslon does not apply to any ,uth injury arising out of and N the Course of dameslld employment by .,0 Insured unless heteCle Iherefor (1) any 7arsan while engaged In the business of his emptopel with tespeot to are In whole or In part elthaf payable or laquired to be plodded under any hOdlPy lnjdly to any tallow employee of such person Inlured In the course wolkmen's compensation lawx of Ins employments 161 to property damage to (ih except as slated under rot above, the owner of a temporary ubstkule III psopefly own ad or being transported by the Insured, or 101)nobllo, of spy agent or employee of such owners (2) pr oily lensed to or In The care, custody or coMlol of the Inured, or (Intl any person or organlrattOn, alhN than Ihb named Insured, with respect la, es Po Midi the Iatuted Is for any purpose exercising physical conlydl, ell a nmtor vehlcja wide used with any trailer owned or hired by such other Than properly demote to a residence or pilrale I,-ago by a pflvato person of organlratlon and not tove+ed by like Insurance in the com• palaengel tuligha Ile ce" ad by this Insufarim pony (except a rates deslened for use with a four wheel pliveG Ice to bodl111b 10101 y or ro rat damage duff to war, whether or not declared, civil passenger eoldmobihe and net being used for business pdrpases w11h 111 P P y another type motor vehicle), or won, Inrracllon rebellion or savalution or to any act or condition Inclden! to any of the foregoing, with respect to expenses for lust old under he 121 a bailee while used whit any m)lor voNclo ean¢d or hired by such pen. Supplsmentery Payments plovislonl, son or nsganiralhon and rot tavetod by like Insulates in I compahyr ell to b0dity Injury or propuly demon bitting oral of the owneshtp, malnten• try Ray person "hire troploy el in or otherwise engaged In duties In topper once , opera ton use, oa iAq ar unloading of atY spited autarnablle or limn with an aulemebllI Winces other than an automobile baNnate Umporary tubaEltulr eulClnoblle while suClr e,damm~l4 Is being utod Be a operated by the named pirated. A 125 jjAUYlsgAiifjl (eve I) W. btu 1 , I .1' ...xv , ll- ' III. LIMITS OF l1AgiLITY end "awned autemeblls" Intludes a ttlier not desedbad in this policy, If designed lol rise with a lour wheel PdraU pnteenr oulam lolls and N not this polity, t21 persons or or. bamg used for butlness purposes with enolhei To aut4m4blltl Roca rdlan of the numfaccf 111 Iniolds undel ganltallons who lustain bodily injury or property damage, (3) Claims made of suits brow8ght on aCaaunl al 6Cdlly injury or Cr4 Orly demaeea or 14 autemoblles "private palnnger oulomebilo" means a pdrale pasltoger er ale Nan wagon to which In1g policy app'ces Iha company's fiablifi Is aimilaa as 101loxs: t pe automobile and I old the purpose at use of w irh Is elate 1n Coverage A-The II,q!f of Notllfy'hijul liability slated In the schedule AS appll, the 3rheJCle as pleasureend bull Cable to "each pnnon an autonicblle not axncd by the Is the !boil o! the tampanYb liability for 411 damages, 'lempdtary substitute' automobile' means Cable to +vltos, because of bodily In lily $us• named Imund of any resident of the same household, while t4mponth used line od nj daonemages !personm f rtheest ra aed toll loss a Of ny ieone IOM rancli but Subject to above with Iha Permission Or the ownof as a substitute lot an awned automoblle wher as of occur provislan sEYpE !loll 'each peison,' the total Ilabillly of the companyy for all wllhd awn from normal use for servl¢Ing or fEp41r or'jecause of Its break. {E damages includin7 damage$ for rata and loss Of $crr ces, hacausc of bodily K down, loss or desUuellanr jp suslaload by Iwo or mote persons as the insult of any one ecculrenev shall "halter" Includes semldraller but does not Include MOSIIe equlpmeatl i ; coy l exceed the Ilmll of bodily Illury liability slated In the schedule If applicable - to "oath xcuirence:' and as to "pwpofaGl CI use„I Ceytro a g-The total uabilly of the companY for III damages because of all "eommercov, means uled principally In the business occupation of Ill named f CC r 1 I proplrty damrye sustaltled 6 one ar more patrons of organfra tons as the result intone it slated In the Schedule, InrlacEng attaslprw use for psnonal, plea ~ r ! of a^^yp dhA aCtYrrenaa atoll not exceed the ilmil of property damge liability sure, lamlly and other business purpostsi 4te n "plealute and bushiis" means poisons, pleasure, family and business use. 4 EtatedlnlhaschaduleaseppNtablelo'eathacmnnca1 s Casen{ea A and 11-For the purpose of deteirnlning the limit of the company's riablilly, all bodily Injury.and ppic erhy dema{a arising out of continuous or ra• pe81fA /xpoSUre to 3u69ant ally Ilse sam6 gan¢ral cWillem Shall be Consldared VI, ADDITIONAL CONDITIONS as wiling ad of one octulrence. A, Other Insunneo--Tcloporary Subitlkute and Newly Acquired Automobllsa IV. POLICY TSARITOAY with lespttl to a lempaury Substitute lutemitllt, this Insurance $hall be 1 Rhla fnsunnte applies only to bodily Inluty or properly dan•a~a which occult areas Insoience over any of e; valid and tohertlbla Insuuncu available to i t Wlthln the IEltilory described to paregiaph 11 or @] of the Mullion of poIICY the Injured newly acquired territory. with Inspect to on awned automobile ownenhlP of which It V. AODITIONhI DTfINITIONg by The named I,ruVd dudn the Dolh.y Period end net described lu the schedule, his Imuitice Shall l na1 5Dply If any cIll valid and collectlble I Man used In, reference to this imoame Occluding endoraemenls forming a Insurance Is available to the named Inlufed. pall of the policyll D Out of Stale Inwnnce "automobile business means the b einess or occupation of selling, ropalrtng - s4rvlclna, glaring or parking Woof ItAl if, under the provisions of the motor V010e financial resCC6nslhllllyiaw "awned eulamoblN" miaal 6111V or the matoi ;,hide caopulsqry Insumnce law or fig almtlm low o any I perallao o oor rus me e Of 61 E Is motor lequhrEh e to lCla In ma m such ain state la or p Of pe wBh s i9OCt la tthe he Ol0rlnCa rovinc one lei on automabila which 6 owned by the named Injured and dtscrlbed In the reslate of p the a it schedules or antYe such Insurance IS ulremenis are grYpaate then the Insurance pcr d (61 an auloMb the oweerihlp of which Is newly acquired by the rrihnd Insured alfothe ply kh th111011hall of The seiplhs In abiliity f end in kinds i nds of covelog during the policy period, provleftol eACe del by t e a ehprovided l by ia be a 7tot for but ppoly bd the extent fethe Ins by Id If ieplaceg an owned aulomd6he as defined In la} above, or such law and Only with respect to Its efiva Ion or use of a molar vehicle YI) the company Insures all outo robllet owned by the named Insured in such stale or gorlnea, provtdsd that the Insurance under this provhlan or the data of such arqulllldo and the eamaE Insured nollnos the shall be reduced to the extant that Thais Ig other valid and collectible Insuh aanpany wllhln 30 days thereafter of his election to make This nod into bndef this or any other motor vahlale Insurance FDlloy. in ho OVenl no olhel pality Issued by the company applieablo to such oulomoblle shall any person be onlilAd to receive duplicate payments for the same and "pays any addlllonal premium required Ihenioq alemeats of loss, j l I i. , I. V j 71 1 ' } •I , 111' ^r r ,I• r,,, 1 1 1 1 I ~ 1 r ' .1 ~ 1 1 4■■ t 1 t r 1 I( _ ( I T f 'e { 1 1 + I ~ c 1 1Ci1 Ip t - CI , t 'r9~- t t .I 5r, a a:.w6tu•. ta,>idri~i G±+' p~Ak 1%itd~siaY ns3Ahlt y y¢';o a . t' (...1 j S s....: :1 ~1aNK w. wehlAiOt~d~#IP$'1~$t~.6i~~tiAeAlM6dflbi}YsNAY53i~'rwrh~wv I•A-U31.59, CANCILLAIIUN PKUVISIUN UK CUVEKAUE IUMANUE tNUUK5tMrN1• 1 { I r r I ` rs r This endorement farms a pall of Pohay No. CLt1701,198fi iisued to RI:81IUhNCL SPR,VICE UEPTi[N(;;,., f 1 S LANDMARK rUfERICAN INSURANCE COMPANY by the . a rr. I (Name of fneuron<e Company) 'Agency ~tr3F I.. ks I Its i ` t ,1 located Icily and stoles FTr Wl1ATHs TX and is effecltve h 02/OS/d v 1 6, om . 02:01 A M Standard Time) 0 t ill P, t,` e rf 11 ~ ITho Infosrneflon oboes 11 sequlrod only when this endenament Is issued subsogwnt to pteparotien of the rolleyd kS{I~4~ t"! 1 r •Ir 7hlf endarsem2nt terms a pall of the Polley to whlchollaGhed, elfot rive Item its dote of 13fve Unlpp mthe<wtfe staled heroin `.t 1 I v~ r r~ t ,lit # S r 111 1 1 !f. c r u. 1 'i?' This on4cosenv nt modtflds each Insuionce as is oflordad by rho pmvlilorq of the policy total. - { 4~.~ t 11 fr ma to the follawm0. ut- t't r l r IG 1 •,,r , 1::. f1't1j~il . 1 E 115:4 COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE) s}.L s , 11 {Ir ,14 ,7"`r~3r+{R r r~~- 1ivyi ' BASIC AUTOMOBILE LIABILITY INSURANCE r `h. GARAGE INSURANCE IJy,j i }n~, 1I;: kr v a 1#n p 1 { I g111'hl . 17 kI Ir d. In the evont of carxelolton of material change which led ues or redrids the Intwance alfmded by the paltry, the tort yonY t Y t'1 { Sl+, t`7 s y 11 31 1 agrees to mail Q days prior written seen. of such concebrlan or material change b IFnter tnmo and addidill , y CITIES OF OAILAS f FORT WORTH CONSUMER SERVICE DEPTe E,O; ROX 61D929o ~Y;1', UFH AIRPORT) T t X 751b1-0924 I + tI i v1 I { 0y r i Duly Avlh E i }p ``fS~ 1 i1G 1\. hl 1 FORM TX•03•54:6AHCILATfON PROVISION nd COVERAGE CHANGE [NDORSFrh6HT - h t 1 'I Teem 3t11 October er I1, Awtornobira Endereament Il Prescribed October , 1974 Vii( I' i 1 ' IEri;! 1 1>~ >xt 1. v 1 1 1 tin ;I ill ~ 1 f 11•`, 3~~4,ij~f u t 1 1 Ii 3J•. 11~\ r ~lr r,l ' II: vI l {I 9 ~ r f+ , ~1 S {It it, roc it ~lr~{t { rlt I I,G,•S~~f iif~t~ 1!v t s i 1 v~St(~1 1 t e r ~~i t. ~ G e~l! u I A v`te 1 ` Iv { { t 1, I~., 1 C55[ nq I^ I!~ (A~?[,4`r13~ 1 1 , I~Il it r , III I ~~}Il lrll'11 f r 1 { E}r `1. V{ ~ 9~r7I\Ti r' I 11 I, I t 1 r 1' 54~Y7~. h 1 I S l l t 1 1 1' 1^1~ r 1 ~ ~l Fly ! i;~, r I I~. 1 •L 1 ,7 ^ j}r n I 1( 1 V ai 1 1, ? ly ' \ 1 { ;illy hh t W-+'alanw • ' t ' ' I. f il'~liM • II ry1'31Gr)U ~I' C }•ti.GVY+Iw W~e u~. i+ \ rtu I 11 It ~1 .1 ( r ~ 1~ I'4 'a i'1, 1 II I` 4~ 10 1iAtf 1 1 t ~ Its !4 1 I i r, r, .'I t V ..«...a J.L., as,w+r cadHilklieRm'ii`?"5'1'~. rtLIt7N.d':NR~1 ~$7aW!4 #sse er@yft+ '+sw~+>Eq«w:.r ' t 1 A-W-04. ALIUI I IVPIA4 INbUKkU ''1 ' IGE DEPT, MC, , ;Thu andauement lams a port of Policy No GI A7.U11986... ,sued to TNF RFStUYNCF SISIM §1 ' by the LANDMARK AMERICAN INSURANCE, COMPANY OI IisAgehry "`oF r ' (Name of Insurance Company) t located (city and slate) FT. WORTH, TK 02/08/85, a5 r ' and Is Ofectiyel from 022 AM Standard Etme) tl r'r l IThe lnfortnailon above h required only when foils endorsement is stood sabli RVen1 14 PiPerallen of thir POlfcy,l ~ < < This Cndorsen,onl loans n Net of the policy to which altaehed, alleclo o from its dote of Issue unless otherwise staled herein, ~t c T t 7 Tldl endolsoment modifies such insurance as is afforded by the provisions of the policy relal• q 1rr r'"< < ' r , Ing to the following: k SRYda s, , 1 r~ COMPAEHENSIVE AUTOMOUILE LIABILITY INSURANCE ~jA d iv t ' ss r OASIC -AUTOM01s14E LIABILITY INSURANCE f i` _ 't i'1~~ F ,t S r 1t1, 7 s ~ a1 ri E S ) 1' r;l It Is agreed that S"In In Pnanco as Is offorded by the. policy under beddy Injury ilubllly and Property damage liability opp ter ssr t t ,t ,its 7'rr+' 111W A1kEORT,...j4i'lES_OF`_DALLAS F;l'. WOR:fllr, COS'SUME(t SF,(iV,(Ch UEF'T.,_,P_sU BOX 6109291 ifr : ~o ' bF F ALt~~U~2T X 57.61=0tgr noise and address of additional Insurad) al lamlfd, prov a such ~'addil coat insure is on losucad as defined in '•H. Perseus Insu od" of the policy, sub(ecl to the fah lowing odditlonal proyfslonst -1 Er'1~s t1r,Ir r I, Such adUAforrol Insured sholl not be liable tar payntant of ony premtuou slated In The policy of earned thereunder. Return bi t 4 1`? rr ~ ' + ` sr premium, tl one, shall be poyabra to the named Insured, 5 L' ss. 2 If the policy Is Issued on o parllalpuling basis such dlvtdend as may be declared by We Company shall be paid to the trs , named Insured, t 7 - ` J In the awns of caiicelotion of the policy by the named insured, the company agrees to me:W such additional lnsured, at the address givoil above, wripoa notice of such conoelaflon stating when such contelation is eflectlve, and, 11 canceled by the tompony; ll, '11 written notice will be mailed to such addfilonol Insured, at the address given above, statrnu when not loss thus ran days theiecilter 5 such eat,cefolion shall ho eifeclive. t r s s L P. ell ` F~ c~ C 52 C t i11 ' a r . „r l (00y Authodted Raprc senlatir~l ~L~I ' { - ie~r t s S 7 "l' fORM TX•61r64.-ADDITI0NAL INSURED )r Toxol Slaadord Automobile Eadorsomeal 7' Fr u1;, ` s ` ' t .31' Peoseribod October 1, I?74 rI f` rS i' rtV ' , t e4 7\ ,r a t ri,s r, , 4c1 r I 1 . + Lt 1 \ s i 'wr.naCS:i'' [azvN-°nsaw ` . ~y :I 1,, II` „ : i rr TX•03.24. SINGLE LIMIT OF LIABILITY i 11`11 endanCmenf forms o purr of Policy No CLA2011986, cued io 111E WIDLNCU. ¢ERVia urrr _ mc, k ~r by file LANDMARK AMERICAN INSURANCE COMPANY + IName of Insurance Company) - - at ib !agency Is folsoled Icily and wale) FT. WORTH, 18 02/08/85 ~ y , 1 and is effecrise from 112.01 AM, 5landord Time) i. IThe information *boy* le required only when this ender emshl Is !sued subtequens to prepotallan of the policy,) This endegemont forms a part of the poI'cy to whmG attached nlrecf re Irom at dole of issue unless oiherwi9o slated hetein. S' v This endorsement modifies such insurance as (I afforded UY We pro:yianl of the oohcv relal. s, s, I i ing fa the followino; f Y p AUTOMOBILE LIABILITY INSURANCE COMP RLHENSIYL AUTOMOBILE LIABILITY IKS1,111 alt tsa r v ~+a` ' BANC AUTOMOBILE LIABILITY INSURANCE I t'+ , r 01 OARAdg INSURANCE r a 3>L covuag4 a Llmlb of Ciabllity l s s ~ 1~~~, • 0cdtly Injury Liability and properly Dampga Liability S 500 000 each occurrence r s I' r ' r it Is dgited that file provisions of the policy captioned "LIM11S OF LIABILITY" t!1r inq to Bodily fajuly Liability and prop. ecty Vamage Liability are amended to read as follows: tt. a LIMITS Olt LIABILITY r { Regardless of the number of U1 Insureds under Tins policy, 121 rcn.ns m arooni,ortom who iusrgtn bodily Imlay of prop. U V delnaI;) claims made or suwll brought or. account dl bodily Inluty a, psopedy damage or It) aulemoblies to which this s +"+r 'i policy applies, the company's liability is limited os ICIlow3'. Y .1 ' s Bodily Injury Llobllity and fvaptrly Damage Liabllllyi I The limit of liability slated In the schedule of this Cndorsemanl as applicable to "each occurrence it the total limit of the J, company's liability far all damages because of freshly Injury, including damages for core uad lots of serrices, or properly. damage 41 0 ref u1` at any one oeeubente> pfa'Ided Thal with rewrcl to any ene ouurfento far wlsich halite at this policy a 1406 in Ile, al security Of when this polity Is candied as proof of Ios11ciol'Chxnsi,1111y under the pravisicnt of the Almar Vehicle Finantiol kc. i' spons blhly Lon of any stole or piavlnca such limit of , obduv 11,011 he eppl pd Ia prayids, the ICUarate !-mils requ+,ed by 9+µh 16'w fof badly {nji ty Uabilily and ter ptopar ly damage I10-Iily to the CAN" of the ra+crage required by wch law, Lot the sepofa:e , epplIcotlon o such hmil shall not Increo'so the 10161 limn c° I h t core £ 5 pony's Ibbilily, tll r' i BY \lK V~s,1.1s1_XX L (Duly Author tad Repo asenl0liyel + ` l FORM TX•03.7E. SINOL[ LIMIT 07 LIABILITY ` Texas Standard Aulonie611a Ersdasumenl j s Raylsad April I, 1913 s, t 1f .ISt I' if" 1 t ~ I r r Lit t I~ I 1 ls, ~.f I 1 1. 'I •Y:I t1 ii]S e f if 11 + f 1•S~s~'~ksb7d,h•Ri=.i9f-~tta+„ ' l J1 ~if 1 r , , f r I rY i I. .s4a 's;dnu..e+awr,.s..asv4sY w r / +z _ { c `1 , u3>+'gty.rsY#tv+a4LR'CFii¢*i'f4 i i TX-03.69. AMENDATORY ENDORSEMENT-NOTICE This endorsement lams a part of Polity lid. . OLA201198,6.. Issued to THE, HEiSIDENGF,, SFRVXq$_UM;L?xd, SNCI ' by the COMPANY of !It ABency LANDMARK AMERICAN omen IAInNCo,<e Coy._.,..... Q/" Pd , located Icily and slolel 1'T.. WORT11I u and Is erlective from 2 ~.Q~_. 117 01 AM Sloddard Time) S1'•i ' 4(• 1 IThr InIII)IMa HOn above Is require) only when Ihh andarlameet It [lived subsequent to Pxe➢aratloa of the Polley) 3TrrTr i + " This endorsement forms n port of Ilw policy to wtdch attorhed, effartive Irons us dale of issue pnless orharwiso sidled herein. v. 1 Y f , ~ r 1 ' rl ' l r~ 11.,E I v 1 ` 7hq ahdon""nent modiflea surh Insurance as is afforded by Hm yrov[slons of the policy was. J tp~ tz r ' tap lathe lalfo Ming; y jI r" COMPREHENS[VE AUTOMOBILE LIABILITY INSURANCt J~+' /tgil ;vi se /i l`+`~alfys BASIC AUTOMOBILE LIABILITY IHLURANCE l~'4SiSSsg r I k1f 1t 1111 , uaRAeE INSURANCe Yf ilit this policy g~equ liability, iha unless s ' ccnlpAswith iii Ae be gviremeal a~Y plrW propolli, urrfnlurad's failure to „ s ^ 1e s 1 ~~•",,r • l lnsu ed sooglPennalfee ~ejuollciid c ena at lost, ce re s + . r zolg the Inlund to farword demands, notices, summons or other logo) gvipraea, shall not bar liability under this policy, + + i „ r ~Klr~sxl S` ~ By S~.J.~Q.S.XY ..r•.~'`ti,:v..-C,Q,~, xY_M'~.. ~ ,n ' q 1; , I OJIy AulhOrixed Representative) rp" FOAM U,03.69,-AMENDATORY ENDORSEMENT--NOTICE Taxes Standard Aulomobllo Endoxsamnnt ~I•, Presttibad 04'i+bes 1, 1974 ' tr I r 1 + if! kFl r, % I r, 1 ig~14Yt; + l'l i I I ~PilyV'1t ' , ' { I re 3, IM 11S 1 +1"o z3 i ~r rtx , i I i ' ~1 ' i ry lI~ ~ 11 f. , 111 I ° i l 1 ~ rr ~t I 1. 11111 1 ~ , r I +`~j Bra ~51:r+~auy,j l r + I I . l lye! I f 11 r.' P' i4. ;III I . ~ i 3s C..ni , ..s~xsviW4'~.fi6tgCZi~ri .r+.ssd.;+,r;9dsc a ,.~xi.»._ t ,..d,a«.':.aaaMK~wnw:6KnetFlP:ly««;a';rv'::.,dad c I TX•03-17. INSURANCE FOR EXCLUDED USE OF AN AUTOMOBILE .w lr This endorsernsnt !arms o parr of Policy No. GLA20119$6 issued to fIIF RESIDENCE 51iRV1(,B DEPT, 1NC. LANr)DfARK MBRICAN. TN9URANCF COMtANY. II . of its Agency by the f (Name cl Insurance Company) i t t. located (Illy and slate(. FT. NORTH, 'fX and Is elfecuvv Irom 113 01 A,M 5tvedaid Tfnid) ~ (The Infonnalion ebave Is raQulRd only when this tedorsomons i& Issued subsegwnt to ploporeflois 01 the volley's ta'r' f Tiff endorie.aent terms a part of the polity to which altoched, effective. From ifs dole of Issue unless 'honwise slated heleln. [ L This endorsement modifies such insuronce as is alletecd by the provisions of the pdhy rep Ihltr t 11 ~s ` IDiing 10 the lollcwtng jilt` + `t ' y 7 BASIC AUTOMOBILE LIABILITY INSURANCE lies r s s' } 111 Cr MPRES BNSIYE AUTOMOBILE LIABILITY INSURANCE AUTOMOBILE MEDICAL PAYMENTS INSURANCE k l}~} t t V It Is agreed rnat Any vndofiemen! Which limits the IniamnCe wok reipoel:to !ho outomablle J ecir led 111 the. CM1d r e Ccr,l to k Y'~ `M s 19; We. OF the outotrh6lle for the pueposai doctibcd Ihermn shall nul apply if the homed Insured notifies the company within Ihpty days s~ yl a, ~s~ j 1 - 1 y offer the tint usc of file outamabllet during she policy period r, athnr purAawrs~. sir fit 7' i. r + Fl. r~ Duty Aulhonied Rrpretel-Wivel sr fri ~ FORM TX-03-17.-INSURANCE FOR EXCLUDED USE OF AN AUTOMOBILE + Texas Standard AulomoWle Endoriemen, t + Is Praserlbod Omber 1, 1974 r ~ of+Tr t} L s t t s i t + I ~lil l ~ t` If ~'i yell sl I Ir I ,t. lt1 I U rti (II yt t ~I t~fis al''t T;, r III +s s ` i ~'I ~ t~ttj( Y t t v~It~ftt G 1 r. s a I r . r 1T~ t I' s` ' ; Iff r dz .I 1 r I t ' r I~t s f t It I.' t f. I r' , f +a{'~hli>+inrl~Viflt•'~:4 V. •..I...li[Y.ur.." Z alt. r~. a, .t. <I ' Y .n nYM. Ri51'YC.`?Y,9ruz -tn;6 .Yi <1 19 1, ii.r^'it8•: F Lot ltV snvrea _-,n" r, r r I VA S34'tk ,,..nta Yyt!«sA1Mr+itA:.. ^f+eFrv.A'.. k 'r s " i xuaiYVY.ai 503. UNINSUREDIUNDERINSURED MOTORISTS--SPLIT LIMITS 1 CIA20!l9S6 [ This endorsenonl for nit; a part of policy % fJamNo. o of In, uranco Compaay)ue<I 1(, 17118 RESIDENCE SERVILE U81 1T INC. by the LANDMARK AMERICAN INSUIIANCE COMPANY at its Agency i' fooatsd (city and state) 1,'ORT11, TX _ and Is elfoctive from 112:01 A.M. Slindaid Twist (The Informsllon above to required only when this endorsement Is Issued suboequenl to piaperalion of the polley.l Trill endorsement forms a purl of the policy to which allachad, effactivo front its date of Issue unless otherwise ! stated herein. The first paragraph of the Limit of Llabllity provision to Umnsurodiulidurinsured Motorists Coyerage Is replaced by the following, tit LIMITS OF LIABILITY The limit of I10111ty shown In the doclarellons or In this andorsnment for !'each person for Uninsured! 1p,r' I ".r f~ ,;I 'l Underlnsutod Motorists Coverage is our maximum limit of liability for all dernages for bodily Injury sustained by fpti S tr any one person In any one auto aeolaonl. Subject to this Unlit for "each person," the Ilmh of liability shown in I3# f i `t the declarations. or In this endorsement for "each accident" for UhinsuredfUndehnsuied Motorists Coverage is our mamlmum limit of liability for all damages l.,t bodily Injury resulting from any and auto adcidonl. Tiro limit of liability shown In the declarations or in this endoisemdni for each mccidunt for Property Damage Liability is our maximum limit of liability for all damages to all property resulting from any ono auto accident 14 This Is Die most we will pay regardless of [lie number oil re 1. Coydred persons; 't 2 Claims made; 3 Popoies or bords applicable; r ; 4, Vehicles or protnlums shown in the declarations; or s r , 1 6. Vehicles Involved in the accident. SCHEDULE !t Coverage f Limits of Llablllly i i r4h I UnlnsurodlUrderlneured Dodrly Injury S _1,510Q0 each person II „ f MOtOr Isis COyeragc $30,0W. each aCCidc.nl f''r4 c t Properly Damago $ _.151000 _ each accidon I t 01 By i (Duly Authorized Rdpresontattve) L; frOAM 603,-UNINSUREDIUNDERiNSURED MOTORISTS--SPLIT LIMITS Tomas Star, lard Automoblle Endorsement ~r N\ Proscribed Juno f, 1981 ? fr a ~ jt7 I f. r~ , •'s , it t 71 r MV[ .e. 4+k...,,, W 241br PERSONAL INJURY PROTECTIOIA ENDORSEMENT N' Iloilo Automobile Llobiltly Inpuance, j Comprehensive Automobile Liability Imsu)anco, Gauago Insurance) ! M This sindotwmenl forms a pod of Polley No.. ['sued 10 P1 PIP' 14-1 NQ I Isq ANDMARX. AMERICAN, INSURANCE .COMPANY : ~iPA1.Y . of Its ! gency (Maine of Insurance Company) _ _ fl._ct(va from 02/0@[_15 iocale,it (city and Isare) hl', WOR '1H. _TX and is c (12:01 A.M. Ssondord Time) The fmferlnetlox above Is reaulre4 only whom this andartement is Wesel subsepuanl to preparafioa of the poliey.) f . This endorsement forms o pa,l of the policy to which olroahcd, affecl ve from its dale of issue rimes: od'e,wiso doled herein. SCHEDULE i r Covuage Limits of Liability Advance Pramlum personal Injury Protection Coseroge S 2500 each person S 109,00 t j 1 Description *I Imsused Molar Vehicles 1 (Check oppropdolo block) L7 Any nulorrablie o,vned by Iha named insured. 1 Any private possnogor oulomohlle owned by the named inured, (J Any motor vahldo to which are attached dealer's llc4mo pions istued to the named Imuced. Ii Any inner vehicle desigoased In the Declare) ns of the policy by the lotlers P I P, and a motor soh clo ownership of which i is acquired during the policy period by the named insured as a replacement therofor. tt tj_. k ' In cdoslderalion of the premium far this ondorsemenl, tho Cnmpany aarres Miss she named insure), eublecl to all of the s provisions of Ihi, ondorsemenI and oil of the provisions of the policy except at mofifir I heroin, as folloen C - PERSONAL INJURY PRoTEct'IoN INSURING FOREIMENT In attorddnae with the provldon of Article 5.06.3 of The Inswanco Cafe of Texas and all Acls omendo pry or supplerienlary Iherpto, the Company will point ' 111 Iho nosed insured or any member of the Insured', household who sustains Willy tn)ugy caused by oi:0 ant, In u motor e vehicle accldenl, and 's (21 any ocher rmrtoo who sustains hodlly Inlury, caused by coodonl, r'I W) whllo ocaupylhq the )moored Molar vehicle, or fb) while using such vehcle with she permission of the named hound, of Ilse :game of the Insured if o lelideol of the same household ' for losses lntwred by sucls Injured parson wwithlet three years of the dale of such accident fora 1 (1) oil reaeonable an I necoswry medical expenses Incurred for servoos furnished, and (2) (a) If the person sustaining much bodily Injury is an Income or wage producer al the time of such accident, benefits for j. of Income sustained by such parson, while living, at o direcu and proximate rosuh of such ,cdident, and ib) if sl.e pc•inn suslolning such bodd Injury is not on income or wage prcduter at the time of nix h accident, benefits In c mipuneniard kr neceiiaty and reasonable oepenses incurred for celonllol scrolcos ordinarilt performed by euah t iniwed person for the cmo and malntenanca of Iha family or lamely household, it during the period of suth injured person's Jlsoblllty. EXCLUSIONS This insurance does not apply: ' + r (a) to any person who: (1) bHenllonally causes she acetden) resulting in the bodily Injury of such potion, or 12) sustains bodily Injury while In the cemmistlon of a felony c whtlo sreking to elude lawful apprehension or orress , by a law enfOSaamant official;. s lb) to she named Insured or any memhof of Iho Insured'a household who Wilding bodily Inluty while occupying or through being struck by a motor vesicle awned by lucb udmed Insured or any m6mber of the inuured's 110u;r6ald which is nol / on Insured molar vehicle j (SEE REVERSE SIDE I FURTHER PROVISIONS) IAnt hid depfesamat Q..`:.5.~4,t.!.."~.. s ' i FORM 1416.--PERSONAL INJURY PROTECYION ENDORSEMEMT t w Teeek Standard Automobile Endouiememt , !j What! April 1, 1979 I i S t 1 U-03-18A, NUCLEAR ENERGY LIABILITY CXCLUSION ENDORSEMENT (Blood Forlnl { This e 11A10SI986 'INI h1,SIUF:NCN..SF1iVICls UE.PT., INC, nd¢runlani fauns o p¢rt if Pilip No 1 ANDRAILK A$IliIIICAN 1NSURARC COMPANY fry the of IN Agency (Name of Inurmice Company) hf, WORTHI TX 02108/85 r located (city And stares and Is offeetivd f10111 112:01 A.rA Standard Time) j (The informoriml above It required only whun this andanarneM it Issued subsequent to prtPofoflan of the polity.) I E IIdS Itorvil'i Inimls d Poir of II a In,IIror I¢ ,whi<IS Ullnchr l• elreehve fruit, Vls dare of islao unIVII olhro slgled hnreifs. This e,Florp.Cm l mixIIII s s"01 inlurrilty as It nlloldrd Jy dm hloosluns VI the pulley raw litina to trio I:Iluningl ALL AUTOMOBILE LIABILITY, GENERAL LIABILITY AND MEDICAL PAYMENTS INSURANCE OTHER THAN FAMILY AUTOMO?JIL¢, SPECIAL PACKAGE AUTOMOBILE, COMPREIIENSIYE PERSONAL AND FARMER'S COMPREHINSIVE PERSONAL. INSURANCE I It fs agreed Ilool; r err ~ L 'Ibe poesy drys no' anhl oi A. Under any Liobility Coverage to verify injury ar property damopc t i' (1) will, respect to whirl all Injured ur r me policy if also, ml lmured under o melee) energy Ire Liliiy policy Isscrd by ' ii Nucleon Enerryr 1 ¢brlily Inurroare A r<t1t o, ovi Atomic pnrrgV I.inbillly Underwrvmn or NU loaf Into now As- , soeimlon of C¢nodo, It III be an Insured under any suds Policy bat Or Ili Ielr*iinallon Upon aKIWUSIIan al Ito limit +t of Lablloy, or I r 121 lesr.4iny from the hosefdaus props iet of miller pro and Nln, iaspccr to whlcb (a) any Person or ofoordi lien Is t roq„Mud to niukit,al Fr iol ploleclwn pinluonl to the Alarms Lneiyy it of 19$4, of al y low ornelsdolmy lheleol, el it) tLd insured Is, or (led this pods( net bvon IssVed w uld 1w, ell dltJ In Ind,mmty from the Unlled State of Ame:rca, € /s or cry oi;i Ihereld, Under any a•ilremonl croo .,to by the Vn1faJ $rales of Arne,lca, of any Coenf, 111i will, r 1 any ocrsen or orgynUieflou. 1 6. Urrfel any Medieul paYnti•nts Caocunue, or under any $upplemorssury Ibyrnehls provision rclallou la bill and, for ""lenses i+,• carted wtli ref test it bodily Infllfy rnsufl io frahl the hatardoul praparlles or melee, Imal iaf Cold oriting uul of the ofti,~ k r ,5 i Orion of a Five car Iffir iy by ony parsms or ofitonlfahon. r~ 'I C..Uoddr any Idnbilit- Coverage, to bodily Injury or property damage I<sullirg Irom pis bmordio pfopediu of nudger me. teller, H (N the, nuclear motc"al (u) is at ally nuoledr Iatllify owned by, of epawtel by or on bclmlf of, au Insured of LI, ties been dlscliorpad or diy ailed Ihclchwnl `I r I' - (2) the nuclfor iii it coniti i„ spanj furl or li at opts Unie posltssed, handled, used, processed, stared, loans. period or drspos I of by OF oil behalf of an imurtldf of 5 'i~ it (3) Ihii bodily Inlury oy. property damage orlles aul of the fumishhut by on Injured of services, n,aldrials Patti OF rgWp s #r ' Flora in conneat:un. Willi file plur i¢t, eonsllocttan, nloi ibriv,Ke, c(roroilon or use of any Musical. 1e6611, 1 if such f (aci6ry is LOCI wghin fire Vnilcd Stnlct of Afnorlco, Its lmntofids or postewimis as Conado, IhiS exclusion 131 ars• l Phes silly 16 pi4peHy damage to such nuclear facility and ally properly there N: p 1• 1 + 11. As used In his Cndo,som nil roc 4 , 4 • "hasardouf propriHt" leciude radioactive, IONIC of txploslya propcrios; "nusiuar material" meal s soulo matal(ol, special auelear material it, byproduct majedaq tf s li , hilt i r s'•' '4auleo maferfal," "sprelal nuclear material," Cod "byproduct melcilel" have the mtonings otsen rile its tiro Atomic 1"i Act of 1954 or In any law amendatory ikncol; r t r4pent fuel". moons may hie) e1m,IrN or hlcl CumPbnenl solid itr7lquid, o bas born used at exposed to radiation In a nu, ~ `,r~~ , ro" clear reotlart "wear" means any. waste rnatclo Ili ronlainhig byproduct dwlol ollwr than ohs Iol6rigs or woNei produced by Iho exima. Iron of collteMrulen of mono or Ihouuns front orb, Oro pr, ri primailly for its torero alabaster Confetti, and (21 IQSU llflg 5 r loom the opera'.lon by any penal or olgunrrall¢n Of ony nuclear facility tnr,Iudcd under lira I1131 two Parcgmphs at the definh fit lien or nveri loclll+yf "'ItN "auelw( lgehlly" nouns ' I (a) any nuclear feaster, ` s It)) any aqul(vnrlt or dcvtrn do pgilad OF Used for (II seporaf ino sire Itolopus of uronianw ar Plulondun,, 141 pfoCassing or Ulf.. e a S Brlno faded luol, or t31 hor iino, praeestirlg bi Iso0ognsg v it } 1 (c) Croy equipmonl or device u{ed or Ow Processing, lalrrlcot fig of alloys ig el special nuclei( hlbftffel If at any time the 1 11 4 total wro of such materiel in the custody of (ho (eluted id Ilia preemies what such equipment of device Is locales!. caolo 0 or conloins maw than 25 atoms of plutanlum or ulanimn 233 or any tombinolfon Ihartah or morn than 250 grams of umnlum 235, 3s _ ' c i ' Ids city slroc4nd, basin, axeov4dan, prenllses or hluto prepared or used for file storage or disposal of Wells, d s 1 oqd Includes the stn on which oily of the Imudoing is located, all upefotleW conducicd on such slta and oil forcrio Offer for tIlC11 UpUru siren; s1, °npdHaf faalldl' moons any apparatus designed or tUed to tU5laln ft Ic(rrIr firs be in a self {Upper)lltg Chain ICVelfen in to CarF all Is evillenl most r,f fbslono6lr rite)Miof; s I. to damage" Includes all fume of mdloactivo Lontandnasion of proPv irif ti; l , Woly, Aulhorlead Rapretaniaflva) ~s r rORM YX•03.113A,-NUCLEAR ENFROY LIABILITY FIf CLUSION ENDi1RSEMENT (Brand Form) 1 l) 7oxm Standard Automobile Endajenleat I •i havisod September 1f 1914 r, 5 I at p I~ tai :ills, 003-194; AbbilidWit W`W ATldt~ dk AU+OWiILE RllhTl,ll A 1'1{,ftESL11NNCF SFRVICR,LtItEr,l 'INCr Thrs endoremrvent forml 6 Bart of Potlry No i' 4 r ,1itald to r , by the tr127t1i1AF11C AMRHLCIIN 1tNSlh(hNC~ tGifM~AY, d` Ri Ageacl tt tNam1 al InlutMtIs Com"His) FT, ,WOEtT11 T', 11 1 t n,+d I Lli hod rMtlted Idly and elolel 3 ....I k erletttyd ho st . t 1 l,oi A A M M ~tbtiddrJ Yimel ` f I } Miss infolnselleh ebero it ANYlr1d 6nry`whex f#le i61141jA Ilt 11 111011 tobll Vulnf if pld DafoilbA df IA'~i f~iVj.l This ehdofsemenl forms d Raul of the polity ro kfricol ofi6Ehed, elllitWd from so. ddl+ of Issue these olheliII Sid 161ltfeU+. aJAU LIIS 1 _ ss _ , i ral• i / ~111rI ahddrllMdhNrntitrlie411tx1i IhluNshtt d){Ild1(old2d by'I}',i p)M'islons 01 11"t polity re ino to Me folldtrlno! j ! t IiC6MPAlliINtIV~U1bMhE14tl.LiA6t1111' INSUAANC6 ~r t !f II #r4 r. l; 1 n:'!;'011WAU MIJIl f'wIAAIlITYtItS t~MJ1dCF f` ~!'.if)I ]1 r { 1 AU'FdMOblll MMICAL VAYMINTt;INSURANCIt tl 4 q I . . I,, I'}PtrtfONAL INIUhV pROTk~ilO VII UNINtd~RIO/UHO[RINIUkkd MOYORISTS SOYtRAOt l 1. - 1 IA EasrldereU uar•., ,kl)DIPI0NA1 AArx+I Sr ell t.•prdMI41~N U1'7.~'r72~~00 II NE¢febd•IIID1 all bl l}bMt!l'vh Ua1N IAdd Hall eWool 1' • rn r , I ,i t hereof the polity IImhereby amended to Ike fattor,fno parliculml dl I I 1' P} ,f j,IAukAI>l l,illl Ailed ' "+d t , Yo tiflord In{molleafii ieipetl ro tH~bullOnlob)ii das~rir} In t t,vlsfb+, sublcd to all the reun,s of the ~dlrry c><reut m I,• spfclitcelly oml nded haitfr•, ' - R s099.Ifnil ll Vl<haa UY Ihb,Noroad Insured r tip` 1 Ckledpllod of the Au amoblle mid k~c1e i 1111 •Uur 1' V MtiNfbsNelr r t1R . u ll l ' n ,.YwsShct lNHo"'Mek Ik{Perot I Nl r r 1 r ,HewMl ile I I,1w 116 `I M ( Retire. „ :11t. blwiedW, it . ,rYNI , lltll eN feria 40--4m W a a• ry"1Y, ANe r,ll, rrwrk Ij dp wN FMt9,er e'•eeN ! ~ . 1 ee1Su+N+ .f I f, a t, l l rrel ar A ut 3 r 19!12' DATIM rLT~i IN r f " ' opn!E-, 1' G I It 'I r tM -D~NTO~N '1X 4. CASSUNGE.M 525100 Jy. 'PdU. Mosuw and Cusknf;l;S!w Sdrvl Ed, RYrRrial I;t 1.•I016'llf W. Luse JcwfN llucl,I,oclas i 1 Absence or a n entry mdaIll the addicil tho'h M1 on the l7dclarastaH I. + r. v 1 04M111: ifl Mleeted jS Iii Dtrilldb'il' ' .I a t f f~' J 101111' I To dluonllnue tmutdixo with respect 16 th/ aWOmobllt• dose Nbed its lolls MvIoN,I il~eFlee t' yet I. Model %j Fntry No. MeldJ' 1r~di ilildl N /mWl { Dlrldif III j Pd I I it t` r f f it , 7140 Insurance olf64dld for the odded dut019wlslld ell anlyllrIlli III each anJ.sn Inbny rl the tollowtno QII~:a'dit of are j Ind cottd by onoodditionbl at ietum R1endUris or Iha Wife I% Elrofpe I In Zhu p,cmiarut column. The limit of NN torbUany i IIC 1 bliVW dotlmt each wcN coverooe sholl be ai doled herern, lubJett 10 all of the terms of this polley Irovlnq riffle~cillhtoleto tt,y PIIRI 58f. C6V1BAORS r t,t ~y IMMOf LIABILITY) Annue7 Addllleeal{ T~~ ltflurn 1 d . . i I t' i $0 C,AU 1 ebchltrsv, ; II Ay TX03t% 1 O~.i 00 ' uodllvhqu+yLlobnVty ' + 1t irk ;~;tldehotennonbt 1 1U04rQ0 f_•,58~r0~,}` fy _ _ pnorybamooeLebgilyt,•,r,,.,,, a__U~Ledc.....- ente,. l9SrQ0 78rUU u ' r AUlnn!66,rf f.4ddiE6) pdV~ntnll~„ l-,t,.~_ ~ S It ri,. t6ch persen _ r, ,w Fes ines l niuly lowitcllptsl, y f >1 j ;S{I,t7 ~Frarh pcrsarl, (Ib; OD ~Ar.001L iY Gu l , it 1 i1nlj Wife/Undulnwle f'Aai41hH ~averay ~11{l OodllY nluuy t k l , r 1 u 'I ~'Fdc)i per{el~~ I i Ip +1.11. Ft °t 1~U0D`~ ~tSi 3ECJ1rIF'Co' :.CAP I .O5•i1 ,1111 I r , i properiv R! V.155 II S 151000_,tyedel Mcwrtioto _.221.00, 001l . Seftf0 ~Itotae {af 1~ ou 111 mtfrfndorNnwnltidbch 1 { 1 e ' ~ ~ f" r ale flats on f 7Z~ 4 I'~li I ~.{F I f i { Ir 1 4t'k II, I_'II t { N1let it btlfbllbt>i1e 'itiorl M1ttlfd i!}1 Irk t~+YddGlle Els~'IU dtlil td'11l Itlel d 1r1 nWhlon 1 ~106,n uir'm~u ar.lthr 000M' i Is d elltnhtoled Wild bait died In IRP rdl 11tit 1 c 'jl'I is OS LLB 1 C 1 lit,ti.li~~k~ J Ila t ?076;j, ~t ILI t 1, ~>C ,r ( d 1 u , toutY AuI oturd Repre4entaus'} . . l 011 I I f l tAll, VIP flit IEE'~~~ 1 ' is m fA. N.A ~d~ 9U A 1a u idenlrH I 1 ' 11 t I~ ,I Ir 6d dtM tl t r t tt I I! ' o f~ ~1 PART I GUARANTY NATIONAL. INSURANCE COMPANY The Detlaraliors q ) q p (Y Iodude a second NO- BA 1. 7 2 G19sa fNOLEW000, COLORADO Dan designated tT.Y Or. A, CL,AZU1 936 Poll 2 Rr~~eNaE'oT Numbe7-"-"- DAILY REPORT-BUSINESS AUTO POLICY ITEM ONE NAMED INSURED 8 ADDRESS FORM OF NAMED INSUREDS BUSINESS' t THE NF(1L0RI11111 SRAY)CY. oilaT., INC. 1 CORPOBAIt011.1_]PARTNERSHII' UINDIYmuALaR P.C1 61(1 5O4N 7 ME F 1111 t I Sll FN'S - U C E 6SEtViCFE 7 UYNTCrNs Tll 75200 r-1 CO - - - - - CV. AFPRESENIAlivE Agent Of 8101ar , Ollree Address R -I m _n/AI_. 11,11.138K URALlX INCL_ IoH_n and Stale f POLICY P0101. Polo covers FROM 02/00/135 10 07,108106 - 12 Or A M 'landaid Time al rho (lamed 11EM TWO- SCHEDULE OF COVERAGES AND COVERED AUTOS insured's P,;Lss slated Aleppo Ibis policy pprovides only thou coverages Ahere a ihirge is sham in the piemrum COWmn Ireton Eaeh of th~ .e Covela a, 1111 apply Only fo (hose autos shorn as covered suits. Autos eve showrl as covered total for a part cuter cnveragd by the entry or one or more tl the symbols Irom hEM IN1111r. to Ili name of the cavallgj! COVIR to AUT6S ` " im, LIMIT I COVf RAO[S ie i l: N, Here n TILE MOST WE WILE 1'A. FUR ANY ONE 1 NI MIUM ,r ,t 0111 IW,e art ACCIDFNi OR LOSS - r. LIABILITY IkSURhNCE _....I._ S NERSORAt IN1URY RROIEOTION (P.LFlM SFPARAIFlY 5IA1fC IH EACHPIPINDCRSEMLrIT MINUS for equtvalenl Its TaCN roeragol S UodudlE'e I ADDED PJP Tor eadrtls+UAdrd NOHyp,, 1 SFPARAIELY STAILU IN EACH ADDED PI P_ ENDORSEMENT I. PROPERLY PRO1EC110N INSURANCE iPI',L) SLPARATFLY STAICO IN 1111 P. I' 1 ENOUP5EMENi MI NUS (Mlchigan only) $ Dedudible FOR FA0 ACSIOENE L , AUTO MfD]CAl PAYMENTS INSURANCE i. 3 _ - UNINSURED MOTORISTS INSURANCE ~ - 3 ACIOAL S 300 Deduc(rble FOR EACH COVERED AVID FOR ALL S , '~yg~pg~p CASH YYLUE ~c°TNN O - 7 0R COSF OF ._LOSS EACFPI FIRE CR LIGHTNING 176,00 SPECIFIED PERILS CRYERACE REPAIR $25 Doducbble FOR EACH COVERED AUTO a08 LOSS I IYIIICHEYEN CAUSED BY MISCIIITF OR VANDALISM LESS COLLISION COVERAGE 7 MINUS S L000 DedutiLl' FDREACIICOVEFall D AUTO S 446.D1t- LTOWINCANDLABOR'"e;" LP5 for each disablement at a fewale passenger aulo S EORMS AND FNUOAS(MEki$ CtlN7AIkEU IN iNl9 PO[ICY Al 115 INCEPf10H PREMIUM fOR t6UPPoEW. EN1S I A035261 AU3517} TX0331 ~ESIIMAiEUtDIALPRIMIUM} 3~ Ut2 OU ITEM THREE- ii lo reverse side lot DESCRIPTION OF COVERED I PAIer to NUM TWO (Conldl on reverse Side tar ezplanabon of'fsbmalrJ Total Premium AUTO DESIGNATION SYMBOLS I through y Enter SYMBOL ie DESCRIf1lON fie1P ITEM FOUR-SCNEDVLE OF COVERED AUTOS YOU OWN tt}~T cpreerd bE$G'RTFI OTi PUACN "TE RR TORY Tonn A Stale Where the Covered - Aula yaiModel rude77amr 8o_d le-pi ~ S al R,mea 111 Yc rv le ldr l lrc ere Namlrer rvVnl ore ^'I C"'r "r" ; Auta rltl be pnnrlpalfy gar ged 1 - - I ] T4 aropu YAY D NAHBI rGER !]ta 13.__ t2,p00 p - D 9ROTOR, _ Td__.__. 2 I~A3 YONb YAN l'AEhTdHCMti 4310J 1tl}O110y911- 11UNl0tt, Auto `d Diu us al Rr+ ^rie Ulf sue crN, cow s,rfinr snoemrv Ezcopl ICr TOAfng all phyi0l damage loss is payable to you and rho less he err at an It uIisa Of WWI crape pef"a Rel nt Ci do payee named beloA as rnterriLS may appeal at the Umo of the lots am as des) m Lamm, Sat s Capaplr Irpmr rapl0r 1 I 3O~ ~A PART 2 5?S LUU_-. V~U,LBY-HAT[ITRl,ta Y).NAHLIATs_.l1r.RYLCk~6Yl, ~ 3 - 8 PANS _ 3 573 100 K>a1rRTS ¢N 4<~LL~~IR U_ 4K. OltT4H - IC6NhRUEU ON PARE 21 ~ ~ - - ~ - kU9S8l T, i ItAOU, L PYI;, OaJGb/s5 KT Counleisignslures dale NT. wil TX Countersigned By EXTRA COPY , 10a85BI11AAIEd.T1CT lndudaporrr,esd ICe1Ni of lnp nir Srrr 0%01"'1 r4 F5 prrr q ny r,;err le'I"w"tc it'. Vrerr I gat 1,))g I l ITEM TWO (C0e1'd) (Eyplena110n of "Fslimil Total Pi elnlum"I The estimated total promlum for Ili's policy is based on the exposures you Wirt us you would have when this policy began. We avill compute your final premium due when we delernlfne your actual exposures. The estimated Total premium will be against the final premium due and you will be billed for the balance, if any, 11 the estimated total Trial exceeds the line[ premium due you will gat a refund To deleiinina your final premium due we may examine your records at any time during the period of coverage and up to throe years afterward. If this policy Is Issued for more than one year, the prenalalm shall be cormpuled annually based on our rates or pramlums In affect at the beginning of each Year of the policy, ITEM TIIREE-OESCRIP11011 OF COVERED AUTO DLSIOHATiON SYMODLS SYMBOL DESCRIP]ION 7 I ANY AUTO, 7 OWNED AUTOS ONLY. Only Ihose autos You own (and for liability coverage airy trallars you don't own while attached to payer units you own[, This includos (hare autos you acquire ownership of alter I the policy begins. a . 3 OWNED PRIVATE PASSENGER AUTOS ONLY. Only the private passenger auto$ you own. This hicludes those private passenger autos Tau acquire ownership of alter the policy begins. 4 OWNED AUTOS OFHEN THAN PRIVATE PASSENGER AUTOS ONLY. Only those autos you own which are not of the private passenger typr and for liability row Otago any trailers you don't own wl Ile attached to power units you owilt. This includes those sales, not of the private passenger type, you acquire owi lp of after Rle policy begins. 5 - OWNED AVID$ SUDIIiCT TO NO FAULT. Only Those autos you own which are -squired to have Nodaut benefits in oho state a,hcre they are licensed or principally garage 1. This Includes those autos you acqulre ownersbb of after the policy begins pr0atded they are required to have No Fault benefits in the s;ala whore they nro licensed or principally garaged, O OWNED AUTOS SURTECT TO A COMPULSORY UNINSURED MOTORISTS LAW. Only those 1111101 you own Wilich, because of the low in the state where they are liceose or principally garaged, are required to have and tanner roject uninsured rnolorists rnsumnce, This IdchudeS 11050 211105 you acquire ownersh'a of alter life policy bogies provided they are subject to the saino slate uninsured motorish acquirement. I' 7 SPECIFICALLY DESCRIBED AUTOS. } Only those autos described In ITEM FOUR for which a premium charge is shown (and ter labilityy coverage any irADers you don't ovm while attodTod to any power unit described In ITEM FOUR). 8 HIRED AUTOS ONLY. Only those autos you lease, hiro rout or boaow. This does not include any auto you lease, hire, root, or borrow from any oil your employees or members of their households, 9 NONOWNED AUTOS ONLY. j Only, those ii you d0 not own, lease, hire or borrow which are used In connectlaa with pour business. This Includes autos awned by your employees of members of their households but only while used in your business or your personal affairs, T f ITLM SEVEN, PART 2-DEFINITION OF CROSS RECEIPTS OR MILEAGE When used as a Vranken basis: 1 FOR PUBLIC AUTOS a Gross keg HRls means the total emouns to whlch you are Willed lot banspemrmg passenaels, mail oc metihandtse duuhg Ure polky peliod reeardlass of nhether you I { or a'v olhef carder oilsinale the haaspoilahoe Bross Receipts does net include: A f. bunts YOU pay le laf foods, steamship lines, atdtnes ant other tnotol camers vooialing undm their awn ICC of PUC ptim'ils. D Adve,slnyRevenue: C Taxes whlrh raocolleel as a sepalsle nem and recoil canary to a Eovelnmenlal dlvlslor, j p. C,0 D. talltolions for cost of malt or mrtchandise Inrluding collection fees. Mileage means the totartfve and dead mileage of all ievii psodudng unil% opesaled during the poky polled FOR RENTAL OR LEASIHe CONCERNS 1 Gross RIs11Pls means his total 1 10 dhich you ate enidfed Ioi the Ioasiaa or renlal of solos derma ow policy petlod and IrOwdns taies OF( Lill those WIS which You collect 41 4 separate held and recoil dilcctly to a sfovernmeatal livislanMileage moans The lolo of all I've and road mileage doveloped by all The aulet you leased or reelas to nlherg dunug the pond;' perlod f I r ' r GUARANTY NATIONAL INSURANCE COMPANY IN6tiell b, COL011100 1411% PART 2 POLICY hUMBER BA 1726190 DAILY REPORT--BUSINESS AUTO POLICY-(Continui ITEM FOUR (CONTINUED) COULRAOES -PREMIUMS. LIMITS AND DEDUCTIBI, fS IAbs¢nce of a deductbte of limit entry in any column below means that the limit of deductible Poly in the corrapCnomg ITEM TWO column applies InNyad) 1'.TAi$AC_ _ ' - U $e let LIASlllll ImJ+IPP PIP II .I, n,Pre AII101 Will PP~A! 11%1ORISIPre Lm nx .,`riots lm Olll$ION t`Ai Per Uml lmI' l'• $75 pit t Iln n,un ~A0010 P0.0P PRmem Innm mym ihoulrlspxFUum mom 'ume sheen Rul o, e rnn 1 Imd' m us maul OlD'< No ah P,em rm d,+ Ve idde trz 6rixxtle deducUOle Premium imml Men shCRn Pre, P e o $?i P4rA:ure ren um s+ndsl Ntldw Wide smear etnnsl bylaw oef0w 1000 11 1 - - 6. . II - - !OQ 60.. 1400 430y---- 'land ilatrd m it N+ I¢+Dle P 1 P Added P I P er I' P I Loden lmeM 'I m 1 sylld in II[M iW0 ITEM FIVE-SCHEDULE OF HIRED OR BORROWED COVERED AUTO COVERAGE AND PREMIUMS, LIABILITY IN$UAANCE--RATIND BASIS, COST OF HIRE ~__-.-_$IAI[___ k$IIMATf.D COS( Of HIAk tOk CACTI SIAM NATC PER FACII NMI_COSI OF_ NIRE_ PHkµIUM _ S TOTAL PREMIUM $ Cost 91 1 meant Iha total amount you focal tot the hilt of sulel you client own (not Including Autos you harrow or lent from year cridi ees or [heir family wfir ) Cost of Wit does not include charges for sli performed by molor canines el property tr ettitugeis, PHYSICAL DAMAGE INSURANCE COVFRAOES J THE MOST T WE WE WILL WILL PAY ADI - ~ - RATE MINIMUM PREMIUM PREMIUM DEDUCEIBIf ' COMPREHENSIVE 3 WIUCNEYIA 151E55 MINUS 1 Did S 3 ACIUAt for EACH COVERED AUTO, FOR ALL LOSS EXCEPT LIRE OR 1.16111 IIO CASH - - - SPEil PERMS VALUE' 3 WIIICIiEVEA IS IESS MINUS 125 DM fOR EACH i S COST OF COVERED AUTO,FOR LOSS CAUSED BY MISCHIFF OR VANDALISM - REPAIRS . DR S NIIICNEYkR iS IESS, MIHUS 3 Dee i 3 COLLISION FOR [AEI{ COVERED AUTO -?OTAL PREMIUM 5-------- PHYSICAL DAMAGE INSURANCE lot coveled Aisles you hire or li it excess unless indicated th ioW by F!C1' ❑ IT I% hoe Is checked PHYSICAL DAMAGE INSURANCE applies on a direct pc+mary basis and lot purposes of the cond0on entitled Oll INSURANCE, any coverts . Aub you hire of borrow Is deemed to be a covered rile you own. ITEM $IK SCHEDULE FOR NON-OWNERSHIP LIABILITY _ - CCD NI11SURED1 BUSINESS _ BATINO BASIS _ HUMMER I'NEMIUM r - Cities Ihsn a Social Seville Agency Numbpk of EmptoYCes 3 Social Service Agency - ~ Runt of 66oployecs 3 r • number of Voluntews S - - It ITEM SEVEN-SCHEDULE FOR GROSS RECEIPTS OR MILEAGE BASIS-LIA_DILITY INSURANCE. PUBLIC AUTO OR LEASING RENTAL CONCERNS Ea0lnbtedYeaHy`- RATES PREMIUMS E] Gross Aetripla ❑ Pet $100 of Gloss Reellpta - ❑ MIHb3e _ D Per Mile _ UA0101Y INSURANCE AUiO MEDICAL PAY04ENTS _u o Mi- 01LP7vFd€ilis_ S $ - - I _ REFER TO REVERSE SIDE PART L FOR TOTAL PREMIUMS S S OF RAOS3 RECEIPTS AND MIIEAGC MINIMUM PREMIUMS 3 _ _ u-•.-__.___ 3 y_ DEFINITION " ANTRA COPY - - ".1 ID8OSSI2EX'A (Ed 190) ImludtsaoPr,NEIM malrvd(11Jmo,++c•.en nr 0l:te, nlln lls lermdYGn C~Yr~ahl lnvoie,S..... elelnfP 19019)4 rA00011tdeaam I 1....:,w I f it .'a ...tell' Th I3 orWdHanloiI ull vcI Iva O2~118/ftJ lalrll a potl of policy t4' tiAl 1.2 11 190 Illuedto 'f Ilk! PF-311JENGS SERVICE 114.1,91, kjAPPlfarrrltmal MILEAGE LIMITATION- COMMERCIAL (Truckers policy and f3uslnOSS Aulo Policy) Sh DiT1.K RADIVS No covorago Is Affordod for any covorodaulonioli to oporatfng boyond ilia mllaago radfus Indloated in ITEM 04 of ilia declaraflona, All o1h or to+ml and conthtI and of tNt lroli6q Ienialh unclad god. Aun!drited nopruienleuva dh AO 351118 All liXfnA I • w1'.:na9ratlkiri am'3lStfNAfax4IMIMZ\f.1ll\ _ ►>r~sxsW~ltle~,YktttisA'tREr'~t4f,,1~~A I I I I I ~l, a y r r i 21 } I A r 'l ~.,-.-,3t ~.Sat•m++nftn•.i.:..G,N+.dVn11F7~$"~:t"l9i~ib`AMte.~a4Siwb{M. ~irk/nN,+...«..,.,',E. ..~a....... ...5~`...1rMla+J.w., .,ivr3tue r..i,.3iks1.}.i f A~ 1`X-03.31+ LOSS PAYABLE CLAUSE 1 I Ft i Rt DA1726190 FiIE KESIbI:NCE SFjI%ICE DEPT., INC. tt This endo,s meat forms o Pail of Policy No - roue! to . i OUARANTY NATIONAL INSURANCE COMPANY at its Agents ~+5 I ' 1.. by the Iii of Insurance Company) I' located (Clly and clef Pl FT. WOEtTII, hX i it effective train 02/08(65 y ltyi 't t 112.01 AM, Standard Time) !The Information abate Is required only when this endorsement Is Wulff! subiequvnt to D+aDoreltan of the pvVc I , This endorsement terms a Port of the pvlay Io whith auadled, efledne (torn It dome of roue unless otherwise slated herein y This endorsement n ihm Bach huuranco as is allorded by the prortsani of the policy role[. mo to ilia 1011ow ingl. 11f ; i AUTOMOBILE PHYSICAL DAMAGE INSURANCE (Fleet Aulornafhl s s AUTOMOBILE PHYSICAL DAMAGE INSURANCE IHon•itsell V s~ n•, . ` j _ AUTOMOBILE PHYSICAL DAMAGE INSURANCE iUeelanl q , • l ' Lois at dol01[400_0 nage, f l% any R UN under 10N this lnsu7ranc7M %hoh,ll be Potable as n'tsrctt ma a pear to Kill IMITS NOIITIIWN„IT HWY, UXI ~Ak, TX QE, I and this Inluraneo as to Iho tnterest of the Uallni Lessor, Cunc irpoo( Vendor, Morluapaor olhaf secured pony or Ahlolneo of Ito Doilmi Lei , Conditional Vi Moitgogoc at atlser secured poly thweiP tolled Kea Lciohutdprl shall Pal be invalidated by I I s,s~„ ' coy cel or neglect of the Lessee; Morigogor, Uwner of the wrlhin described oulentoblly or other Debra not by coy change in The line or owndtship of the properly; pnoI 1, however, that tiro comartlon, embetrlemenl ar secretion by the Lessee, Mortgagor, - purchaser or other Dablar Vn tassesslen of the pr Openly ri under a Lailmeni louse, conditional Sala, matgaae or Gisler stmt ' fly dgreemenl Is net covered under this InsurarQe, unless p ilitally Imair l agoinit and Prami Paid Ihemlm' and provltlcd, also, that in cafe the LesteffMe, K40q OMhor or o0wr Dcbfor shat ne~tcU In pay any pmemlum due under Ih15 fnluranta the y+ Llenhoida shall, on densond, pay Ilia soma ? , Piovldod also that ilia L,enholder tholl Puffy the canivoi V of any change of owne{lhip or increase of hater! which shall + r ` { s Como to the knowledge of lard L's Ihoider and, unless perminad by firm swancG it shall be noted thatcon and the Lfenlroldar p t f ihall, on demand, pay Ii Premium for tuck incitated hate! tomr she larm 3, the uic thereof, alhe lo,no this insurance shall to 1 1r t1t 5(,I null and void, I r si i The tompany rasorvos the right to cancel this Inwroaco of any limo as proyideil by Its tai but in such case tho companv I{ r t j c1 ' shall notify the Llonholder when not lest than ton days ih4raalfer such co::celohon s'ruli ue effective as to the Iolest at said iLl s s... I: Llenhalder therein and the company shall hole the right, on like notice, la concoi in ii Ugreemenl. ~$I-,',as ! r i If the nomad intu ed lolls to render li of loss vi ,Iti n the lima arantrd in the policy oonditons,. wch Llahholdor shall do ' fl ' ~I to wllhln ninety uae days dialectics, In taro and movief Gs PhwJcd by this intiubil[e end curt req 5ha1 46 luble[i to the Provisions oi of this mlurance relating la appmhal and lime at payment Gad of bunging suit ifs! rJ+l } fi Il, WI onevat the company shotl troy Ike Lienho dm any sum far last or damuaa unJcit Jhls Ins uranco and shall claim that, as I,~ r ; 10 the Lessee, Mail gagor, Owner or ocher 1i no liability Iheretar exlUad, the can Dairy shall, 10 the extant al such pa,manl, , I'a i, r ' t tit tS t be thereupon legally mbrogaled to Oil the r ,jhls 61 she party to wnam arch paynrant shall be mode, under 011 Lei held w -la tali Uzi f ,t' collrleros to the debt, or may at its option nay to Ike Lienholdet the s 'Ole prilidift due or to grow Jae on the malgoge Or other (~7 t {t t;t 1 I ~ ' s t,'; s• security agroameal with. interact, and shall Iheloupon remIll a lull asagnni and hander of the nrdrlodge of other Security it ' ly f, +fc U P r t r - i~ tr m; Gut no sr+brogoslan stall Impomr the I:ghr If the lirnholdor to recover ilia full omaunt tit y s a +eeri and of all suck other atom Yr s 6~ II! 001m. i I s +t'`r 444i(( Whenever a paymani of any nalsuo hecomef due un,ler this insurance, senarola payment may be mode to each party at in. d s fortis Provided the company pratotis Iho 1 01 all portlas, pYytf fA y 1 r r s s fly N e. y .h'~-.~'__ cl t `ri f t0uly Aulhorited Reprasenlottval Y „ " s r r c luE FORM Yx•0B•31.-LOSS PAYABLE CLAUSE snl s, rr tilU Toros Slondard Automobile Endotlomsnl tar Y'1 'jr t ! Prettrlbad Oefeher 1, 1074 „ , ' : i f' t{ s i' 1. to. t il y,rrf rrit I! s it '.:1411 - s sits I` s L t r .1 4ifs s , s }t „fait : , \'r J[ 1 r. s r ff~~! ~`r : , 3 tJy'Ji ; {r~ r rlt l', 111^,. i 1 pt` y{k Ire t t+ i\rrj.S+Ndyq•;a'. r.v " nl . , f t' s •t•,r s i' % \u_..., I[I..eM.. •`i rr ry r. r. aarv.m • v-_4dq LLF{t itcvlY \,\i. .t.rt i.s~.i1iH~~nt.rei.. -..I...u.1§d~ efwiln'~a}{rypwvsUK4M ru. pay,, F 1+ 0 r't £ ~ ;'li sre•u V'J it YvJJ IrsI MVYY 4YenVJY 1 Y \ s . \ \i 7111 endorsement loans o purl of Policy tJO. Rnl 726 19 usued to }jFl, TIIF i LOF.NCN SERVICE DEPT, INC. by the GUARANTY NATIONAL LN RANCE CORP,ANY l o CB \ (Nomo al Insurance Company) - • of tq Agency ) located Idly and slab) FT, WOR'Clls TX and is effective 02109/85 t l effective 4om . I i (12V A 'M Standard Time) IThs InFormltlon above is requhed. only when IMI andorwmenl if hsued subse uonf to [ q preparation of the pdtty.} This endorsamrnt loans a )loll of the policy to which allochid olfeUrve hom its dale a( filue unless otherwise staled herein, JJt. I'i I YI This rndoriemint modifies such blsuruneo as is afforded by the provisions of the policy total. mg to the lotowlag: s AUTOMOBILE PHYSICAL DAMAOE INSURANCE (Fleof Automatic) t t ' AUTOMOBILE PHYSICAL' bAMAOE INSURANCE 1 Non•Neeil. Fs I "'s ' AUTOMOBILE PHYSICAL DA)SAOe' INSURANCE (Docents) s s 1, 1 Loll 0r dome V II anp under Ihis fniulq n<a shall be poyabin at uil6re st m0~• appear to . gg Y q i 4 VALLEY N~TIONAI, . t•INANCIAi,.,t lKCOo r Bolment Lesion, 4101, UAILA$e,_.1X lS23fi and I it, insurance at to the • esion, Cond honot Vendor, Mvoicegea ar -other scoured parry or Assignee of boslmcnr Lessor, Coodihondl VoiFteu der,. of MOrigegsa ar edict secured pony therein called fie Llenholderh sholl riot lie ~hvdlldoled by it "I any au at poglttt of the Lessee, Mortgagor Owner of the within doiC1 Lcd automobile ar other Oeblot over by any Change In the \ tllle or ownership of the pioperly; provided, however, that rho converwan ambettilaniont ar. secrerlan by rho Lolled, Moilocgor, ( v Purchotor or other What in pcscsslon of the property insured undre a boilmmd lease, conditional solo, n efignga or other srcur• j !IV ogrecment is not Covered under. Ihis I05Ufdhee, uhlefs specilically nwuled agotntt and premium paid therefar; and •i e also, :hat In case the Lessee, Moaaagor, Owne- or colic, OcUtor shag lie4len to noV an y prdmlum due Irrider this nsurdncprova td ter I Llenho det shalt, on demand, pay the some. PiovWed also that the Wrilholder droll licitly the company of any change of ownership or triereote of hazard which shall come to the knowledge of said Li onholder mid unless permuted by Ihis insurance, it shall be noted thereon and the Llrnholder shall, on denlord, pay the p+emiohr for such increased hazard lac ho Won of Iho use Iharaol; olherwgr this Insurance shall be null and void. i 13 The company reserves the lCht to Cancel this insurance of any I+me as provided by its terms, bur Its such cote the con,pony I1 nollly the shall Lrenbolder iihan not loss than lea days Ihruaurr such tanceiotnn shall In elfoc Hve as 10 Ihu Imrusl of laid % I,fenholJer Iherefto and the company shelf hoic Our right da l,ku notice, to cereal this agreement, i' T t I } I the named Imurad told to render proof of Ims within the ❑aia graolyd In the policy Conditions, such Llenholder shall do + sa within ninety and days thereolf ll, in total and manner as provided bt'ti s' nt buWanea, and further, shall be 501)[00 to Ilia IF 11 P 4f Ih if Insurance Mfoltng 10 apamliol and time of "Y1110,11 and of Citing rig Suit, 1 ' b st 1rt f , Whenever the con.pony shall pay she Uanheldrr any sum to tau or damage under this insuronca and shall alalrn [hot, ds ,sy I • to the Iessco, Mortgagor, Owner or other Debtor, no liability ffioratcr exited, the toml,clny +holl, to the cillom of such payment, + II, be Iheraapsn legally subl6goted la all the rights of the pally 10 wham such paymenl shad be made, under all 1¢curilles hold as eollatatal It1 the debt or may at as option, ljiay to the Lierhaldor the whole VRncipol due ante gf0,v due on this morl(lage ar other i 1 ienuify agreement with Interest, and ihull Ihereupon too No a Lull ass y ^enl and transfer of the o,atlooga or other secu,10v li s s ' , t' r _ n rocs\ono and of qlf such afhtr secaNtlas; NO no luprogalieto Ihhll impair the sight of the Llenlholder to recmer the full amount +~t1 , I I ,'r• 1 rof Its claim.. h!\~ .;1 Whamayor a payment of ony nature becomes due under this Imsulem, sepoice peyniont nlay be mode to each party at In• t, fi i l sal t~S t i )crest provided the compony prufacts the equity of all porgos. I s + a. i i , LF1l 1. k9 s w y C . „ fOuiy Authorized Reprc•sentoli,c) ' i it FORM TX-01,31I.-LOSS PAYABLE CLAUSE a1 }t'.~ii r Texas Sfanderd Aulife lla EAdenemenf 4, t ,,',i r theeefPoad Odaber 1, 1974 I} ; t 1 t s ih { ill . IF F or fn + i w i i h~tr I" ~ 't 1, ht illl~ { II 'F 4l ti Its t , ; V H t, i,ln j T I , t ; J AI, G I , , 1+ n r tin k; taph4!1.iaSUAu..gar...~,... ' t 1 i I ~r '?r awl i; 1 .rt , PHYSICAL. DAMAGE ENDORSEMENT (Business Auto Policy and Truckers Policy) i 02/t)a/B` This endorsomonl, effective_. forms a part of policy (12:01 A.M. Standard Thno) j No. )'Ai ?z610 Issued to THY, Ny.SiUi'+G R. SF:RVttI1S Ili VT" ItX, By 60At"iY RATIONAL I ;IMAX1 LFll•' KNY COMMNV ! Indicate by number which of the below namod provisions do not apply to (his policy; l LIMITATION ENDORSEMENT A-1o&` A. The maximum limit of Liability of any one covered auto shall not oxcaod $ 1200lgta H. The maximum limit of Liability of any one loss shall not oxcoad $ 22t -011 - 00 i I VALUE LIMITATION ENDORSEMENT A~1tlt3 The most we will pay for loss is the smaller of the following amounts: A The actual cash value of tho damaged or stolen property at the time of loss but not to exceed the l slated amount as shown In the schedule of covered autos, B The cost of repairing or replacing the damaged or stolen property with other of like kind or quality, i In theoven( of alosspaymont byusofthetotal stated amount, We aroentltledtontisalvagorosulling from such loss. UNATTENDED AUTO ENDORSEMENT UA•f No coverage Is afforded for Theft when a Covered auto is left unstiondod and the key is loft In the Ignition or elsewhere In or upon the covered auto EXCLUSION - WE WILL NOT COVER . A-107 This Insurance does not apply to: Comprehensive coverage or thalt (Specified Perils) coverage to loss or damage due to conversion, embezzlement or secretion by A Any person In possesslon of a covered auto under aballmont loose, conditional Sato, purchase agreement, mortgage or other encumbrance, or e Any other person to whom the Insured has voluntarily relinquished possmilon, All other terms and conditions UUAAANTY NA'1`10?4Al, TRAUoANrk C01 ANY 1 of [his policy remain unchanged, AUn1on1&00[p0E56 HtAn Yt 00-AU 3520110.611 onlnINAI-N11fE NOME OWO,OnEth NNOntICCR CAHAnY UIIOEMA01N0 n VIN EXINA GOLnENW) d '•r I• iv, , i r ..r \ r { 5„-i nn nia<.. .c.. : n.u..~r I. Expires December 31, 19 86 E Date f CITY OF DENTON TAXICAB, LIMOS1NE, SHUTTLE LICENSE , KNOW AL t f L MEN BY THESE PRESENTS: I l for the THAT, The residence service Depty is hereby licensed, t ' or Shuttleriservice, aserlef~ned byerand aintaaccordaIImoswlth Articte IV, Chapter 26 of the Code of Ordinances of the City of I:r Denton, located at 1105 GUada1U a pjaue [ ' in the City of Don ton, exas; upon t 11 e express wr ttFn condition that said licensee shall continue to comply with all I1,, ordinances of this city and laws of the state application to sold ownership and operation.. L ] AP~R,ED BY CH JEOF POLICE Ii-tea--~ ! Da td IN WITNESS WHEREOF, I have fereunto set my hand this I. „I day ofE 19 > and caused those sealed th the o al seal of theft., piQS n s o Tie (sea) ) City Secrutary City of Denton, Texas NOTE; This license is required to be posted and kept in some conspicuous place in the vehicle. 1' 11 s St r { 1123C Ear ' ,t , ~ t r} 1 e1j1 f, f i 5r I::1 I 1 111.1 f1 It 1 f 4 t'lf'~ rjil , v~rr ~ 1 f 4 1 1 1 4 l F1t~0, t II II kt I~f~l ~ {7V I ' I[I ~ i( 4ljrt f lI ~l7 z 4 E ~ \r I t E X1.111 I I. t ' , ;gill., 'nueld,5lii2;`:Sl~i~!I'HA'#ri..~A sr i I 1 c I I 1' I~ i t i r. t , Expires December 31, 19 DG Date Not CITY Or DENTON TAXICAB, LI110SINE, SHUTTLE LICENSE KNOW ALL MEN BY THESE PRESENTS. THAT, -The Fteaiden(.0 service De , is hereby licensed, for the period sae ere n, 0 opera e a taxicab, limosine, or shuttl0 go rvIceI as defined by and in accordance with .t Article (Y, Chapter 26 of the Code of Ordinances of the City of Denton, located at 110ri Guadalu e Plaue in the City of Denton, exas; upon the express wr tten condition that said licensee shall continue to comply with all ' ordinances of this city and laws of the state application to said ownership and operation. ASP VED Y CHI Or POLICE ;2e:Ls;l Date IN WITNESS, WHEREOF, I have hereunto set my hand this day of ,rr-a Y~ 19 and caused these presents -to `15 sealed 4 h the o fcial seal of the /it' c ~ t CI y Secretary city of Denton, Texas NOTE; This license is required to be posted and kept in some conspicuous place in the vehicle!. s~ ylt: , r , -r ~iM It tt , I t7~~, t ++I yl ; 11230 , 3 h a ft t t t 1` ` I 1[ t', ' its l~,t~ tl J .I 11j~{ 1 #1!! S I ` , r ~ V{ (t I I 1 t "t lit r I t , lY. c t t I 1 1 1 1+ , ..ei+r N}.tMJ , l jt { H _ . I I art ,1 l ! ~ f ' ~ ~ ~ ' [ r'] A If F Y .a t ,2 Y 1{ S 'i 77' - f { I { Ira} ! ~,.Jw~i~`~ri eMw,r ~ nai#riw;~~a{ . wrw.w.e. .a1~ citP., ,a..Y~. .ki~~r3.,i~a.ll~T a1F. lae t~oP)Sl ~.jMY Expires December 31, 19 86 Date No. i CITY OF DENTON TAXICAB, LIMOSINE, SHUTTLE LICENSE KNOW ALL MEN BY THESE PRESENTS; F ~ THAT, Via Residence Service Dept, is hereby licensed, for the period-stated her67n,'-ro-op-orate a taxicab, Iimo ine, or shuttle service, as defined, by and in accordance with rrY Article IV, Chapter 26 of the Cade of Ordinances of the City of t Denton, located at 1105 Guadalupe Place , ('Ye in the City of Oon on, exas ; upon the express Britton l[' condition that said licensee shall continue to comply with all ,r ordinances of this city and laws of the state application to , said ownership and operation, FFrt' APV YED BY CHI OF POLICE Date /J IN WITNESS WHEREOF, I have hereunto sot my hand this day of < 19 6 and caused these pros ne ed~t,e o cial seal of the it ` seal i TC (seal) City Secretary I City of Denton, Texas {t I' ) yy~t rr { NOTE: This license is required to ne posted and kept in some '~~r`" , conspicuous place in the vehicle, i'.~ j ~j( {li I i f +1 tit 1123Ci~~`t ' liy art Ft rry , , 4%- 1 vF'I, it ' I,~~ a 1 ~+Y] 7FsI+} i t r1 Z' Q ~3i4` E r: It ~to S ,I t 4 t t 1 r rr ,f , J~if ,f j Fir ' '..t ! p IP I r.. } 1 " r t ' 49 r' 7 n 0i i 1 t~3 t . , a, , r I I I c 1i} s„ ` h S 7t 1 ~y 1 O( _ ssuF rz rql nvvl a. i PIlODUCKN TIIIB CERTIriCA1E IS ISBUrO AB ATAAtltn OE IfIrOr1IAATI017gNLY AIlu CONFEnS I $ CO. t~ 4 ~E~.. JiJ NOMMIlS UPON INL CERIVICATE HOLUEII. THIS LEnTIFICA7E DOES Nor AMEND, ` ( EM VID OR ALi En ❑IE POYFRAOF AFFORDFU BY T,IE POLICIES BELOW Y' PIC, Box 461867 Garlond, Texas 750 ' COMPANIES AFFORMIM COVF17AQE Lnf I r 1 iiv 1l. cA in"Y A Land:herk Amorican Insurance Co, r ' iNSUnEn - ulTtn R Guaranty National Insurance ro. The Residence Sorvice D4pt., Inc, P.O. Box 6040?. c°fifilNY C Denton, Texas 75206 LIMIT M LLneIT n LOltl:IF u Hell ISISTOCENT{PY Til NOlWttl A ATPOLICIESOPIN^UIIAIICELISTEnntLOWfrAVC JIU SOUCUIOTFIE INSUIEEUNAMLO ABOVE Pon 1}EE POLICY PenIODI1IDICATFB BTAN01E}q ANY REOUIRFMcNr, fHAM ON CONVITION Or ANY CONTRACT OJIOTIIUI OOCUAIE11T IYITPt HESPECE 10 WIIICH T PIS CENTIrICAIFIAAY nE ISSUED ON CIAYPERTAIIJ, THE INSURANCE AFFOIMIEO BY TBG POLICIES DEGMI)CO FIMEIN ISBWUL'CT 11) ALL VIE TERMS, EXCLUSIONS, AND CON01- TIONS OF SUCII POLICIES, _ GO ,1. 1 rE '.rT I I H C UF I NSUMNCk" LIArl L irr I P,MS III YI(OIIB_ANOS I Lill PULL",NO Olfl fAAtivF A~+3• U 4 Vf Y, LSIf lS 1111, VI-4 I I AUCHILWE aEChsnAl uaealTY _ - - I r,e 1 _ r,,x;I+nrPlar>A'rP(>a.:l :JjUcurl. $ g PR1IAISE5101'LFAIF)'IZ I._..,, Puucrnfv r "IM MIND rxALOSK>4 a Ea1APSL nAYAld1 CIA 'AQ[ S I'ItU1UCT51l7A1Ft C1f0 WEnA IXLNS IX1.411UCIUAI Ei a Po " tcW C:`I,b $ IrrpLFkr,Dr N1 COIN nA(1CR$ , , BR(}Ab fUVIA MV)IY AlY DAIAAGL ; PENSLWAI. INJSII'{ PCTIBONAI INJU hV $ -AUTOMOBILE LIABILITY MV ' ` ANY A1110 nrA to HArr, $ 1 _ Ail fTANEU A.U1U$ It7try. PASS) AM A x ALL UNTIED Ames (gh RP I, I~ 6LA2012040 2=0-$6 2-8=07 $ ! P0 M, NEO AUIOS [AYAO ell 1 ` $ t I CAMBT LMBIIIfY I v _ LDU,uru $ 500, ExA,EBSLU~Itnr . UMNRp LA IgtM Si. A PO t I ~ OTHER MAN UMBFELLA ICNA cOU.SUIUr $ J$ l WOhKCn B' COMPDNSAVOM st Aturpn, i ` j u $ IUIH ACf Ran % AND I ITAF OYEM' LIABILITY $ IIISCASr Itit'CY LUNN _ , 117; (AS( tAUIEIIPU)'rLN B Auto Physical po deci. F1rEi,-T(ie t,0 i $1,000 ded. Collision _ .__banla a BA1727462 2.0.06 2-0-87 I OFC(.ltll'iION Or OPr11AlIU Jy"'-- - - - IOCAIIOtIEWL!{IClE3~fi1 rCIAL ITEI,'S - I r`II ~ 1 City of Denton 611OULO ANY OF PIE ABOVE OESCIIIBEO POUCIES OF CANCFLLEU ouone 7PE Ex. J PIRATION UAYE TIIEnEor, TIIE ISSUINq COMPANY WILL LIMEAVOll TO 216 E r McKinley MAIL tell DAYS WIIIrTSN NOrfcr. 70 THE CLA11F1CATE I10i.0En NAMEII TO THE - ' ATTN. Charlotte Allen I,KET, OUT rAILURF 70AIAt SUCIINOTICE MIALLIMPOSE NO DDLWATION 011 LIABILITY L?.% or AHY MIND UPON T11F CO nAN Y, ITS AGENTS OR NFFRESENTAMCS r r Denton, Texas 16201 arA~~ 1 l~ 'oil k wpm W I I ~ l . rl a If"' t f 3 P ANT i GUARANTY NATIONAL INSURANCE COMPANY ?heDetlarabons No. UA 1727452 (Advile a second f INGI[MDOD, COLORADO $0151 part 0(a IS na led i "farl 24. { De~2Nbisa_ - Rent Rai of umbfr DECLARATIONS--,BUSINESS AUTO POLICY F 11 ITEM ONE NAMED INSURED 6 ADDRESS FORM OF NAMED INSURED'S COSINESS' :I TLIR RHSIDI:NOE: SERVICE OEI''L'.> INC, I~CORPORATION;I] PARTNERSHIP; f IHOIYlOUAL OA 1 S P.0, BOX 50482 0Onl(R - y OFNi'ON, 'PX 75206 NAMLDINSURED'SEd se NFSS SHUTTIdi SERVICE Rf PRESLHTALIVE', Agent or Cloker , -I 'y O(hee Address r G'/AI RUSSELL cxncE, INC, TaAnand Silt , DAViS-LAYER-MAX, INC r) Ilk lt: 4h L'Gl Y'APdldllI 1{.IUS! 1 s ,4 POLICY PERIOD Pohct toicis IROM 02/08/86 TD 02108187 12 01 A M Standard time at the Named ITEM TWO--SCHEDULE OF COVERAGES AND COVERED AUTOS Intuleds Address Oiled above r this DONCY provides only Ohio leverages Xhe1e a charge is shoran in the ;III (ohimn betoA, Larh of these ldvtrage! well apply Only Io Ihosd autos shorn it COVe~ed colas ` l Autos are shaven as edvered eulos f01 a paHiaalar coverage by the entry of one or more of the symbols from ITEM THREE neat to Ire name of the lo4efage. C` r COVERED AUTOS T. C01'(AAGES i,mim010,o fiYoX 10,, LIMIT r. L NO At h 1001 at, 711E MOST WE YOU L PAY FOR ANY Oyf PREMIUM i r w_ for,rre mitaq ACCtO£NI OR LOSS PFASOfIAI INIUAV PR 0I ECIIoil (P I I') SEPARATELY STATtD1N CACTI P I P ENDORSfMENI RHO far equNalem No to ell COverefeT ` ! DedurGWe g 4f46 F -f I ;-l r . ( err tJaea No fia9 roe r SLPANA)FIYSTATED IN EACH ADDED P I P. EH UONSEMENI _ PN.k FRIYf hPq ION INSUPANCL(1' P I - - I. i ) SIPA aA.Irv <TANBIh THE Pfl EN00RSEMFNf MINUS ` ` IM it V r Ue'i tl•t IlY ACCIUEHI ! r+ AUTO MCOICAI F6YMt N' Ih SONAhf E 11HINSURIO MOfOR{5)5-INSURANCf g - I.- w - - ~p 500 Ueduu bite FOR [ALIT C04FAf D AUTO FOR At I L ! I CASHLVAL11t ! Ut C - - OR GOST OF LOSS FACT FIT FINE OR L10H1 KING IH 01) - - ,I R4~ SPECIFIED PERILS COVERAGE AFFAIR $75 HedKill to FON UCH COVERIO AUTO 104 LOSS ! CAOSIO IN NISCIII I ON VAAU1tl51a is - COYI W(E S Yr TOE LIS H RAC( LAU IS ~v 'l ;9ll Q(I j t e,- _ 373 l01 each dnablone~l of a Fir 'Wale ti fOW1110 ARP OR MINUS IS fORhIS AtIU[HI19RSf MFNIS (U'OAOkD IN 11115 POLICY A? ITS IRC(Pi 10 0 OtUu the TOR IACII reit[REU AU TUN , AU3526; AV351 7) 1'X0331 PnEMmM TOR FNOORSTMENtS 1 ~ESIMAf Lti tnlAirgtMlhNt $ j66U, UD ' ITEM THREE- Reiter m it0 vae f,de lap OESCNIP)f0tl OF COYI NLD } I'Cirr it 0LM l!YD Conpd - i AU 100151GNA I I ON SYM 8015 I moregh 9 Inlet SYMD(i1 10 01 SCRII'IlLL Oh b,•r - _IIon rn rse si le l0, ezp analrn Of Eatl.acrd iolal prcrnum HE FOUR-SCHEDULE OF COVERED AUTOS YOU OWN DtsCRIP1i6N fu rsl+ l~- - - - ' AN0 r+ u;dd i-m n e net ire - A p'1{ 1111111II ORY IoAnA 5l a le Where the Care ~d hu _ kr,; h rxr Isl vrrri mr ~r r n, wr (41" o,.r.C,rl „I r,. i~ Auto "If he Drrunpalle garaged I, I _I 1987 CAllITLAC LINIOllSIN1 PASS, #5599 r 70a000,O0 I)T;t10'va TX 7 1985 E'tlhq VAN 8 I'ASSENCCIt 812'1.9 800.00 U1{NiON, 'I'X r L• ] I98h POI20 VAN 8 1 1 A S S I NGlsf( N78213 s a 17,000,001 OT.NIOht iX CLA3 Sfir-al Dill- Care td AA No ou^tl ' i it it yore see uvw, tlew A t it y ( sec av Lanpl for tcAinP all phyveal damage hit rt payab a to YOU and the loss pity r uUit 01 vthr4 a R,ha CoAt I_ E H0 ra+eq cam Arlie i p4re named ktmv as mlernsis may appear at the ime of the TOSS I, _y c Commit SelaeGpAn4 igle I,Crw 50 4 L'Ai5 1 52ri 100 ~CNIGHIS OL Gb]UNI>lUS CRCllIT, UN~43T_ _ g 50 8 LASS 4 525 100. _ KNI61IS, Oi CDI UMI7 {S (RAU11' UNiQN~__ g 50 8 E'ASS 3 525 LOU E - VA 14 N_A:I tONAl I I,NANCIAI ;CAP (CONTINUED ON PARE g) I !g!r . ( HUSSI I T. CRA( INC, `pr Counlenignslure dale. 02/28/86 8W COUnfasrgne00Y `!At' 1'T, WORT11, 1'X ORIGINAE hithmoea RtnuseMrhm IIIIS! f' 2.` LI AAAIIUNS lOut rill N Al III EIII OUSINFhS AIIIU 1111 ICY I ROVISN)NS ANIr I NOONS1 MI IBIS I it 1805611 E Ad(Ed I to) A N Y 155 0 1 U rO I ON M A IAN I I H I N I Ol CUM it 11111H A HOv I NUM H I RI O 1'01 If . r, r„.i,., •II . , { C E I I i r ~w at IF ITEM TWO (Codt'd) (Explansllon of "Eslini Total Pfemium") The estimated total premium lot this policy is based on the exposures you told us you wt„si ;nave when this policy began. t ppoo , We WIN compute Your final premium due when we determine your actual ex sores, The eslimaled total Iremlam wlfl be credited against the (trial premium due end you will be billed for the balance, it any, hl the estimated total premium exceeds the ImAt premium dux you will get a refund, To ji, delerndm s your final premium due we Iney examine your records at any time during the period of coverage and up to three years afterward, if this policy is Issued for mote than one year, the premium short be computed annually based on our fates or premiums in effect at The beginning of each year of the polity. } ' ITEM THREE-DESCRIPTION OF COVERED AUTO DESIGNATION SYMBOLS r SYMBOL DESCRIPTION 1 l 1 ANY AUTO, 2 OWNED AUTOS ONLY. Only those solos you own land for Ilability coverage any trailers you don't own while attached to power units you own). This Includes those autos you acquire ownership of after ; the policy begins. 3 OWNED PRIVATE PASSENGER AUTOS ONLY. Only the pdyale passenger autos you own. This includes those private passenger cults you I acqulle ownership of altos the policy begins, 4 OWNED AUTOS OTHER THAN PRIVATE PASSENGER AUTOS ONLY, Only those autos you own which are not of the private passenger type (and for liability car. erage any trailers you don't own while attached to power units you own); This Includes those autos, not of the private passenger type, you acquire owyrship of after the policy begins. O OWNED AUTOS SUBJECT TO NO-FAULT, Only those autos you own which and ragm a to have No Fault benefits in the slate wham they are licensed or principally garaged. This Includes those allies you acquire ownershlp of after the policy begins provided they are-required to have No-fault benefits in the slate where they are licensed or principally garaged, fi OWNED AUTOS SUBJECT TO A COMPULSORY UNINSURED MDYORISTS LAW, Only those solos you own which, because of the law In the state where they are licensed or principally garaged, are required to have and cannot reject uninsured motorists Insurance. This includes thoso autos you acquire ownership of alter the policy begins proytdod they are subject to the same slate uninsured motorists requirement, 7 SPECIFICALLY DESCRIBED AUTOS. Only those Autos described in ITEM FOUR for which a premium charge is shown (and for liability coverage any trahers you don't own while attached to any power unit described far ITEM FOUR), 8 HIRED AUIDS ONLY, Only those autos you [ease, hire, rent or borrow. This does not include any auto you lease; hire, real, at borrow from any of your employees or members of their households. 9 NONOWNED AUTOS ONLY, j Only those Autos you do not own, lease, hire or borrow which are used in connection with 1 your business, This Includes Autos owned by your employees or members of Their households but only while used In your buslness or your personal affairs, ITEM SEVEN, PART 2-0EFINITION OF GROSS RECEIPTS OR MILEAGE j ,Theo used as a premium basis. FOR PUBLIC Aufot Gosa INOtils meets the lotil amount to which you are enltlkd for Irompor ife palsenseas, ;Mail or merchandise during the policy period reeesdless of wS 4hea you or any olhev calaer alsfnHe The IrImspollalion. Gross fleceipls dots not Ifclude: A Anounis you pay to radWads, stamahlp lines. airlines and other stairs carriers operallna under their own ICC at PUC permits. B Advedinns Revenue. C. Taxes which you collect es a saparde dam and retry shiml y to a povtinmtnial division- _ D, C 0.6 coliuriont fm coil of mad or merchlndise 15dudme cotlotlion lets Alutayl means the loud iive and doss mileree of ell re vepue producing units optW0 during the policy oviod.. FOR RENTAL OR LEASINO CONCERNS 01011 RNeiall metal the hill amount to. which you are entitled for The leasida of finial of autos dulieg the polKy period and intrudes taffies except Ihole files whkh you tallest is a separate ilem and ramp dliectiy la a povislinemal division Militate sterns the tolet of all live and dead mileage develobcd by all the trulos yar leased or rifled 10 olhers during The policy period. i T ` 1. t .•'l i tIr s$=rk i 1tr..I .4 e, ..'t' - y, GUARANTY NATIONAL INSURANCE COMPANY. [xcsIN000. (00100 101lS PART 2 ' J 7 4 5 2 DECORATIONS-BUSINESS AUTO POHCY-)Conlinued) ;1, POLICY NUMBER'. BA 17 Y. rl •A , rt SIt ITEM FOUR - (CONTINUED) COV[RAG[S--PR[MIUMS, LIMAS AND DEDUCIIBLES LAbSEnne of a dldu tlib ie or limit Cal Iv Inshr cvlunm 1•tlow means That Me fiord vi dtduclible envy in the torrespondlP[ ITEM TWO column applies Insleadi _ T f CAG_ --A U PR OP PA01 _ --UriIhSVAlO APlcIlso Cot 1510N IOWINOa :I UA$II ItY PIN j~p IMgh net AUIU MID PAY rAdIDR1511 N'1N78R1E9MC 11111(5 e 5 Calved - UmC (rm1' I If It I It mm ut t r rnr - Prr dmaw,Ve pit Mda Pit Nn pie I P¢ li ml fdWo T D r/h1r Rule annu l (Torso mnl pit ON r Pte mum 61W Nt dyAttlle dtlatl b4 Prlmmm Meet No t ' Premium thane m ncou mum enonn mium IUm um AAO.n Pram um R Mow Aho Ae Mile sr tl,all Nona btWa unatl _stnesl _._.troe 100We A 0 1000 II s 1000._ 158 p 54Q. - _ 610 _ 1: Total Premium \ lrmdselltdrnd thipplalli P. IP, Aaafe PIP V p.Pl (neonlmMl _°(m11Ulto in llfM Two. ' ITEM FIVE-SCHEDULE OF HIRED OR BORROWED COVERED AUTO COVERAGE AND PREMIUMS, ; LIABILITY INSURANCE-RATING BASIS, COST Of HIRE - STATE E511MA7EB C051 Of NIA[ FOR TACIT SIAIF RATE PER EACH $106 COST Of RIAF 1AEMNM Cost dEblu meant the tolat amount Cog Incur lot The hoc el solos you don't Orr Inns lRudding Solos you borrow of lent Ilom rout eOmpAUyees mllheil lamily members) Cost or FHIe does not include charges lot services perlodmed by motor csuless 01 1o art of passel ors PHTSICAL DAMAGE INSURANCE --NLI OF LIABIIIh'~ - - MIT COYFRAU(S CITE MOST WEWIIL PAY, OCUUC ISLE RAIL MINIMUM PAFMIUh1 PREMIUM S WNICIIEVfR IS ICSS MINUS $ Dcd $ 1 r - _ COMPAfIIENSIVE ACTUAL lot EACH COVFRiO AUTO, FOR ALL LOSS EACIPT PIPE OR LICHINING ' ' - CASH SPCCIFIFO PERILS VAIUF, - S WHICIIFYCA IS LESS, MINUS $25 Dld. FOR (M1CN S S COST OF COVERED AUIO,IOA LOSS CAUSED BY 1ISCIIIEf OR VANDALISM REPAIRS - - - $ S COllIS10N OR $ VOI CHIVER IS LESS, MINUS S tier ) FOR EACH COVERED AUfO it -I sOIit Fli IUM PRYSICM jiti INSURANCE for co citil autos you hue or Entree, is excess unless mdo lld II Inw by 'Ix II tti ,.T I J II Ifs box is 0011d, PHYSICAL DAMA01 INSURMCE applies on a diie(I pl,maly basis and lot purposes of the condition rnlillcd Ellin INSUHANCt, any rovesrd I Sulu too hirr a, borrow is deemed In be a (Closed Sulu YOU den ITEM SIR-SCHEDULE TOR NON OWNERSHIP LIABILITY i - _ IiAMkU 111511RI U S DUSINI:S$ - AIN IINo 64S1S I[UMDER I'A{MIUM timer Than a Soslal Sane( Agenc;- Numbrr at Emplus'ecs S 1 NumLCr of (mplvyres suds! Slwfre Agency Number va YMdnleerY S I ITEM SEVEN-SCHEDULE FOR GROSS RECEIPTS OR MILEAGE BASIS LIAB1LFiT INSURANCE-PUBLIC AUTO OR LEASING RENTAL CONCERNS ] Eslirnaltd Yearly RATES PREMIUMS - - - st an Cross Recelpls E] I'er SI00 0l Gross Receipts t E ❑ Miluie L] Pei Mile LIABILITY INSURANCE AUTO MEOXAL PAI Ii15 I '-~TIABILIIY INSVRARF['' _ _A17Y0_A, ItiICAl PAYS j• t r REFER TO RLYf.RSF SIDE OF PART I FOR J TOTAL PREMIUMS S ' DEFINITION OF CROSS R[CfsPIS AND MILEAGE ORIGINAL ~MINIMIIM I'At MIUMS S _ _ S 1 101.105yIElAAIId 1861 intladiIits, 11 iedMT,rn o,iayu T;r.I, ye t le lltD(t ~4 drit rfv Glt, an tv rnrz yr nt ❑n. Itlr 19r9 CA❑naide nlaoF. r )1J ,li "klf rich :'i it ~~jlr..i rl ld,lor ul rj `r n, x i , a'. , a. u:2 ? /tr, . r} ,.'rr r i 'f, q• ,I ' .:r i..d,x :.as.ta~, r,.~»,rnuvs•d J,a ixevxJs,..-.. , _ .~k ..,,....+,nhrai•4i,.w,.r.,.wa.wv.,...,ss. >.tv~or+v:nw.w~J*e. ~rv. -0-1 1 :KIII { i 'ts TX•03w31. LOSS PAYABLE CLAUSE lJ tit $ a Paul of Policy No, RA 1727A52. hsued In THE _RI:SIDFNCE SERVICE gPPT, s. INS, „ 1L'IIt i ' by 1lshahrdorWARANTY NATIONAL INSURANCE COMPANY, at its Agency ~ry~~tl r (Name of Insurance Compony) locdfcd (city end stat 02/OE/BG.,. r i , 112:01 A,M, Standard 71me) i s Infernselloe obaye Is mislead R anlls vws and Xendortemenl Is hsued subsequent Cl'oe from rI i i Au only when this Prepsralton 01 Ilia polq,l s i t yr This endorsement farms a pmt of the polrcy to whleh attached, rflrcbve from Ill dole of lisue uniltl othoiwisr slated harem, , l r`. VF111CLE A9 t it a °i~ 'r This endon¢nwnl modifies such Insurance as is olforded by the provisions of the 0ky total. 751 r E~ dt r. 1, imp to the foltosars s s r AUTOMOBILE PHYSICAL OAMAOE INSURANCE (Flats Aulontet 1i L" AUTOMOBILE PHYSICAL DAMAOE INSURANCE IHon•Fleell r ' AUTOMOBILE PHYSICAL DAMAGE INSURANCE Witulell} + F h I Lau or damage If on , under this Insurance shotl be payable as interest may appear la VALLEY NATIONAL t !i FINANCIAL SER~1Cl CO r,,,4,255.LHJ,„,PIOI, ,,,UA4LASr TX „ 75,!74 end Ihfs Fnsuranee 0s to the 1,1111111 at the Ootlmanl Lessor, Cand,llono) Vendor, Morla.Vis ar other secured party or Asslgnee of 6oilment Lessor, Condulonol Vendor. Morloogeo or other secured party Ihewtn called Ilia Uanholded shall not be myatidaled by c ! ' any act or neglect of ilia Lessee, Mattpogor, Owner of the wnhtn desciii automoblla or other Debtor mu by any ck0npe in Ilia ` + r lipo or owr ip of the propcdy; proyh1ed, however, flick Iho conlenton, embortlemenl or seereton by Ilia Lessor, Mortgagor, 1 Purchaser or oihos Debtor In Mlsessron of the property inwted under a b011ment Irma, Condillonal sale, rnoJlgoge or olhei seeuf• fly oglormenf Is not coysred un4vt Ihls Insurance, unless spacllikolly Insured dgotnsl and plendum paid thNCfori and proyrded. also, that In case the Lesser, Mortgagor, Owner or ollier Debtor shall neglect to pay any vicintum due under this insurance the r Licnholder shall, un demand, coy the tome. Proylded olw, Ilia` the Lllnholdal shelf notify file tomlwny of any change of ownership or increase of hntord which shots ' Coma to the knowledge of sold Lanholdcr and, unless permil,rd by this Imurence, It shall W noted lhereon cord the Lienlialdrr h[ shall, on demand, pay the premium far such increased herald for she term of the use Ilrrreof olherwisc this insurance shall be null and cold. the company resolve$ the right 16 cancel [his rmuroncs, at any lima as provided by its terms, but In luck ease the Company shall nosily the. Llonholder when nol less. Ilion ten days 111CM01ICr such COKC1011on shall be effective as to ilia interest of sad I' > s,Ctr %:y Llenholdor Iherein and the company shall have the right, on lNe naliee, l0 cancel this agreemcnl, If ilia named Insured falls to render pioof of Foil within the time granted in Ike polity condillons, Seth Lienholder shall do F. i to within ninety thou Joys thereafter, In form will manner as provided by Ibis insurance, and further, shop be subject to ilia provisions f, Of fills Insurance relating 10 appraisal and Irma of payment and of thinning suit . Whenever the company shall pay the Llomholdcr coy sum for lost or dahlagt under Iles insurance and $11011 clalm Iho[, as to the Les511, Modgagar, Owner or other Debtor, no 110I)I iy therefor C.I;Ied, tine cam Pony shall, to the ealenl of such payment, be lhrrcopon legally sobragaed in all rho rigbrs of the roils to whom sveh payment shall tre modC under oil securities hold as rutlollroi to the dobf, or may or Its option pay 10 fire LionholdN Iho whole principal due or 10 grow due on the rnerigage or other xcmity apretn+eni with Interest, and shall Ihcrcupon receive o full atilp,micoi aid Uunsfer of IhC owrigage or other security apreemenl and of all suck other srwritift; but no subnMo1i" dratl Impair IhC right of the Licol,otdot to (ecovrr, ille full emoJmt of iN cram. : Whenever a payment of any nalure becomes duo under this irpuronce, srparora ioymcar tray be n•nde to each pally as is le'ril proyidrd IhC company ptosecls the Cquity nl all pales. (/r~) RUSSi I I GIv1~t7 INy', E' by kl;C•L C?~.L' ( 7 r lCa. _ i IDhdy Authors aid Rcprrsrnlnltvo! FOAM TX-03-311.-LOSS PAYAf1i CLAUSE -J Texas Standard Au rorrobte Errdot emenl PrtstHbed October f, 1914. 1- s s ri l• 'u I 'biRl )1r~ S ref, `:ISrA ~iJilrv}, \ss.r.{_ a,. t', to- _I. ~J r ~T .I sll~r..~ n w i n 1 w I } r I~, ri s ti ji esivssl ! r s C n3 r .«r v~ vLt n ti r-)I r t't 1 :.f +x rs-~..' .-s.l .u.,..., u.e.~r .'wInMMG.,ex.,..,. «+.,s. .i. rn e..rwvwaui V::.-d.~i ~.il9iv k....2 t';5.,.~wsv:l.si.yaWir{w,iw ,l"e_i~..d.i +~•y{;iJ) \-Aly ~ r•r tt 1+1~ i 1 S s~tis TX-03.31, LOSS PAYABLE CLAUSE E`l I „ i ihh rn4orsenledt fore", to Poll or Policy No, RA 1727452 issued to THY RP1SID.ISNCY, JERIII I)SPT, r INC. A sx tt ` by the GUARANTY NATIONAL INSURANCE COHI'ANY t t r (Nome M Insurance Company) at lit Agency ; s 1 h+ orrJ Icily and state) NT',IJGRTII I TRXAS 02/U8/8G ic1 r } ' and is effective from 1 tl `r- (17 01 All sim,dord Tense) 37 'n2 y 1 iThe fafnrmollan above is uqubed only when thlf ondawmenf Is i{sued snblegrunt To prepwolloh of Iho poUry,l This endantil l fornss o faro or file policy in which al tod,cd, aflecuve }ram its date of issue unless otherwise slated t,erei ` i ' o, t i VI1 IICI FS Al R 2 f 14 , r err This endorseaiant maddros such insurance at Is afforded by the pwvLlwn of the paficy tel01, r 'i L r Inp to Ilia r011owing Y cl •.I- AUTDMOIILE PHYSICAL DAMAGE INSURANCE Ill Aufampolie) v s l ,i r~ , s AUTOMOBILE PHYSICAL DAMAOI INSURANCE INon.Fidetil , sr r AUYOMOErLE PHYSICAL DAMAGE INSURANCE fDealnd l ' 1x11 at Jomoge if any, pride, U, ensWOnce ,hull be hoycble as Interest mayoApPoar Io KNIGHTS U "I god IONS In Qrnec~eNa SlaC.. L IN. . , If. ler1 .1 of Iho O'meet . ....G, Coo{dlp oq.... odor Mortpo w ...seTe tWed patty or Ass lgne I o ` r ' Ilailmenl Lester, CendlKi l Vendor, Morigogee or ether secured party (fill called ]lie Lienhsalder) aholl nor be Mvolfdmad by r ,.r any act or naolpct of the I csue, Mortgagor, Uw net 4'I 1110 wilho, described autormill or other Debtor not by any change in Ike 1111o or ownersh ip of the properlt, Provo od, however, Ihal, the convi loll, embetclemenl at secrerion by the Lessil Marlge,ar, Purchaser or other Debtor hr possession of the properly insured under a bullmem lease cend,tionol sale, ntorrilil or other ,acur• • Ily agreement Is nnl covered under this Insurance, unless specifically insured against cord premium gold rhetafo 1, and ricivlded also,. that in eose the Lessee, Mortgagor, pwn`er or other Debtor shall ne lcct to Llers11olde, sfiall, on demand, pay It,, mme. g pay non, premhlm due under this Insurance Itne, Provided also char tht l.tehholder sholl notify the company of all change of ownership or. increase of horard which slrolt coma to the knowledpa of sold Llenholder and, unrl purmlued by this insurance, II sholl Ise rooted Ihcreon and the LIerskoldc, sholl, on demand, pay the prenslum ter such increased hacord for rile Orion of the use Ihereori otherwise Ihrs insurance shall be null and sold The cor lrirny rase Res the right la cancer this resonance of any time as provided by Hs terms, but in such Pose the carnpany a f shall no Hfy the Llenholder whets not less Ihon fen days lhu rafter such cancelollon Shull be effective as to rho interest of said Lienholder therein and the company shall have the right, on like it lire, to cancel this agreement, If the named Insured falls to render proof of toll vo lror the time grontcd in the policy conditions, such Lie nlmlde, shall do so williln Winery. one dogs Illeli alien, in form acrd nanm, as provided by (his 1n ur Nice, and farther, sine ll bo subicci to the provlsimns of this imuroece relating to appraisal and rune or Iraymem cold of bringing suit Whenever Ilse company shall goy the Llenholder any sum for hill or clowuae under IRAs irlsuranco and shall Oomr that, as Ia Ilia Lessee, Mortgagor, Owner or ether Dabta no hit llify Iherol existed, ]he camps ty sholl, to Ilia extent of un6 f±0me0r, he (hereupon. legotl sobrogolcd to oft Iho rigllts of the party to whore such payment shalt ba made, under all seaurrllos hyeld rs FFF collateral m Ilia dell, or may at its cllHUll, say to the Lienholdct Ohio whole hrincipol doe or to grow due on 1110 Moirgage ar of lice security aorcoment wills Mfr re sl, orid shall (hereupon receive u lull asstgm"cm and transfer of Ilia rimagoge or other sec Gllly o~roemi l and of ail such other icewlne s, but no euUrogalion 111011 imi,ar the right of the Llenholder to recover live lull ohaunl a Its claim Whenever a payment of any nolure brit l die under this ilnwiuit,`, scliurale goy mCiN may be made to each party al in serest alovrded Ilia company prated, the equity of at) peoples RUSSE/td, ylli INC, fly (Duly AWlrorired ItrtpresanloYme) rORM 7X•03.31.---LOSS PAYABLE CLAUSE Texas Sfandaid Aularruc ie Endolicil Prescribed Octehet 1, 1974 - - „i r . • r , 1 ~ l 1, 1 ( t ,I r y N r,f fi~ t , . 1 11~ E! 4., fitz.:l'~8 ~ 1+~~sf 31' 99r i! ' ;ji X41 t 1 i? t j M1'e t + `7r` y„t,a'T.t{nai w~<,eAgFt~.M~K~tjRf~uvP~K n... 1 I 1 , l } 4 1 t, , i`s S ~ 1 .rv tl. ~f vt. l lvt~ fig i , 1,% 1 r rust r 1 i I 4 y I ~1)M I~tl yit' 1 fit. l ,lalm,.nen orpaptY No, 8A 1727452 1},~/ f 11 1 f iMleendormmenleHetlive 02/00/86 S+"' . 112 ei q.M.l ekbndeaf One) V y { r' l,uedlo THE RESIDENCE SERVICE 4E@T.,INC, it P,o,,EOX 50482 DENTON, TX 75206 Il ~ f~, 11 3 t~1 e-1Y}rf , i ! 1 I 1 r n+1 11i r ~}31tF,41 f4, , I,,I,r , MILEAGE lIMl7A710N ~ COMMERCIAL (Truckers pollcy and Business Auto Polley) i •4 I~fl 1 1 ~ , In t ry 1.1 50 MILES RADIOS * 41 ~ t h 2i~; ~ +E lyl tE ti't 1i~61 x ;t 1 t ,L.i ~GI No coverage Is afforded for Any covered automobile oporeting beyond the k mlleago radius Indlealed In ITEM 04 of the declarations, i , It rl ,n S rtl 11y.~~. i~~~,l}~i r(l 4"111111 fl All other lermti •rld eonddioM of the polity rameln une he need. i +21 , fjl _ INC. RU5 VLL CRACK, 3 Aut6arlted neprt,enle liv0 J 1A AL 00-AU ss+r lean OFlICIN , ` 1 1 f 1 s i ~II 1 1 t' 1 r 1 >^Y~ f ~i.l1j)1.ri v4'P I.1 ~ i~ 1~ 10 lr_ 0 -t' t % +x.,.ta..v.+. w>rat~ 71 PHYSICAL DAMAGE ENDORSEMENT s . j (Business Auto Policy and 'Truckers Policy) tt , , f , I sr• • jfltf ~ 1 1 r~ 02/00/Bri forms a part of policy r This endorsemenl, offectiva tf2.ot A.M. srandafd Ilmel 1y1` F No. EA 1727452 f. ' l l i ` f Issued to T11E RESIllENOI{ SERVICE DEPT,, INC, GUARANTY NATIONAL INSURANCE COMPANY If{~ f l By OOUpANY :St i~ 31~f i ! tr Indicate by number which of the below nsmed provisions do not apply to [his Polley, ,I f LIMITATION ENDORSEMENT a ; A•106 g 26,000 00 A. 'rho maximum limit of Liability of any one covered auto shall hot exceed 47~t100.00 8. The maximum limit of Lfablllty.of any one loss shall not exceed $ VALUE LIMITATION ENDORSEMENT A-106 The most we will pay for loss is the smaller of the following amounts: A. The actual cash value of the damaged or stolen properly at the time of loss but not to exceed the stated amount as shown in the schedule of covered autos, with other of like kind or B. The cost of ropairing or replacing the domaged or stolen properly quality, In the evonl of a loss payment by us of tho total stated amount, wears entitled loall salvage resulling from such loss. UNATTENDED AUTO ENDORSEMENT LI, i UA•1 No coverage is afforded for Thelt when a covered auto is loft unattended and the key Is left In the Ignition or olsowhere in or upon the covered auto. EXCLUSION - WE WILL NOT COVER A•107 ' This Insurance does not apply to: Comprehensive coverage or theft (Specified Perlis) coverage to loss or damage duo to conversion, embezzlement or secretion by A. Any person in possession of a covered auto under a badmenl lease= conditional sale, purchase agreement, mortgegn or other encumbrance, or B, Any other person to whom the Insured ties voluntarily relinquished possession, All other forms and conditions CUARANTY NATIONAL INSURANCE COMPAN' of this policy remain unchanged, COMPANY PUUiORlttO Rf PPf SLN}ARlpr t s ' 00 AU 3526 n061f ORIGINAL I L ) + I N t#"ae bHhwwA4.xAar ,r,{. •.at .c1 i r r..r-: „l.:,E.r?. iY °Il r of ~•~.a'~.~evm 1 „r, ........wr~..r......r.y~~ .tee ' ,.__r__ A Stock Company I No,hBLA 2 012 0 4 0 DAVIS--DYER-MAX, INC is a1NIWnt W hU411A N) BOX 16111V GAMMA), I~ :9,010 1111,/ I LANDMARK AMERICAN INSURANCE COMPANY A OMMISIO A TIVE OFFICE-tNGLIEW000, COL CHA0O 86166 • rl l CIBIAAATI0N5 1 + rt' Item) Hamad lniiand Address ino.,abal loon orcuy,counry,Still) I~,.. THE RESIDENCE SERVICE UEPT., INC, f P.OO.DOX 50482 y 9 DAVIS-DYER-MAX ' Item 2. Q,'AVA? 'rlma, o+y i,T°6 , INC I From 02/08/86 to 02/08/87 lro Prrx u,ihr,r a,nntnrnl Ix z5U4a Ilir„ I 12.01 AV, standard Ilme at the address of the Aamed Insgnd as staled IN arein. ' •a ` • The Aemad Insured III ❑ Individual ❑ Partnership ILs F Cmperalion ❑ Tolnlyenture ❑ Olheu _ ` , • - ' tlwinessoflhenemedinepradis:ea,aewwl Audit Period.kmialvAlesiolhowlissldedclr ,ssU.a _ SHUTTLE SERVICE 1 Item 7 The Insorlnte afforded Is only with )aspect to the Coverage Parch) indiutrd below by ipetlfk premium chag09) and dtached to and Wit a tell of I Mi. policy. Q/tIa1111abWly Cavet is Advrsce AutdmoNN cosaan Ids at" r Wyaast Patp) led NPIe) P,amWms Conran Pfripl Pare Xafq Pnmlums ! . - - - - ;I . _ _ CompreQlnsneAulomaQlte LIeQVIilYlnsuren Cornp ahenslve Unit Loblity Insurance $ Completed Opeultorc indtrroduda Llebllil/ S J- Automobile Medical eiyments l murfnce i Insurance Automobile Phyilul Damage Iniulabts, Coropteh a naive Personal Imail Inc# 1 _ Itladua) ' Contractual liability Insurance f Automobile Physical Damage Insurance f brugduu' Llibii Ihauranca (Fleal Aulomanc). Physicians', Surgwns'and DanD51s' Prolauioeal J f - Automobile Physical Damask Nuance Uability lnsuranc¢ than FIasi) s Dasic Automobile liability lnlu( lit p125 i 2777.00 M aeueactuters' and Conluctors' liability S Cerege IniulanN 3 - insuvanca Uninsured Molotlsts Insurance _ 503 i 108.00... CAtiv a and 0ontuttor s Protective I PERSONAL INJURY Liability Insurance PROTECTION 24113 211 Owneu',lendlards'and lnnenla'LI f ADDITIONAL INSURED TX0366 f 100.00 Pantile) Injury UlQlhly lnswarce_ PremNas Medial Parmenls lnsuunee _ - i TXO369; '1'X0717; TX0324 f Hospital N1Pwonal Liability insurance f X035 _f Fans numDiri of fndaaemensa, other numbNa of enttaled na 01har than that/ Poland on aMN Men Mall totaled to Coveage PNtjO, ett~tssed et Issue Corrnp Prattached el if aue Sub Total -9eaaral Liability Pnmlum f Sub Total AutolAahue Premium f ` - I - `i Total Advance Premium for this Pork/ i ' 1 ' 249,00- if the li period Is more than one year and the premlims is to be paid in installments, ptemlme It payable and t L11eclira Date IstAnnlnlsary 2ndAnninnary CoJnlenlifri 02/28/86 li R SSEL` GRACE, INC. M WORTII, TX a ) •eat roouuale intrnr Dy _ 011,000111 as tie. inuss Aulhanted Aepresentalira a r9) Avb .Il.l Al ) lµ ~f EANEI7NARK AlaT1:EI1cAN iNSUNANC.►. COMPANY 1.m t I s5enu. COL Oil ADO ball rA sr«k irlfulance r6mpaoy, shoot" called file compartyl Y In tonildtulion of the Daymfnl at the Creimum, in chance fits" the slalemtnls in U,r dcdarahuns niad0 apart lrarrol and subject to all at the (arms di this party f atyees wdh the alined Insured as l ollows DEFINITIONS it vstd In this holtq Iinchil endalsemcnts fmmmp a part Lereoll pleled eperatlons Herald a, ILe undagrou it Prettily damage hrtald, "r ddf lop "aetenrobara "loans a la"d motel srHell . bailer a stmibailel depyned l0l plush Irat ildi is a sn'du,l Uy the annelid undel an incidental tantial ,[in wlt" ill of holm its of last" fist biavrt on public loads Gnuudmn funs' macpy or ap"ish" attadinl Purifier. ih ld•nlai te"trad" "olden rras^ snmietfull n1Sl conslod'on at cemahfmrr rims"ohs do a Lill does net include m,Obtlp pgmpmenL okfo l fill. cut el if idjae flit 10 '1 ta!load 131 undrclaswa 10 Irdrnlmly a Plot "pally required by "locally Imlury" dfearls bodily injury, Sttk+rtsh hl disease fuslmhtd by any prison WITH pd of finance except in "room on pilh nova to, hit munlt lpallly. I41 SIdP whl(b otcuas dmlep, the policy period, including If at any Ibnr resulling heck dyreemrhl or Ib) lleralu Inamlen.l t aPp srrafilP, IhOrr,hOni Insured "loans any poiou of ifff n alp qualllpng as an insured hl the "Pitt "fidliipse Huard" Includes 'sliuoloral properly damage' as delmed herein and suns Insured' pmvtsion of INC appr,cahle Insuiante covvLLVL the tnmrarte prpppny dfmpgt Ib any olhe, propelty at any nmrfesullmllhepetrom. 'structural afforded applies sepayatefy lu each to ouid against wham claim is made or suit ptopedy damegt" flelhs the (choose of or struclwa). iepny to any builikal or Is utought, rstrp1[ wdh rtsiecf to 1 it (units of Ire company's liability; slluctere due to it) gradingg of landl escavaiiiii borrowing, tilling. back idling. mohde tquipmenl' means in land rAude Iiot Wd~ng Any ndemnery of apparatus tunnelling ode a"ll"y, cdilerdanl work at caisson work Or In Irovml shoring, aSlsrhed Ifiti hi or not sell propelted, III not subject to motor , filde undeipinnangg taisln¢ or demolition of any buil0In~, or structure of removal or Ie ^ulraPlon, at f21 maintained for pee mdusiyefy an prtnrists owned b or rtn[ed fitblidding of any structural sopporl Ihauol the idled to h,aald PILA& not include gtap named 121 intdl [o he wars i ively o pr adjeinmg, or ill at doled aovitty damage (l) ausing put of opcolrons praformcd lei the named Inspired py Inn use pnntipnsu ed, Includ loafs or ldl deigned or marnlamed for the sale desig deindent the uAdtrl Ou[fdtpfepdirY (damage dhataid~Hof 111 both wa rich Kati lityll sn3Sliumed I u.losr of alrmNnl nobility to rryipmcnt of the ucia mp, ilpes laming an in lOgtit I paI 0I or ice r"I prdly allathed to such rWder power clines, ahosels " of by the ` y Inf urad under an InddenUt toniracb loalnll ppgnis and dells: conuele nuurns [other lean the nux rotransil tape', nt, alto y 'I "tdmpttltd 0 ina ships hailed" includes bodlry injury and properly connate alini fiddms. suaprrs. oL (a And chair road cord uctlayn of repair equipmeildi out at operelhartt or lellahce open 0 Ifneenlatgn or warranty made at any ihne ticanfntaequipm 'p ents and incra thefelo; but only i! the Ofddy I teaphytittal laploIncluding alwns an d owed %eidli na idg ipnleol, .s,. njury or proputy damage steers after with fesped such opela ilaAs have been completed of abandoned and Occurs away from ii "named Irasoi mfanf the person or mtamtatron nomad in Ilene I of the dtcla r owned by m rented to the named Ihlured "Operations Include ill pails. talons Of this police; r j or cquipmeh[ burlllOod Ineonntetion therewith. Operations shall be deemed cans^ 'named Inlured's ptodutls" moans prods fur products manupclufed, sold, handled pleled it the elleffi l or IHt folarl be ple4ot limes: or dlsudlultd by the naied Insured or be of oils RadmS order his ra up, itedidirry t dS when all onfttcds to lot been for completed, by of on behalf of One named tmmed any container R,atol lothe( thin a vehicle).. taut named World's produces" shag r ' under the conltaU have been p gibed, not include a vending machine or a0y propperly other [ban Suter container, ten[ed 121 when all operations to be lai ined by or on behalf of Iho nailed thsared at to of located lac use of others bill not s01dr r 1 Ilia site at the ofetiations have been completed, or "occuUeddCp means an a(cidenl Including continuous of lepdatcd fallosdye to Id) when the portion of the wink but eb which the mama or damage ollses mss cvnddlans, winch fesulls le bodily injury oI proptlly 6am+ia neither evpettfd -i been put to its intended use by any p(usom or organiaatron olho [ban ahaaht not Intended been fl a slandpmne 01 the Insured; t j contractor or subconllattor. engaged in Strumming operatwaS of a principal "policy hullory' means { as a part of the same project III the United States of dine ica, its louidi rtes at possessions, of cap or f L b replans which coinngWie luilher rly def or maintenance it or corner 121 fe national wales or air Cstrip. oors provided the bodily Injury n ploperty day eu of soy defect or dehddncy. but whhh are life duet not octal in the Course of travel or f Iransportal on to of tool" any _.l Ron, , leper or eeplareenl Gtosd otherwise tompltte, shall be deemed comptelyif other shin ry, state or nation, or The completed optelidos Imned does not intrude bodily In'iil of property f3] anywhere to Ihd wild wdh retpul to damages Uerause of bodily Injury or I Y pmp'It damage arising cut at a pfcducl which was sold for use or consuwpp s y camate arising out of Iron within the lerrlfay dntolled In palegmaph ell above. prnvrded the rirgrnal lot operations In connection with the banspdnafron of property, unless the bodily suit cot such damages as brought hibin such lerntary; injury or ploperty damage arises out of a conddioo in fir on a rehlatb created .,predicts haaaad" includes bodily Injury and pfiri damage arising. out of the by the loading of uproa mt Iheleal, named Insurer's products or lehaoce upon a Irpsesfnlation or wauanly mate at IGl Rte dadfence of leads, oniann alled equipment or ahandoned or effused ma. any lime with rtspetl [hetala, but only tl Rre 6odlly Injury or pimple or damage operas.of duurs away front Pierre" awned by on tented to the named msmed and alley a rte operations lit i.r,h ith the daeifitahoe slated in the pallcy or in the company" Rip local phss+ssldn of sun+ paod,tis pas hrcn aelmquished to o1lrel s; 1 manual speclhes' mdudin¢ (call ed apef3hili Properly 6amig0' mrarN (1) p1qural rnluiy to a desrti at tanglUac Inca 1 orty wfiidr roues durint the Valley btedd, including [he loss at use Ihfical at "elevator" means any pmining or IOwreng device to ell .1 doors or landings, any lime 1tsulli,g Ihetello;a oI Ill noes of use or Ian[pfible plcprdy which has wall of not In service and air applmanre% themes didodmg any rem, platform, art tern IIhy5lc In Injured or demurred men. did such lLas of pass is caused by j shat. hopstway. sladwa S. mnway, ¢uwU eauipnre"1 and nnchmery, Litt doe3 nor an etcunence during the parry mi„d, mctude air automobile senicnnp hoist m a hoisl wilhmrl a planar", auisfle a d m"grrty damap as 1101161/11 R all) Dal mechanical poser or d nod allateed to budding wads of n "underground property damage Hamra rgiudcs Iedr• ur, hod of ma(erpol Ill used n, alremata n, roosln,reco or dprialili0n aprealionl of I 1 aril herb and property damage lo any olhri hertily at a pa Ise spud ry in i,'filled mnn'ac, nsrd exclpsivtly lot nrryml pmpelty of a dunbwader used 1111 I illl difir. f, f "J 1^rir h f r vrn' mr funs properly dmllge to ssr p, tPhr•,rely rail rarrysep ipri.r ly and ha,.rg a fungia,lnltnl height x ll cc(eding l 1 toll nn 5 rt . Innra nr }"till i ,IF d, f ot 10itleft If N r u, rlw" If,,, II malpi 111 w Ircr of Inr apnurd II saftt r)I an3f nun 1,Jl elf eefnrl {pale rrln nrp^I pr "emptosmn 1I intlo)e property damage aiisiag cal of baasilny; fir f dlotion. a s gr r, s„ill I a pity e,cm •r. s p ng lu t, , r fli V I .sell q•. it file Sam milli fen hour! does not mcl0dc property darafte III atisi"g out of the e,. drmny lee underground properly damage hoard do s r at reds,-,. papally dam IIIa5on of ad or sidam vessels, piping smdm pstssurt mane players mi(il age el. ipi our of operas ors pe,romcd Inr the named insured by trmdrpenderl t or power hansmillmy edmpmem, at Ill ern,np oil of operations fear mid !aI ft.nl I am S, or p) "chard %'f ell 110 wmpaeled opaations mature, or 13, art die named insured by citependeot rentrathors, or 131 included kith" lire eam• prI coiniify is assumed by thf unsaid undo an Incleenlil eonerml. tl SUPPLEMENTARY PAYMENTS elm rompany will pay, in Addition to trip applle "Illen bold of liability III the ihSUrtdbia4llsrof a,f hid a l l law r elat na apbmg cut er lie 0'e - in cry vVIOLie lot Philip ([its pob(y al,pbpt Out to extend 1159 pd bail Land cal all mpense Inclined Ly the coruparry, all roses larsd against the Called in b " t Ihf rompany St,alf ease no dhllgaticn to apply lei or lurid, any surf 1 any suit drandeI by the rompany and all o1ce" f on Ilpe enaife amount of anv tends. j judgment Ihertul skid, entries afatl folly of the )adgmem and before the if afOSrs nrtuntJ try eased l0i host alit to onkrS at III lime of in atti f company has paid of li neemed or de[msded in adult that part of the tudpn,fnt ,)rail. In, bodily mdly U f(r wh totr n s Kelly adobes. which fears not meted Slid lured of [he tempaav s arability Ihrpron put pnmiulls on appeal trends required in any such se pitif fin bonds to tad tae50nabfr 0iteusu incurred by !ht Insured at slit rampant's itquest in i chase attachments in any such sill for an amount not in e,tins rl lilt assisting [he conpany in ft inyestigalron Of evence at shy claim of suit applicable Innil at liability at Ih,s putay, and the toot of tall bends rtgook; includly actual loss of rarnidgs hot to mrud 725 her do*. ` f r . n'lanecn vai afLXC i s sw+r ~`d~., Lb v=r}i.tr.l r,.r a. -s..= , r r COR TIONS a albsey a AAju or ante, x T, plenNUm' All premr Inns it Ihn tinier srvh br collT In xc ar hills 8 01hlr Tnsuuneel tale l a pr:,a sp of tat Ibis is P? the renlpanes rules sales IJhny, plans, prcniluns .nIJ ro nlvnoinim pnnlmneimS JUVh rrmpl wires sUled to apply y m eesI s Al of tdnlury!n n! IIyOn 11 P absene0 or tither ' sable to the enw.Inre a11I here's. rssuraace VA lies insuiantP a linmmy and Vie insured lips other Insurance t nil ch is stile[) la be applifable to Ilse loss All an "Ces% m tonbngril basis, Ilia v f rUmunl 05-goal d uI Ibis Guhrl is edvante ( nm nni' is J dqn d n:c~nih~ A amount Dl Inc rongnn,i habihsr undo, this perry shall nol be ItiI by list 0411, nisi sb.sll be clPmled to Ihr aniline at (Tor Carnml pieiun re' der at the etrstial of luellORNI rnaaglnee end of Ise Tmlhy nenot At the LIDS! of udI peimll lot p lit Ihtleul Itl:nrnatieg 'elite' lalh This Insurance and omei Insurance apply to The lox on The sama nob the end of the Mtfby peuiSJr IleslgnJll'd in The derlararrons is The au:ld bass, 'n6eiher plrmahY, dims All cohlul An company nail not be lijble e PC rmd @IC esmrd prmnmm shall be compuled lal such period and, upon avice Inmtr Ibis Vilify Jul a ereeler proportion DI tit loss Ilan line stated in the s Ihereel to I" named Tbsured, shall become out it fit pal. le. R the tolil earned applidahre conlibvtioA pril on Wow. brtnmm (of the If (111(v fimiud Is hiss Itan ink prmnium joitkutly paid- the rnmprna snail yeti n in the named imurtri Rte m,h,4rcd Vilhon pill by the or gent, r bleAcre a brr Equal Shares II ual of such r oolte valid and tall Cut GHOn named inwred. nr, t pnd es fm Ccnlnhulwn by cqual shales, the cunlpany shall sal fly liable s hot I p i ltl prop rharr of such 105; Than Aoutd be pslabre if each AsultV the named snsuhed si ill roarnlaln records of ssth inicAr bon as is nrcessar, conlnbnh s in eta rat ale until Are sharc of each Imurn equals the towed for pirrinum howl almn_ and shall slid copies of such rCrords to the Company apphtlLle I111II to Nablllly uinlcr Jill ore poheY Cl the lull amuuni of the loss j at the end of lie pah[y perm l and at such Ilmts duping the policy period as the is pail and wqh lesped to any amount of lost not so paid orl.e. lenrpiniog company may IIIICCI Imo, ers Ihtn continue in tonb lb'ate equal sines of the femaimse amount j a i of 1.. Inspection and Audit the company shall be peandted bpl not ohli aced to the loss 01.1 NO r sun Ink urcr hap part ds Inhq in full or tare No amuanl yy vl the fuss A% paid . Coupon The named Insund9 p[optity ions nand opeaaia A any lime Not hot the i i oil sli right to mays Inspections nor Ihr making fl I t life nor any any report nabilic med IA Conlhbulmn by times ll any of such other 'Jt urance Jots not provide for ` on shall c anslilute in ends laXing on behalf of of for the bench! at the named t0ninhul u6iY e equal saral es the cemptliy sMll not be liable for a gtealrr instill of Al Id drialmine of warratd That such pro CITY or 0 erallohs are popiilmn of sutil loss Ran the appheWe Tied of ldbdllY unllel [his polity s ` safe of healthful. or are in compliance wilt, any law, our, or re&u alloy, off such loss bears to The lutal apalitibhe limo of ImLAdy of all valid and r ta0icable in5uraete against such loss. r the company nsay erannne and auJls the named insured's LOOM and iccorrls at any time during The Policy permd and foar tm Ihelrol and within three years i. Subrogation: In life evert of any uaymept udder this pollee, The company shall alter the frnel Ierrtimal ton of this policy, as lap as they rotate to Rm shul"l be subrogaled to all The rniWed I lr8his of recovery. Increfot against any person Mailer al This Insurance or o K11huslmn and the Insured than echoic end darvtp rnstrmnenls and papers O. financial IT sponSita lity laws: when IhnpOhCY iscerldmd asproof of finaniiat and nothidong whatever after laere rt necessary 10 stturt such rights The InlWed Shall 60 lost 1b wiud4e such riELts ?I responslb:ldy Itl the futare Will the pfOVISioiv 01 any molol vehicle 11113 cial responsibility law. such insurance as is ahmded by this policy for bodily injury B. ChangPl• Nalite to any agent or Xrtowleri possessed by any agent of by any 's GabrhiY or far psapNlY damage lip WrlY shot comply iyith the pioyuroos of such othtl poicn shalt not erect a wilver m a change in any pall of [his policy or 1 ,s law to the extent of the coverage and limits of Ifabllily tenoned by such law estop The COPIr Ilom asserting anyy fight udder the leant of This pohep nay the Insured agrees to relnrbi like company far any payment made by the tom shall the terms of Ihit policy 0e watvt0or changed, etcept by endauement issved pang which it 'would not have been obligated to mane Al the terms of this to lot As d pad of Ibis pot is Y. policy Prtepl Top The agreement contained in this patagfaph. - 4. fnsuieds slulles In the Ever[ of Occithente, Claim oe Suit, 9. Asfitem nd; Assignment of IIgeotl under this policy shall not brad the conk pony until Its Consent is endorsed htaiii II howeva. The named Lssmed shall Ins In the event of in utc Urrfnte, written notice contouring parlmuhars sulflcient die, such insurance as is alfmded by This policy shall apply III to the named In identify the Insured and also leasdnabiy obtainable Aloinalion with lespi:0 Inlnyed's regal represen i as The named i lured, but only venue riling whhln r to The time, place aid circumstances Ihntar, and The naives and addresses of the scope of his duties as such and 121 wdh lespecl to the DID till of she the Injured and OI available witnesses. shalt be given by or lot the Insured to named TnSUNd, to The poison havIII pro of temporary cull Dd~ thereof, as instead, the company sit any of its Julh0H15J ARehls as soon as cl aehcable, but only until the appdil lmma an qua ilcabon of The legs aeplescntaiv P. !Ut II claims made or suit Is brcughl against the Insured, the insured shall fm 10. Thiel TOP P411er: It This policy is Issued for a period of three years any med:rl¢ty III and to the canpnry reply demand, notice, summons or other limit or The company s bilblily stated in thts policy as "aggregate" shalt apply ptoce'.s leached by tumor his lepresema. separately to each ronsawllve annual pelted thereof. Id Tile lidded Ihall coo rate with the company and, upon the company's IL CancelhBen: This policy may be cancelled by the named Insurtb by sue re uesl assist in mahing' tettlumenis, in the conduct of runs and in lender thereof to the rornpanY or any or ds Julhorittd Agent$ of by mallin4 la Policing any eight of conldb DTlon of indemnity against any person or the company written notice staling when Iheleasler The tanetfl a lion shall be areadraasron who may be liable to the Intufed because or In~upy or damage ellttlivP. This policy may be tanrtllnl by the rempahy by mating to the named with respect to wlnc s Insmahcu it Jfl Dfded I Ills pDrics' and the Insuf ell iniuled of the odor e55 shown ro this polity, wilten nolif! slaing when not less and obtaining h ]hisa and e assist to setuffng and giving evidence ] than ten days Ihtrealtei such cancellelwn shall he eNeetiat Ihtmaihng of notice and Okla cost, the attendance icce Of of i se ant insured shall not, except a Js 11OR Old shin be %044"1 proof or notice The lime of surrender or [he at its o re' costst, volunltaarily irate any y par assume any p of acctO Intel all hour 61 CahcsllJlmd ItalitJ in the noire all become me end any Coal other Than fDr Net aid to n to there ns At the Tlimo of accident feclive date a . at the pah4' yleriod behfrra at such written notice either by the eased Insured 5. Won Agahnd Compan Y'. Na action shall lie ap vnsl the company unless, as a or by sic cEmiljmry shill Le egllivafent 10 rip nip condilum precedent Iheyclo, there shalt have been full rof:liloce with all of the If Ili Parsed imufedear+el5, III red prrmmm shall be cei led An accordance teens of this polar, nor unld the amount of Ihp Insureds obtiyalion to ply shall wI 110 c'limas) shoat r,de Table and oroccoupr II the Company cancels. bd,r been Imally, clelenninod eitimr by InI pnall agsiust the Insured dlrel Will s r;r na nee' r shah to ^Dn puled p!d rat t Premium adjuslmenl may be shade , !,rut (it LA wines oj,reemenl of ibe idyl d. the (Ialnla+nl and Rip Company, edhel al Il.e 11mr canielhah in is the(teit G as soon as plaCbcable JAW tincel Air parson of wgamNiml of the 4 vat rtTitncntillYe Ihovar who has sewrel fallen belt cs kfihwive, but p.iymrnl Dr Inert, of rAffi d premium is not a sorb Iudpm=nl er "Can VI'Volenl Old thcrealter be eniijed to reco,e LUOdtr I-111 9n :l far Aaiun i Ihn Polo c to she cdCIA 01 The msarrance cliff by This pubcy ND per see' ce 1 trgn 1 0111 Dahtt. The named Inwled a~ite5 iLol ; ar ncO shun of ail ng t nitler Ihn mile to 10 ,11 the cuiablr y as party 17 OR4ia Itons By acepla t I 10 i/ Action o n agamsl Iii insured to Jmelhn ale The rimred's liability, nof snail lie stalCl, enis m 1bP Jere ail aria hI. Ip tGrieNs an I `[pr eser4a roni, Iliac the [DmvIa, 1e enpleaded by lit ll,uled or his legal repttsepolls, - ianM UVItY Ihhs polity is issued m Worse upon The truth of such rCGresenlabpes and That or nsol4i of ILe insured eh of lie insuad'I estate shalt no! Waive the roan 11s polity nobodies dl jpgeolvil edstmg 1,11"Pen himselr and the compilry pane at any At ds dbngalions heieurical of any of, is agonls telaling to 11 is aiswalue. I M Witness Wharwol, ore LANDMARK AMERICAN INSURANCE COMPANY hide coup this Polity to be alsoned by it PeAsWNd and $"let" oil I Esgluwowl, ColwaM, sound counleraleised on ilok Decloruhens Inge by d duly tnlllWlllhl ReRreSeal Olive of 1116 Company. v eats,nn,r ett,leewAs I r , yi . nuacty GLicr`lr'~Gal„7Pd~rJ tiii3 J5niL~l~ierttf`7lt~usy>i°•,•,».. s-, ....,.v OON0111ONS 1, Premium All premiums let this policy shall be computed in xcerdame will 6. 0tI trim Mfr The wsufVLt INohltll by iris policy is l ibwry fnsWdofe, she Coup, no's ruler 1a105. tiling plans, plenuurns and nnnunonf pitmlwnf apple aaleft when staled to apply m FI or or enribogenl upon 1be abscuce of oft table to the rnnoanre aflurdcd heroin unurancr Will this hnturante 6 pain rtl and lilt mswtd Ila% other insurance nhich is sidled to Ur didlicable to he CV. on an ceCess or Cordulge rl bails, Ilse l nlrcy at 'adrancg pternnaii IS I defwsd p'mlllrllrr amom,l all the ronynnt's liability unfrr Ih,s sold shall not be feduttd by The Iull rlrslgnal III I ls NCmr only wlarh shill be headed ~I Ihh .,Infunt of INC called i lrn,i,mr due At the Falsifier of such ether mSUrdnCe end of the PFIICY Period. At the cruse Cl loch period lot plfl Ill leilnlna ng VIII Lich thus inswance and ether Int-I apply to IIIe loss on Ilse same , . etch the end of the ImbcY pelrodr h ignaled in the declafalons as Ilse eudlt lusts whether. Conniff. sinless or tonlogenl, the Coerpaoy shall net be III - period but, earned premium than he tonpuled lot such period and, upon notice Fader Iles polity for a greater Proportion of the lass Ilan that sided in the thereof to the named insured, shall Wolin duo and 1 II the lalal ea,ned applicable tonlllbulum division 01I laurelling lot the polity Penrod is less than the Ideduum preriolloy paid, the ' Boll flab rtlani to the named Induced the dnealntd psrtlnn put be the Ill Conlnbulden by Equal dhhell. 11 all sir such uthe! valid and culler l bit using named Insured, an-e murices for tonlrrbulioney equal shnes; Ine co,npany shat not to liable r for 3 diluter pfepallon of such lots than would be payable rl 1 Ill the named insulee flan naiFtalrl itcurds or such irilounalion as is neCe55ary conblUFlps an equal Share, until the share or each Insurer egaari life lowest lot preinjore son --lo(ted. and shall send topics of such Itcorda Ir the COIr nY npplcdble 1101111 of Irtbllily under any File policy err the sail amount or the loss s it the end of the policy period and it such times during the policy plrind 3s the fs said, and such reseed to any amount of toss not so paid the resuming , Col. Orly 11131 dnect insurers Men continue to coal bide equal shares of the fella mug amnunl 1~u 7, Inspeeluon and Audlb the company shall be ~~strated bud not obligated to of he loss until each wrh insurer bw said its bra m r):1 or lie fad an¢rr,! Inspect the named insmed't properly and operations at any time. Ncithel The of Ike foss is paid Carrigan 's eight to mane tmpectlens rwe Ity maying thereof nor any foidrl there led Otnlrfbulren by th lL if any or such other Insurance dots not poyide for on shall constitute an rndeeliding, on lthatl of or loathe benefit or the named ronliuutian by equal d ores, the comryuiy shall not Ur liable lot a greater Testletl of others, to determine m warrant that such isppeil cur npefallons ate Pleprlbon of farm toss 'hill the appl cable brul of Joint y undo [his policy sale of healthful or are In tompliance with any law, pfule of regulalfon, for such loss teals to Ile trial aoohed Ule limit of but, ly aI all rand and collectible Irdu ince cal l such loss the company may lity and audit the named thereof s heeds and retards at any time during the polity ptnoJ and esltnsans thereof aid within tMee yeses 7. Subrogaliom. In the rifer of ,tar Pay nine antler this policy. the tompd r shall 1 after the final Immlnatien of this policy, is Ian as they relate to Ibe subject be subrogslerl to an the fnsuli d'I rights of tccovury Ihmetun against any person miller of this w,urall of urgarrtaUOn and the III Shull eucule and irntrumenls and papers 5 financial gtpeMlbililY fall 1I Ihls DDIleY is Clef iiledas Proof of hnsncial 'sad Co whilevev else is necrssafy to secure such IICF13 It,,, insured shall des a r¢spogslbll ley or the Iule add01 IflB prey glpn3 or any molt[ vthlche I financial olllpng after loss to prejudice such oghts i eapomibibly taw, such Insurance as is afforded by S Ii Poe bodily inter 6 Clangelt Notice to any agent or Inowsedge pmsessed by any agenl of by any or a change in any pall of Pas policy of a and Urals or Ili'rtil the provisions of wcK other pllsag shall not effect d we n IoW abillil0 Ihttetttnt at l [he a liability Y o ht y liability fa ufrdd b such IawTh e In In red ato es to reimbursothIs company, tot an q ~ estop Inn IM company from erg any ughl ogee, the i by got This nt Is lied 1 y e n made Y the cams shalt the rt of Ills po icy be Fa be waived or charged, troops s by egdm semeen! nsued l pony which it woad rot lave been obligated to mace under er the lams of Ihrs to forma pail oI chit policy. policy except for the ag+eem Mt corralled to this Daragraph. jj A. insureds aunts In the Event of Occurrence, claim of suftr 9. Aulgnmenl Assiglmeit of molest under this poi cy shall nut Ill, the nom e I pang until Its consent is endorsed herein; il, howeyrr, the named msueed shall 11 pal In the event of in 0tcidit , wfillen notice conlafging particulars su4dent die, suits Insurance as is afforded by [hit JAI,cY shall apply I- lo the named to sdentdy the insured and also reasonably ehla~nabfe inlormafion with reseed imurod's legal repfelfnlallve, As the eamed insured, but only wblle acting w+nnl, to the time place and ar<omslagces Thtfeof, and the names and addresses III the scope of his duties as such, aid M wnh respect to the proparty of IN the injured and of aralfabfe witnesses. Shall be given by or for the Insured to named fnf i ed, to the potion having prey Cr leuiporary Gusted, thereof as Insured. the coma or ari its aufhelrted agents as soon as practicable, but till until the appointment and oua Jkalidd of The legal leplescild"t. Its If claim is made or suit it brought against the Insured, the refuted shall II TO. Three YM 11111 this Volley Is Issued for a period bt. tdid loaf any nrerbatety forward to the company every deduced. Wife, summons or other Flinn of the Companys itabitfly stated ti Ihis Cagle is "aggregale" shall apply process leceived by Mai of his tepresenlativf. separately in each censeculive annual Verlad thrift? Its the Insured shall cooperate with the company and upon The companys 11. Cancellation: this policy may be r, IIeJ by the named Insured by sue 1 11 rest, as yt g maying sibution of, n the Cd agai of soils and in Cancer Ibereol to the company of any el M aulho lied agents or by mailing to nlor un g8 any nigh) of Contribution or indemnity against any person or the company wrdlen notice slating nher IhMeal Mr the carestl3bon shalt be pr anitalJon who may be liable to the lnmstb because of Injury or damage riled a HIS petite ra be cants Ir1 to the mni Ihr hr mailfn. to the names i fi~hl aspect heaihigs l and eTrials lid nce is 10 erdest r fndsle thiing policy, aid th evidence limled at Me ad,br s eon in 04 .1.%y i lenpni: bp f then bol lost i and oblarmng the altendanee OI wiMesses The uttered shall not, except at than ono rls Vii ii firm rile Nlatlon snit it citec::e she tie lurg of 01Il rc his Coy toil, volunlaao Nl made any pslmanl, assume any Obligation or intW if afar I the r tl sy II c m iI of oI -fr I hr I,*' Cr semen net o+ IF a rl - any sirpease olhtr IF, fir fins aid to others at the Ilid of accident I cii a ii and tic, or f staled F the r lase shall becnae the end of ff y relied Irl, f. orb wr iii -elite n,1110; by the named insured 3, fiction against Cdmirror, y era axon shall If againsl file company unless n 3 (If h. Ole Campine SW t t tNlralr I P I" ring i Condition precedent Micro. there shat have free 101 Compliance with an of the i toe gamed insured CetS, Fume p (irl shall to tornillood in xcorI lermt of this policy, uor until the amount of tilt Muffd's obbgallon to hay Shall n,lh tre casi,i pity sr rate Iabl a, 1 proO rdure II The company cancels, InNe been finally d hetinined Cities by lp'ygrnenl agafnsl the Insured alter actual r*ICJ p ,rn sha I cc cri cs f ll P+eei r idiustmenl nay to made trial of by w dlcn agreement of the imbred. the claimant and Ili rlr,,mpaey r.rhee at i a 1n1 e ware a en d egitCi 3 c os foe n pi a c tic ill IV aRer 1 1 Any person of oegald7aloo of lire Iona! nepinsndoGve lhNeof who has secured r=ra:f ta-.+rs elfectriir t it pal ^ r t it seeder of unearned premum Is nil I such Iudgrienl of wrdlen aerfee l shall Iderraller be sodded to Welty undo 11 o d co'l'a this pgtity In the eslenT o the Insurance afforded by this policy. No prison or organrlslmn than hest any light Until this policy to loin the conrpdng as a pirly 17, Otdaialrons ty ahc rl ee in In s se r. she named insured agars (bar to any aclwf against the ensured to determme she insured's Imbdllf, u)C shall file l3i meth Ili Ile Ie a "IFS ae I , i edrICI'ls ih s iepiescmabans, bet the cornpany be Implyddtd by the Insured or his legal replesenlalve- tany+uplcy Ihrs C r, ,issued if nnacce upon the Ifalh of suit, trpresehlalli and blot or lnsolency of the insured of of the Tasured's estate shall not 16111 the coin this potty embodies at aereenieny m+sYreg Uriweer blmsrn and she company party of any of its oblgatrons hereundfr. Of annul J, agents feral ug lu this msu+a:ce. - M Wifirl Whionsi Y, file IANWIM AMERICAN INSURI I WMI'ANY has caused Ills policy It, be ijo,sed by fit Preaident and Seciesory of Englowaord, Colorado, tthe~Derclorad'„ves real by o dulyaullwrrteJ Represnurative of the Can+pany. Gam/ C..... //7'I rvw..✓ 4~1M~~ ,/j C~ ranerAll, me rsiIf vr f;\ ri r r.3d:Jii air ~.el.l.°uti.. _ .+..,•::a f..,,... a•ilsrNr..o,rmA~a >;~iV.~ y+p?,~•`i5urt •h~+rJN rr+.nv~ ..w r r ( NUCLEAR ENERGY L101LIlY EXCLUSION ENOORSEMENi i (BROA0 LOPMI This lndarftmeni modifies the pplovislons of This city Ieia4ng 10 ALL AUTOMOBILE IIAO1L11Y CENERAL LIAll Ally MIOICAL PAVMINIS INSORANCE S ' OINIA THAN TAMMY AUTOMOBILE, $PICIAL PACKAOL AUTCM01111i COMPREHENSIVE PIRSON~I ANC fARMIA'T COMPRfNIN51YI PERSONAL INSVAANCL i iI It is agreed that II As used in lln5 endoisernenl. I. This polity does not apps).. ' hotel do of pleplc rv include fadroactitie, ImiC Of eiplouse prapeities, _ A. Under and liability Carriage, to bodily injury or ptapulY damage nuclear, metilil" meads tourer nlaloial, sptciat nacres material or by .r' ql wnh frspra to which an insured undea This policy n at5b Jn insured product rJecbl; under a nuclear entity, Iiahindy( licy issued I q Nuclear Incy Imbiliny i Imulinte Asiodalon. Mutual Atomie Energy lraulily Undeiwnrels of saureo ifidi t , "aplEld nocluf maltriel", and "bypwtutl mallNal" hosc v t Nuclear lnswince Assanabrn 01 Canada, or would be an thsuril Will the meanings given Them in Ira Atomic Energy Act nI 1954 ur in any Taw Ci i y any such pricy but lot its irmmalion upon rahsustion of cis limit of anrendolory Ihtrcal; lab slily; of \ 121 rrsullm from Iht results pre t+lile,ul nuclear frateral and will 'IAIM full" means any furl etemenl or lucl comporehl, loud or liquid, whleh p P l as been used or circled to radiation in a nuclear mEleii a liretral wh¢A bl any prison by or BtliYalmn is rrccried fo mainln ' 5 lnant sal prottchon pwunL to the Aefliic Energy Act of 1954 of any 'wasic" means any wage material tea containing by,prtdutt mdtdal other i. law amendatory thereof, or IUI the iii is, had 1me policy not (hen the tailings of wastes ptOduced by the ecratuon or coRwilation of e law Mucci Mild he, entltied to mden ily clam The tended Starts of Ulanium Or Ihotrum front any oho prpressrd prmtanty for its muset material s Arrenca, or any agency lhiteol under any agreement enured into by content, and Ibl itsplling from the operation by any parson or orgahilal on r the United Stales of America. or any agency lnerecl, wdli any pri of of any buohor iwil included uodet Thu list Iwo paragraphs of the deli C; 1 org,amtabon niltan of nuttrai Ir lyl ` R. Under any Medical Ii Coverage r under any Sapp!cmrnlary Pal u1:11 AI faellty" mean :Y marls ptoylsion reHling to first aid, fu eeptnses recited wUh respell to ray any nuclear (title[, bodily lejuty ftsullmg from the hallydeus ptputies of nuell materrai loo any equipment or device deaignrd O( . Used for it) Yepaalmg the isotopes i and aiung out of Ire Opeulon of a nucGac IetllHy by any person or of uranium or piuloniur, eft processing or uldiang spent full, at (3) alganuaimn. handling, folc idg orp ckagraC walie. Ica any egmpmenl of device used lac Ire procesnn2„ labncaimg d, alloying C. Under Any Liability Coaerage, to bodily In1wpp or Myrtle` damage resulting of spatial nutleae. mall if at any lime the Total amaunl of such me horn Iht hayardovi propllil0eof nuclear melfell, It ifAlal In the euslody o1 the meucld aI me premises wltm such rumps enl , s5 III the. nuclear malvht has is at any nuclear lCiliq owned by of operated of ul is lecaled consists of or contains mare Than 2S grans o1 by or an behalf ot, an Ud Ulad or Ibl has Wen dischl%ed or dupcrsed ptutowrm or uranium 233 a any combination ihertol. Or more INan 7S0 lhclefroeni grams of uramam 235, t2l the nucleic malenol is (Ordained In Ipeni fuel or waste At anytime tr any sltudahe, basin, excavation, premiers or place piepamd al used let poisstesed, handled uled, processed, stoted. transported or disposed The storage or disposal dl wasit, of by or on In h3II of anMturldior Insured and intludet the sit, oa 416 any eI Ire IorePoing is totaled, all opeiaUont n conducted on such site and all premises used for such opcia iii fly the red odrf s Ieerury v¢vie s e -0 mre ate terii aslfdam partage s aror ises out ant line ien conneth0a ons g by with equi pme i133 the Glenhing canstietlmn, ma mienanrC opera it or rise el air nuclear 'molter reotlor' Means any appals pus designed Oi wed to sustain nuclear ,i Iseitfly, but it Soren Iaiilily is located wdhhn the United SI;Nes of l sron in a self tuppotlinB Chain rear Llon or to tontam a etit,Ul mass of America.. 115 tirrdorio or possessions at Canada. this ceduson 131 lasienable malarial; Ii only to. property l l to such nuclear Tacitly and any , i properly Thereat. "property damage" includes all forms of radioactive conlamoolhoo of property I NEW YORK LNCIPiIONr the "Nuclear Energy liabltiiY Inclusion Endorsement Ifsroad torml" does nil apply to Aulomoblie Liability Insurance in New York, i i r i i- 5 i , CP DO OS {Ed, 1.741 coYta"I ►AAt OASIO AUTOMOBILE LIABILITY IMBUAAW A Its (10 1 147 Far Attachment to Policy Iski- L _291 to eompbh told pollcy, ICNLDUII TM Imwma offelldld 0 only with respect to such of the foli wlnl~ Corer of l are Indicated bp spatiso p(imfum charge or cNrgaf, The Idnill of IN company's lWilty-egllnd each such Cowralo ehatl be as pared Nordin, avbjsit to P A: terms of lists PClky having refermo Thing. Cow,lgel - Umll of WWI _ PrmWms A-Ied11 In N y Uebilltpy g e r Ihous+ d dollars each penoo~- AA lhouund dollar n+cA alumna t _ 2146,00 _ Properly Console Howity tow Ihouund dollar$ Lich occarimce - s - - Form Iau,Hen of fndataasndf IMNTNd ii hew fi si - , 5EE 7X0324 500,000CSL , _ g ~ Olal Prmlum S 2777.100_ - - jr . Dti~ihn df Drnid AuGmebllu Toilgay, Clhlylna eal.~tJ. ~1.wa1 eoay Tyiia f+oa III Trvrl Anita----11411 ' - - - . ' T11 came day 11{{^ol dda !^jnC pii~~y SSenel NumW/ Ngrrlr wII~IN ellnalpilil Paul tote "1°cU 11 411 ` • MOlrr AamlNl 1, DENTONi, TX 1,82 CADILLAC LIMOUSINE 4 PASSENGER 85599 525100 1668.00 323,00 DENTON, TX 2,05 POND VAN 8 PASSENGER 881229 525100 239,00 154.00 DETNON, TX 3.84 POND VAN 8 PASSENGER 870213 525100 239,00 154.00 f - - Purpuu H UH {PB B-P -luture+nd Bwlniui C`Cbmmtrahtl - s_ Ie11181 and p.D, Pn nlumt S_21A4.9Q_=___5731-,-0 I I, OOYIAAdE "ONLY IRIUAY LfAgrmy glille of lirery come once, unless such uw I$ spetlhcally declared and CCYIAACE "ROPEATY DAMAGE UABIDtY desaibed in the uhedutei The Company wiltDy-ay on behalf of the foturd all Sums which the 15141161hall I91 to bodily Injury of property damage tilting out of the discharge, dispersal, betas legaly bbhgRed to Ply is d`rQagea bK#uee of release or 41tape of smoke vapors, soul furies, adds, Wells, toxic e "JIL chemicals; fiftu ds sr gales weNameteilals or other Irritants coramirt 1 firs A,.ladll~laJaq of P or pohidepts into of upon Vend the atmosphere or any watercourse Cr pod, B. Free stydoauRl'; of waters but this 4KCIUS104 Jots Dol,pf.ly N such discharge elWdraf to which file insuranoe applies, asused,byontotevorena and aril out or. the release or laws Irwddlrl and accidental , owlterrhiq lrylnloruns}},O ylltinclidingiWding~pd; unladd)~i ~a, lot Pprpasel !I pSASfrNt INS~fI~I 4t ,rata stated eta b e shoe o m N SchheaCDule, eb a kafd' ,deco IDs a or of a 1 tlmparilYfllPayb{akelAa, lase Me company shall Nve IN rl4hl and duly bI fN'q;To[folrlns ,~I~f ~nLpn6ce to IMi'~1~41a1 forth to Yelend arty Ml 8galnsl the Ielared decking demegel on a4cC nt of ahth bedldr l below, Infury of pr Ity Image esln If enP of tit allegellons of the rune ere fllCUn fat IN rumeA,Ia+grldr .„'e,:,E. ass, ielw,pt It uleoi, end nay Inapt. rush lnY~y{Igl p eM eLUamgnl of gny loo any ~areneY Or eteeutlve oftkrr thereof, Wt with laspatl to a Umpora i ry claim or to l as ~t -datms expedlenl, but the Campbn still not be. ribllgat Id to to lute' avtearo4rle xonly WN le such automate to Is be off used In the drsl• j so oY her, NeM1 dr etntkr to'defend any suit a for tat applicable rim l of the hell of IN named InNnfa - . . mpany{ llablit out ben exNUetoc~by peymtnl of ludgmem$ or sIRUmIntl, ' (c) 206 lher Fallon while using an ostnid automobile or a Ifmpuary uII0110h ExclteHAY I s e1F i moblH wNh the permission of the Aimed insured, prodded his sclual Pit lASUrnct does not apply: operetlpn or (if he 4 not opartingl his other actual use thereof IS within Lel to Ilebllll esiumed by the kni4rd under any con6act m e the scope of such permission, bvl w11h fespecl to btelly Injury or prepuly y B rernenl; dame `s erfr ell out of the iotding or unloeding thereol, such riser person 161 Wal(y obligatfat fors which the Insured of any sealer as his Insurer may be shall is in asurd only if he lit Well Ilable under any workmen's camponselinn, unemployment corrWISItfon III a lessee or borrower of the automoblio, or " or d(sablbty bprafib law, of under any sEmllet la1Yr 11 i, , r '1 . (21 in ornpioYle of the named Insrnd of M such lesion of botroreo fct to bell ly Infury Id any employee of the Inured adstng cut of and In the M016 fill an person or a1 nllarY butpie a of h f It pb)menl by the Iniund of to any W1,jatlon of the Insured any other Gp ¢Baanl Y with respect is his or Its liability Io bWamnffy ono tsar because of damages wising rue such Injuryl beu4ta of efts or nor Were cities,lmarl4 under eel, (b),or apt abom but this exclusion dcal rot applyt o Any such Injury filling out of end In None of the folloeing Is on Insured the course-of domes tc ernployrwnl by Rre Inourld unless berserk thereat, hi any Criser whdo engaged In the business of his employer r4h respect to efe'In whole or In Fait 411hor pfyebli or requNd Is be provided under any bodily rnjurpp to any fefiow employee of such person fnlwed in the course f workmino oonpentallon.. law, of lift imptoym Prl, j (d: Ito?teplrV dgmsy4 10 611 except As staled under rot shove, the owner of a temporary lubslltur d1} 9ropirlyoinet3 Cf horl (rel4poflld by IN Imard or "+Vlomoblfe, or any Igont, or, employee of such orrnert . p 121 pfopilty lensed to or In the care, custody OF conhol of the Issued, or flDbny pelspn or prganlaellon, ofN1 tha6 the named MINrad, wltti respiel log •~r.,as,to win ch',4h1.t1awse is for any purpose,exarttstng ohyfiul tonlrol, II) a mole; ra~lcle while vied with any trdisr owned pr hired by such otMr Ihm prole N daargl to a residf me or prlvala geaege by A pirate perso of organhellon'tnd not coverd by like M3urdnee In the come Passenger wtaW lU covered by this Inswlncol t" „ pent lexcepl,nldilfr designed for ate wilt a four whorl Idrde its td ffldflylnSery oryrpely ffinege due is waf whltMr fit hot M~ailed, OffsI pnsAMer wtomaallgvnd oat being used-for business purposes with war, Inbfreotlosr febelllan or remlullon M iii Shy act pl tioAAlso incl +noDfr trpe,mola rehleNlr or.., I , io any Of the fafaoln4 will, rtsi 1 it expenAe for Tnf C'0 Doer tN tD 10Isi 1r while Vse'd with ny mpta 4h td or liked each par, 8'r7Alfinenl ry PaymMts'prodlfohi ion orvffgln}aNldn a dYol taveredbY ,lace fnsuranee In1ha complrryr 111 It Aeflry 1n uqp of Br I Gsltlf doing sort of Iha owmrahtD, mefnun• NO fn pt San whNe'ampt ' d' r gilts wllq engyad In dullto In cankc• era type I A Uu'~ n a: "UnlatQln4IOf crryry Nf o wtemabIN or 1I6A fh AD let HtllgIf; IFFA , than en wteglabila paglgiys LMAray s~aliftu}p if oifdr each ail" of it helps Died et a olif alfd bythe eti"d fy+en , ' f1o41i?#0 toverl A 148 ..r. . Ifs, 1x47 .s, Olt' J L 1.11111111.01, tlAlltity and "Itrned voter1bile" included I trailer not described in thh WIP If gllefdf/t/ b the numWr t Ili lglrnde urea this Polley, perkotu or tr, dnrsned for use wash a lour whiel private sasenger Wlrebll+ and If go iuij uti no w!w vmd~ it 1A I to I a dry or pt r Ider sit e, {3) ctdrmt hMudo a Ming rne4/used for buklnfle purpera with l .1 wlMr type eYlrnrANer go I to 0 It f lerh' iNN f' I 1 I II~OMdMIf „ "fIp)~~ iq~ plfrill sHMa1 v 11111 f/pp I ( diteleiel N eb idi{d MN Nu`rn4 NNR►I.,V+c et whltR a IIl.tn ' 0 r d A_M, I4rty'I y ia~1ry Ieb~I ly hated f~tM icMdule ei e~pFh 1 khadal1 u 1~dNdtb M14' U61e la 'ekM'perawv 1a7 a IfmN o(ihe eom8enye Ilebhity fa dal drops, Yerlor~r~'eNi~eDb y~pA161N mgi~14t1 flfdrHfld et rafysd'Dy t~l nefudfn~l d+madto fot a b1'1 df Mr41fe1 bdcdUr4 Ot IeNldl M ury M Aarpl IMirid or i y rnlhAl e, thou"' ia Nldld, 01# telnaGedly ork leanedDy Q t N ppAA el 1 ar0~uft N (eye ON ads~ ncq S I+Cl b i1N ebovt wash the pea lot ul `he owsoor It a tllluts fa an normal all $f ire whin pnvlalal•Inf Mg Off penes, fns pN Iie011 a IM aonpaff for wllhdnrnr:liirlly.porrahuae la eenkln dot nknk+ot W"M of Its bra M demean nc u 1demp~td{qeeqybr Ned a [II of atrvlcet b«tuse of 0H n dowv IoN a InK ioq la sussa~pg~ 0~ $ 7 tans ~y u4 +t II 1rel!« tnclutiol (11 f t + r ' 1 u :1 In i IoradulbediMrmlt faearyttr15e1Ntytliwe~i~~tM~ apaae~ 1nQ+~'R►pPfJY'~Y~'~lI wvrttinte + : ;;y r t t ,'r 11"4 end it lp plirperGl of 04,1 Criro L-.1M.1141 AaWllly cl t0d comptmy for addend #I bows# of ell 'aeraiNre(al" mnnt uIW prlndIrilly In IM'bVII00ti "Allon of Ihe tirN pnpol[y deraae iuktelned bP one or mare pelronr or ogenin 1" at the result Inraldd Wiloted In IN eoMdul0 IMlvdh j ota110N uf~ Ior pa sores, Ise of an ens' emned Still rot exceed the limit of prpuy 01mags ability Sued,, family Ind other butlnosl purpoeesr alaied Ih IM MduN Ireppllnabloto "each oapnew«" 'planar ay Mtfrots" meant peroonet, pleeturo, le nlfy and butfmtk u51 f C A of R=pa1M pJr f10F determinlnl the limit of the torimVdy'1 llkbll Mt edlly (all ryry +nd t r daalge errylnt odt of nMlm otil or r~ A1 expoa+lle to•t io Will IM kilts Worst tondlllons AM be CoNldered yl,. MUM gOMD1110111 etc I• u plat l outol ana eNerneee' A. Other fyyykwr►wpenrl.pelatfhb sad Healy Awed Aeterdllal i ly, jOttbY A[RIII~lyf Wllh respect to a tImIsli tabslkvh aoteadoW,, this Insuirnto shelf be i This insurance eppllu only to 1049Y I0171 or,pi Iris dim Ma which brours steep iMVtints over wy of Will and eatec6ble le striate avolibre to wllhIA the IsrrIlm desc(lbed In pirlfo) or loot the di nitlon of policy IM Imaral ttnllery 4. ADDITIOkdI DttlNITIOkt sth ledplcl tom autorobtl owMnhln vl whkh It newly etq bed Burin IM ppop}icy anod IN not ddetrl0td In M I It the Mal d liWenr/~da M)1 I E part n pi fhetpolhyNfe ante to tads Insurance tlnciudinA endersemanis lormin9 a a MduleIhOrynra l ld Iel p erl In Ji' lo'tM 1, noortird t ti Iff I vq JC I li p eoUp~~~1~ Ivn, J - ~~ta~ko~tee baslasu" mNns IM butfwss or ottupailml of sellrng repehfnp, g CN N stns iMarMee + prrklnp 11008 Of p"faii p>tesa01%; t t , t It ufdkr ~M goN11on1 of the, Q~ `veAicla 1flndneld rK n}IOh Ii~1 "MIMd utereNW tokens either o(the rift WDkia pa ~(y statata• C IedMtljivrinte low or in rl.nl[or law of 1mr W en w och Ei ewnld dy'' Ih1 eterel IgprN end dfWloed in Use p esl rfgel to n r~dsln insurance wins a .In r,oyvyl t,, 1 I tMoper!tokw us. of a IeoMtlihkhaaln wcham$ onpw, l wqh [mawank requlrelnanls au greater t n IM lvunnta proylded +a1d dflideFMN1'omm~stapih,l,i,Vabf faaewt{kqulndIthe We10y~ IM P.61 , IM~tclfyymils of the compa gn / Ilabllifyyaynd kinds orf~cpoWtale Ivu+orla+Pflrltaeatalr ,~ro+.ra Jl rnt t,rtq jnik 'bY WRMN ema lk'rlb rdWi + urn `49 .dI t ~o,,.r~4t~,~en6~~"NM{ , 1 u lfa f J n 1 (1 IMW 7t Ibp bi ~n oasts u 111` ~A e p A dad by IM 6o do Old I tttenf fie Dyn I Y wit reap«t to tM'oplnUon or use of 1 motor YONcte OII IMicpn" Inure OR imm$HO owne6'b -1+11 aaetH'Inond In such state a raelnc,provided th t 1M INantIN ender this MOW on the, its of such a U 4 ON Nrld asund rolig@s ten shell be redurit to pt rp~II d y y 1 p the the lhN two ftotlyp Wlld and kr{IDIe Iroor• company wllhin 30 ddya f }1P4i of Ns eleotltn to make this and once 0 IF th at oh any.oth« mole VINC*. ldmi poky In me awed no other, ppoolIc Imuad ccmioamy npnllable to such IDIOM ebII$ eNII.avo . be IMhted IareaM duplfcitl payments for the am i payll r4l d' I. rl'preMlum raq Ind ulred tharefors ele s erdt a lea, : t + t`.Jr'IAIA ?HVtl . i r i ' IF any Ate..: TX-03-24, SINGLE LIMIT OF LIABILITY Y .v r, ;I This erdvrsetnem Earns o earl Of policy tJo, CLA 2012040 issued to THE RESIDENCE SERVICE DEPT,..INC. 4 s by Ilse LANDMARK AMERICAN INSURANCE COMPANY (Nome of Insuronm Cornpary) - - 01 !is Agency f " 1 S _ J locoled it ly and state FT.WORTH, TX 02/CS/SG i and is eNeC bra Iiwn - 112: 01 AM, Slondord Time1 t fi r 1 f The Warrington above is re0ulred only when this endossemrn. is glued wbsP0uen1 to prrperatlon of the peReY.i This mdorlrmerJ lopes a purl of Ihr Igliey 10 which atla[hed, !f((Urv0 from its dote of is1140 unless I Ih PlW rsP rioted hotel". I( This Mr110nemenl modifies such hlprran[C Os is afforded by the v" 1 l } 4 1 rng m tl,r following V C IIrOYI51CM1S of Illr poLcY trial: s' II iA. ~1 Ira 1 1 s- AUTOM611LB IIABILIYY INSVAANCI" ~d' 1 "h a I~ 44 i COM9AINEMSIVt AUTOMOBILE LIAIILITY INSURANCE to I 1 1' i ' ` I, A /ASIC AUTO GARAGE MOBILE LABILITY INSURANCE p Fs yir l }+r { INSURANCE - ~7•. 1 "IC s ~s i 1 #tl SCHEDULE Coveralls Limits of Liability b f+f , , . Bodily Injury Lfublfily and properly Domooe Lloblllty s S 500 ,000 - 1 p " i Poch eeeurfenu 1 ;0 It is agreed that ilia pcoytilons of the policy Capnon2d "LIMITS OF LIABILITY" slating to Bodily'dmry Llobifily and II pr; r I i ` arty bmnolt Llobillty are mntnd,d to read as follows • 11 LIM11S OF LIABILITY l;'r keo0ldlass of she number of (I) Intuteds under this policy, f2r Iir r s, t ert de mailer IT) <totm nwdc of suits brought on a<toul of boJily n~ury so~prop&W damepeho IUt~Iulonwhlllelnlor wi Shp this 4' s i policy oppllt3, the comrony's ficbi(ity is Ifmned as (o9ow s. a Isdfly Inlvly Liability and properly DishI Llablfifirt O The Jimll OF NaMily stated in the schedule of this endorsement as applicable to leach cetuveneo" is the total limit of the company9 Ilablldy (u oil damages because of bodilyy Ieluey,. including damage" for Care and loss of services, or props HY dedde m ' os o result of any one occuritnee, proYlded that wilFl respect to anyy One aeelarence (or which notice of Ills policy is oksin In lieu 7s"' "s I, • of secpshy at wimn this polity is testified as proof of financial rewnsfblMy under the proyhlons of the Motor Vehicle Ffnonciol lie. I -"s " sponsibltiry Low of ony. scale or proWnco such limit of ltobillq• shall be applied to provide the seiwrota limits iaauhed by loch v k low for o0d11y Injury liability and Bar property damope Imblifly to the entCnl of the CovaiogP raouirCdby such low, but the separate r"Yl„ } j tpplicotion of such limit shall nol Increase the total imit of the Company's liability, ~~CI rr st i IDuly AuihOrlre Repr ddd 11` esC111011Ye FORM TX.07•94,---SINGLE LIMIT OF LIABILITY els''i Tears Standord Automobile Endanament IIII Apill I, 1975 ~ 1f'! t 1. L r4 fa ` ~'~v ~F 1 1 ` C' 1f f ~ r- " I ti rt .•+vr ar a~. rift ( ~ , ;t! ` .i V`,liils,'LIc,7svbCdA~7.htil,r ~ '"r "~llt~.l%RtS1 ~~t I ~ 1l, r, j AI 1 r ~W+ 1 I ,1e{ t ll : s,ln~ r lI• : , 1 12 I I 11 1 l `r i l', I tl I' f 1 TX-03.64, ADDITIONAL INSURED GLA 2012040 TI)L RESIDENCE SERVICE DEPT, INC. ThisaMotsLANDMARK aAMIOUCA)Ny INNo, SURANCE COMPANY . it" pail of by Ike of lit Agency I Y ` n ~i . INomt of insurance Company) t hared (city and ssote) FT WORTH, TX and Is eflectlye from 02/00/86 i ~ f t ,r • (12!01 AM, Standard T)mel nYt i * ? r \ , (Tht falarsnollon above Ir required only when this endarsemenl G Issued subaaucnt to prepit"Hon of this Polity.) This endorsement (arms a part of the policy to which oltnched, affective from lit dale of Issue unteti otherwise slated herein. ~s~l iT Is11 sr~ i t t' This etldouement modifies such tnsuronce as Is afforded by she prov)slons of the policy trial t}LSe r t 4 rots le the followfrpl COMPRENENSIYE AUTOMOlILR LIARLiTY INSURANCE a DASIC AUTOMOlFILE LiASILITY INSURANCE ~ E sJ aJ;'' j It Is agreed that such inswonca as Is afforded by the policy under bodily tnlury liability and proPeny domepe llobtliry opplles c ` v rn 'S UFW AIKPORTs CITIES OF DAi I,AS h PT,WORTNs CONruMPR SPRVIC.. bEPT P 0 HOX 610929, - 10 f)1 W 'AYitQT3kTs "TX"7$Z61~0925(Ei¢r name undaddreu of oldltlonal insundt s \ as Isnutsl, provided such "adduawsol blove0I is an Insuftd as defined bs I'll, Persons Insured" of the pulley, subject to the fol } lowing oddittonal provisions, I, Such additional insured stu)ti not be liable fat poymenl of any premiums stated in the polity or earned thereunder. Rrluni I , - premium, II arty, shot be payable to the nonNd Insured. -2 If the policy Is Ismed on o poitlNpoheg baits, such dividend of may be declared by the company shall be paid to the ' ` named Insured, J in the event of cancelollen of the pocky by the nomad Inwred, the company career to moN such odditlonal lnrured, of the ,,t } J ' I ` address glyen above, written notice of such conufarlop Paling when tech concefatlon Is elfeclive, arid, it canceled by the company. %011 ilu halite will be mailed to such additional Insured, of the address given ol+ove, slonng whan not less then ten dove thereaher such cdncelanon dioll ba eNeaive. 11 I 9y tU Aulkoflzcd rye) t tf ` , r [1 \c 1 I I el ;1 S 'I 1, r I t, 17 11t1~ Vii, FORM 1)(42-d1.-ADDITIONAL INSUREb • IY%~ I '0 Y, Texas Stcndgtd Aulemoille Endaeemen} tt r~. 1. Proscribed October 1, 1911 y~"1n4, tvtD , 7 A~ s 1•k 11 1r \I $r \r f I S I tl E ~ t ~)ki f 1 I J 1. , llw. i , ''s I I $l t , r I , ,t J ~'t 1 :t I t `wr v4 ,s .,,I 'r 1 1 I r ?`I ",•.urtlp'agM♦'tRTlrY i[tkr4rrh1Y7a;Lf,Yn'., atilt rr•+, t' , JI. i, , 34 1 ` ~ t\t I, , 4 t I I i f Iui t'. ' 1 TX•0306B. DEDUCTIBLE UABiUTY IN5URANCE I •.yn; OLA 9012040. R',ued to '1'111: K6510F.NOK SCNV)CI: UEI'T. r INC ~~y+ `c Tlsis enJonempnl lormr a part of Policy No ~ ~ ~ ~ 5, t ,r n , ` ' c , ~ ~ LANOMANK AMf,NIGAN IN9URANINo e~olrnw1once Compon~ - of ds Ageniy % . " l' • 6Y slip ) y +r ~ / locoled Iniy and stole) I+TrfQON'i'llr TK _ _ and H pliecbvFfrom ~ I 112101 A M. 5lando+d Tlmel ~ev~ t ~ ' [ t tl. ITLe Isformotlpn abnvih +tqutred only when IhH endersemenf b iswed wbseyupnl fo preporellin of IFp {witty,) r [ ) f y , , ,.pi ` ~ I .This endarumdd loons o pod of Ihp pah[Y to which o116chpd, pIIPGlive Uom ill dole of dme unless olherw iu doled herein. '}t'H ` r. 1 t f1,'~ ~~~n~` ~I 3 ~ y y , b ~ ~ • .)his BMfOlse mpnt mofldwi wch ,marars[e •u K ollv~~+•J by the provisions al Itm Pr r mloling y rR~~ ~ r + ° )~A+7t' v s~ ` w Ihp Inuowir Is~1 a y' ~r s { ~E CDyA1R[N[NSIYf AUTOMWIIE IiAEIIIiY INSURANCE ~ EASIC AUTOMOtILL IIAtILITY INSURANCt ii'7 t } s ssf s i.' s~-, Va} r t + ' f ti ~ i OARAO[ INSURANCE F~3 i t ? , is s rr'.' _ , s ~ +s ~ V~- ll U ogreed Ih01: s sr ('3 I i` . ~ `4 a; 1. Under ony ca+erape Id which a dpducli6la omnunl is designoled In Ilse tclsedute of flits en[lorsemenr IM compony i shall be Ilo61e, up to the limp 01 liobllly titlfed In Ilse polity, only for 0x amours of Damages ollxrwtsa Iwytible ~ ~'.v 1, ' )hereunder in extess of iuch deductible umaunl s : ~ ~ All the afher fesMS Af psp polity slid) opply m N IM torssf>ony wese liable Irr sutb dpducoble ar aUnl. ~ , , I , ` 3, The Jeduu~ble arnaunl s alai GIhC sdxdule oppUes os falfusvs: . q b. Unikr Ilia IaJlly Is~ury Iloblliy coscrggo to all darrsdgas lxcoula o1 011 baJlly In!orr as a hsuh d any ono t + ~ ~ , acesxront6 or s' + b. Ursder Ifx Prapirry Dania to Ilebltily tovcroge la oly dansuges Latuuie d all 6rapM1' QirneMas u resuh of any , r _ , 5 , t ~ ~ ono KteMRai. d +ri1 rye r' 'i [ ~ s, + + ~ ' ' t. Undo the RedVfy Inlury and lropbpy Domipa IVObility tovuagpson o cNn6iM.d IwsVi, fa all dtlmage as o [esull t s + ! „ i of any one xeorrarlei p 1 + ~ ' s w nwth ai Ilx de.]u[hble omounf as maY be ragwred to e11ed selllensent ai ony dnim or Zri : 1. 'f he cornfwnY moY poyy soil. and Iho rsaMd InpuMd shop, upon nofihcauon of Ivch paymtnl, Promptly rprnbune she comPOny la such i > k : rt ~Y~nl~ { rt< . sc►ttnuLt ' + t. taip DduaNbli Ameunl I ~ i ` + ' Corinya ' o Bodily Iniury Lloblllly } aoch otturte me ~ a } 4, t 1a Qatls tlC[UrrerV[k 1{ +r ,+1. q i+', N Propeiy Dorswpp LtnbWty f ?~s+ 4 iF ' 7 . I' ' ~ c Ifodily In1ury and ProperW ~ Damage L1ob,b Combined f each otcunence + ' I s s fY 506.00 ,r °.rli` + t ~ y + 1 I ~1 ti + ~ F • ~ ~ F t,, I RY lw.tC.ALC^i` l..(1 fitll~~~.. _ `~~~~Sr, " + (Duly Authorised peprtsenallvbl ~ ''ids 1~1 S'. fDRM Yri-010{r:-DEDUCrfELE UAtIIITY IN3URAHC[ s ~ ~ ~ I s ' Tnos 6iedddsA Auk~eblli tndonemtnl ~~'4 ~ ' n r , Pr s ~ Rwl[ad tun. I, 1619 ry r ' ~ ' ~I 1 , ; +,1{; . ~ I; ~1 ~ ~ i,,', I t 't r + I a 4 ,1). ~ ~ ~ r. , I,, .t. S, I ~ I . 1 ~ i; i, ~ t 1 .r , s I c I ' 1~ ~ p'+ r ; tl , ~ ti , ~ ~ ~I ` I sr 'F , t1 i ' t v ~y t ~ 3, , ..r- d c. , s . ,i y, 'F+ ~ , ~ 1 . \ :11• r ,If 1 I i . 1 s I': + 1 't. 1 + f f>I+ i i {I ~ q ' . . ~ ,II , ' I I Oil, I I. G TX•03-068, DEDUCTIBLE LIABILITY INSURANCE ~r CLA 2012040 THE RESIDENCE SERVICE DEPT., INC. This endorsOmrnt forms a part of Policy Nb I1,,11td to t , by the f.ANDMARK AMERICAN INSUkANCI' COMPANY 02/08/86IISA9encv t' INome of Insurance Componyl FT, WORTH TI{ laalyd Icay and stotr) . and is eflttlive learn, t (12 01 O1,. Standard Time) s s 1 t iThs Infanna Uon above is ieeultgd only when 11,11 endentmeM It hived subueuent to preparation of fhe polls Y.1. y,} t,,!`f This tndarsemtnt forms a port of the policy to which allathedt Occnue ban its dote of issue unless olherwiso stated hertin. yvjs I tr 1 u r f is tiAl } ; li 4T LAY .3 l ~r ~ ht sl z 1 s,. TII s erKlasemeni mad~Ges such tnsumnee as is alluded by ie pem s am at the policy totaling - - - - - - - to ue following ~TiSr tat , r1 !l I ol~ ' COMPNIKINNVE AUVOMONLE LIABILITY INSURANCE Si{[ jp S tli~tp <,I E1t~• f 1 t "'S BASIC AUTOMOBILE LIABILITY ir, OARAGE INSURANClNSURANCE Jtibii n 'y if k 1. {t, ya E s iii ;'s t t M12i 1 rk tjyl 1 . II Is alytted IIWt _ 11 1 i. Y I, Under any coyeto0e for which a +"cliblif amount it daslgrsated In Me schedule of th4 endasertent, she corrwrsy yrw shall be liable, up Ili the limit of Itability staled In iho pal icy, only for the amounl of donnopes otherwise liayoble .'c t ,'l, I t7s~• ' therewndtr in excess of such derWaili amount r f4AIJ 2. All she other terms Of the policy shall apply ai if she Co"any were liable Ia such deductible amount t ' 3. The deductible amouni stored in the schedule applies as !Allows,. "tt r,E}' 1 o. Under she Iiii Inlury Ilobltlry coviioge to all damages betause at all beelly IMury as a rasuh of any one AIIF fs sJ xensentear or ' b. Under she hapetiy Do~ ItoblItry tove~nge to all damages became of all shop" bntr" of o scrub all any c sit l''r , ON «tWtilli ar ` ~ r a Under the BMlly Injury arld pro"" Demote Ilohiliry tovaagcs on o cornbir4ol basis, to all domoge as a Aesull i+~ s .'•i ~'l of any ON eecimsAea. T tl ni' r f r n d. The cornpany may pay to much of she deductible onet,ni as may be required to effect settiorisenf of any claim or `suit old the mm" Ieswnd shall, upon mWication of suth paywnt, pcovily retmlxuse the canpoay for such Ibywrit, tr r,t ~tf SCHflAJLE vhlr ,t i r Ar l1, f ` ~ net d Carats" DMlutflble Amount Bask }y 1 each octuirened Bodily Injury Llablltly ' r b Property Damage Liability S each occurrence tli i*1` r,l c. 0odiiy Injury and property S ry t ~ i , d Donroge Liability Combined S 500, 00 each occurrence ya 'n ~iwt , y , a E ~rij~r, Il l ~ i ~ ~ l ! I ILL/tC~.~ ~{tS~Aa~jd ~i ,i .r , By. 1~~~✓ ~'Y`.. ` ( '~f t;l`t.. t sill ,l t IDu1y Avihon rtd Rt6resonlotivnl r ss rr If ORM 1!X1,346/•'-0E1iLt UANLITY INSURANCE '1$ ry , r t f Yana! Sfondard AulomablN [ndenernent Revised Julie It 1960 Ex'~$tf'Itiu y 1 t E't ; s t N 3r l~'~i S~fsr!,l ' s not( ,1, }1 alt q,q I i ` tl. 1, 4 (is r., is i1, lfi t ,f e r y 1 7j Kl~li ri. t,v, , > t{t k [v r n sl t ~ o Aft nr q,U.~11 AanE (egsfrw, nv'nr n, l i ' s t , i t tl i ~ t 5r lrt ~ 1, ~ ~t ~ r .L1 I r• i 503, UNINSUREDIUNDERINSURED MOTORISTS-SPLIT LIMITS r This ondorsomenl lorms n part o( policy No 0 by tire __LAN11.)NA (Narna of Insurance Company) at Its Agency located (oily and slatoj rT,_4lgRTHt , TI;x _ and is offoclivo from (1201 A,M, Slandurd Tlmej ' (The Inloinrsllon above is required only when this indorsement is Issued subsequent to plopirallon of Ihs pollag) This ondorsomonl forms a Part of the policy to which nllachod, olfocltva from Ile cola of Issuo unless olhorwise 1r salad hefeln. rl 't '-t3 The first paragraph of 1119 Limit of Liability provision In Unl tsuredlUnderlnsu'ad Molofisla Coverage is fop, cod by the following; < + LIMITS OF LIABILITY The ilmil of liability shown in the declarations of In Ihls endorsement lo) "oaoll parson" for Unl nurodl F}},.~h ` S S Undednaured Motorlste Coverage is our liiazlmum ilrn)t of liability for all damages for bodily injury suolailled by any one person In any one auto accfdenl Subject to Ihls limit for "each parson," Iho Itmit of liability shown In the declarations of In this endorsement for "each accident" for UnlnsmillAlnderinsured Motorlots Coverage Is our maximum limit of [lability for all damages for bodily Injury resulting from any one auto accident The [brill of liability shown In Iho docfarallons Or in this or)dorssmont lot "each accident" for Properly Oamago Liability 15 our maximum ilmil of liability for all danlaaos to all property rosulHng from any one auto accident. z' This Is IN most we will pay f§gerdlaaa of the number of: > 1. Co arod poisons; 2. Clalmt made; 3, Policies or bonds applicable; e, Veh(clos or premiums shown In the declarations; or 5. Vehicles Inyofvbd In the aceldonl, SCHEDULE. Coverage ' • - Llinlll. of Liability UntnsuredrUndoflnsured S+ o U Motorists Covercoe odily Injury $ _2o, 000_ each amide ,1. . S 11Cy QQC aaCh eCC)U9n1 Properly Damage 3 _115-0.00 . . each uCCldeni II t,. 1 Y li}uly AulhorizodROprosonlallvol i t FORM 003,-UNINSURE01UNDERINSURED MOTORI$TS-SPLIT LIMIT'S Taxes Standard Aufornohfia Endorsemam Prescribed June 1, f961 , 1 t I % 'i iC 241b. PERSONAL. INJURY PROTECTION ENDORSEMENT bowie Automobile Lebllily Insurance, Comprehensive AtuemabUe Lloblllpy Investors, Garage Insusal l Thlsendorsemsntformsoporlof frolicyNa CLA 2012040 I ssued roc Tim IF:NCI 8V.RVICF Ish1 T',r INC. E' _ Rf 5l_I . . . by the LANDMARK AMERICAN INSURANCE COMPANY . of it: Agency ' (Name of hilumirice Company) (N 02/08/86 I leered icily rend stairs Fl'. WORTII s K and is ef(eulve from, s f 17.:0! A M Slondord Time) - s Me fAfofinetleq above so nqufred only when skis endorNnseaf to Issued Iabloqu hl to prepavalion of she pollcy.l This vndortemenl forms o poll of the mllcy to which attached, elfeclive from its dote t( issue unless otherwise stated heein. ' I . SCHEDULE 1 Coverg9a Limits of Llahlllty Advents Previews ~ sv'rrsi ~i' .r Personal Injury Psotrclion Coverage { 2500 such perWn S 264,00 t I I ! betn;p ton of ins tine M of or Veklicks reels` ( r ! S (Check appropriate block) ! slry ;s rr,yl d Any automobile owned by the named insured, I +,r; d Any prlvott possenper oulonsabile owned by the named Insured. C7 Any motor vohkle to winch are oltochod dealer's ffcense plates Issued to the named fissured, [ rJ. art Any rrolor vehicle designated in the Declaralfons ofdho ric b the rollers Is acquired during the policy peflod by the reamed insured of re lacement I P. and ° nsolar vsh4lo owntrshlp of which + Y ' p tllcrelor. s•' In consider0fion of the premium for this endasemenh the. Company across w,lh the reeled Insured, subleci to all of the , provislons of this endorsement and oft of the provisions of the policy axcepr as modified hatch, or (ollows: PERSONAL INJURY PROTECTION INSURING AGNAEMENT In accordance wuh the provision of Article 5.063 of the Insurance Cale of Texas and all Ads amahdotory or supplementary tl+erelo, the Company: will Pori III the named Insured at any member of the insured's household who susralbs bodily Injury, toured by acctdert, In a motor s { vehicle accident, and 12) any other person who suslolns bodily injury, caused by accfdenl, (a) uhlle occupying the insured motor vehicle, or Al i N) %h,fa using such vohkle wtih the permfsslan of tho named insured, or the spouse of the insured If o roOderd of the a some household, s for losses Incurred by such Injured person within three years of the dole of such accident foes' (1) oil reasonable and ❑ecesmry medical rnoenses incurred for services lumished, and j (2) (a) !f the poison (usro,ntng such bodily injury is on Income or wage producer of the time of such accident, Ueneflls for loss of Income sustained by such person, whlle living, os o creel and proximole rosuir of such accident, and (b) if the person son raining sucb basic Injury Is not on Income or woge producer of the rlmt of Suck accident benefits in reimbursement for necessary on~reasonabie okienses incurred for essential +ervtces ordinarily peffofined by such U I tnjumd pelsor far 1110 rare and rnolnlt wince of the family or family household, t durlna the period of such injured person's disobllily. EXCLUSIONS , l This Insurance does real apply; fat to any person who: (I) m+mtlonolly tarsus the accident reYnlhng in the haJlfy mlwy of such person, or Of st train{ Wily injury while in she commission of a felony or whitr seeking to elude lawful oppreii i or ewers r ' LV o law enforcement official, n (b) to she named irivatd or any mernber of the tnsviod's household who suslo,M bodily injury while eve: cuprhrp or through beGsg struck by a motor sehicta owned by such monied Insured or any member of the Insured 's ha,tehold which It non's r r , on Insured motor vehicle. ISEE REVERSE SIDE FOR FURTHER PROVISIONS) 1 i By FORM 3416,...9ERSONAL INJURY PROTECTION ENDORSEMENT IDUIy Aulhortted Reprosem ulvel i Tesp Slekdecd AutoroeNle Endofwtsssat I n ~,,s Revised All 1, 1419 t s 1 i TX•03.69. AMENDATORY ENDORSEMENT--NOTICE his endorse of .I farms o lad of Polity No CI.A 20F20b0gsucd to . 7kIP RFSIDr:NCE SERVICE UtPTI by the - LANDMARK WRICAN INSURANCE COMPANY of itsApcruy (Nome of Insuror¢e CaTPa VI t } + ~ } u F'r,WORTIIr T$ and is alP raehvc from 02/08/86 tototed ftlry and rroN) 1 - 02.01 A M. Slpi,Jord Time) i. IThe Inlarmalion abate Is Revved only When this endareemenl h bsacd sob N4uens is Pleparalian al fha Pellay'l Y'}w 1\ t' , , i Ibis endolsemonl forms a parr or Ihe policy to abbe, asroched, effetlha ban its data of issue unless atl,arwisa stated heroin, 91 t~s~us `r This eadorsomont modilles Will Insurance as Is Welded by the provislons of Ihr policy Frlah + Ir g to tic following) t - + 1 COMPREHENSIVE AUTOMOBILE LIABILITY INSURANCE i - s tr€1 BASIC AUTOMOBILE LIABILITY INSURANCE ~d~~f~~f1 , '•1+ r IS~{~~ i'~' r - rAlli INSURANCE iv'ktsp yes sYl ii tc 1 j + Vi At wspecu bodily Injury IIobIUry and propaely dameB Lupin y, unless the compony Is ofution, the acir orh tenure ro i tom cry. with the repuiremenl, any Provislas of lids policy ( a9uldrsg lilt Insured to give ive notice of action, ate,llNa[e or tors, or re• t t~ • 1 ai <.; , putring the ImIINd to forwaid demands, notices, summrsns or other legal process, shall not bar Isobtllly under this polity. r , 1 i f! \1lr Y I•. y IDaIY Aufhnrlmd epresanlapsel sit + + ~ 1 t s.~ i FORM T%•03.69-AMENDATORY ENDORSEMENT-NOTICE + 's Texas Slandard Automobile Endorsement rri „ Pralerlbed Octabae 1, 1914 art' j, Graf .i,; r ' 3 + I r I ~ I it 'fl I y 1 ~ ~t Fj~4 I t f1 ,I. i ' TX-03.17. INSURANCE FOR EXCLUDED USE OF AN AUTOMOBILE ,'fsr Issued io Tli[ 1tR5IURNQ ,g CR,VICF•,$',T, . ~.119.r...'+P st Thh endorument forms o Dort of Policy No. ,.,GLA 2012049 \4 ; { A } { v at is Agency LANUFtAR1C AMRRICAN 1NSURANCR COMPANY ' by the : w " (Norm of Insurance Company) rs ~ t , f NTilt. T ?h5... and It elltdive Irom D2~OQ~$¢ 13 3 ~lS, ! r +1 j• s fowled (city and stotel FT 112;01 AA. . Standard TWO J ;~1 i. 1r}txr, > t, y , 4, (Tha'Inlernsetlett 011i Is regWw+d only when this tndarttmtnf it Inutd sobsYduenf to Pneentien of tM gallaY•) r' This endmurnenY farms a p6+f of this policy to which ett"hod• +Ilecliva from Ili dolt of issue unloss otherwise simed heteln. ~~t ~~1 tl 7s-p 7t -a vl ' This endosurnent modifies awh Insuronae as It afforded by the provislont of the popsy ra• toting to the Ioltowtng t.} + rt <I r I BASIC AUTOMOIIL! LIABILIYY INSURANCE 041 44 t cOMPRIHENSIYE AUTOMOBILt LIABILITY INSURANCE' AUTOMOS LE MEDICAL PAYMENTS INSURANCE II It ogued that any endottemenl which limlls the inturonce With resxU to the ++femeNN designated in the endu;se kn1 to + uu of the memaSlN for the purposes detulbad thertln $hall not apply 11 the ntrrl+l ineuud notifies the e0mpany wllhin 1hlAy days site Rifer the }hit use of the .et+mshll+ during the policy period low outer pp, es S c : , By . , tpuly Authomed ReDresentollve7 }t TORM 7X•03.17.--INSURANC9 FOR tSICLUDED, USE Of AN AUTOMOBILE TexalM t0 pberull m19TA Fndarsemtnf ( i "~tsf 3lsc r, ri{r th r { S~ i t ; s 1 t : sar r.t lwtib I ' 1 } r , ,t { ' Ir 9, ++sennr: ~ • ,,tit , r , ' V , ~ra+jw.V t + 1 .i f ~ r Ir TX-10-97 SUPPLEMENTARY DEATH BENEFIT i This endoesrn+tnt Itmns o Iron of Policy No GLA 2012040,stued it THE RL91F)ENCH SERVICE ULPT, INC. 1. by file LANOMe111K AMERICAN INSURANCE COMPANY at its Agency (Name OI Insurance Compony) s heated icily and sorted FT,NOkTflr TX - and is elleative from. 02/OB/EG - 114.01 A.M. Standard Ysmel r s t i ire' r I cljlt rt sls ` IThe Informi lion ti Is teRWred only Jhen this endoutmenl is issued lubteauero to ptepelellon at lha Po119y.1 ' r i r ' ° . /J7 Tan efnlo7sofnrni foam n pan of the pokey to wseds olfn(heJ, elfen Wa Jwm is JorO of nvre unless 1ti,erwne slated her eBv + I Li+' f.j t Iha endolsenrrnl mnridla,, flick dWranto us is okorded by the prowsions of the policy femlrng to tole + L (blsll , 5. t s r , r Sv d( Iolo.unq. l S r ' ~t J'i r AUTOMOBILE MEDICAL PAYMENTS INSURANCE ' PFPSONAL INJURY PROTECTION INSURANCE the Y i f ` s 4* 1 l GARAGE INSURANCE il`i r t'r rf t vj. i 1 AUTOMOBILE DEATH INDEMNITY INSURANCE 3144 I 4 4,',I t t s r.', t 1 I His ogicird awl ilia toady it to pitavide tan a l or rank bil ei i wdh respect to ua cls paid ar potable under Personal niwy Protection I nstnonce, McJK611'oymenent Msuiulotue on di or Automobile dleatn lnd?mnpy Insurance nce as uldordedb by y W5 potty and and subject to ' - the pit.vnlerns of personal Is;ury PeotetHOn 111WInnte, Medical Poymenl Innudnce amllof Auromobite Oeolb indemruly eticepi r s tinted ` f r >)S + y 1 4 by Iles andors ernent 2 { ~ s INSURING AGREEMINT AND LIMIT OF LIABILITY r It it agreed the rompotty w l pay a supplementary deolh banebt equal to ilia limit shown for the coverages but flat exceerInq ten Inousand li 101X101 per peuon because of death t ' t . s + .i t r •I ' I. Caused try on a rlomnVic occident, anti S41slainatl by an Inluted AbIle weorusq a 1901 halt or proroued by an abbot'. .j 1 The compurty wall pay the bentld, d dealt) iron on ouldnloh,le accident occurs wdlro three years of the data of suit ouldenl, eacrpt ' ? ( Under Aulomo Ile bench Indem oy, de alh mull occur wilhln one year of the dole of tacit accidanl- PROOF OF CLAIM FOR DEATH BENEFIT Tile baneficloty 1Jusl lurnnh as "011 proof of droll, of pm lamed, occompunied by a pot cr report or other sulloble proof, that the iasurad of the time Ilse oulormoble atudrnt occuutd, was wearing u teat 1,414, or prolecled by nn airbag. S t 1 d.1 OTHER INSURANCE ,l4 t , M,-,;,Any a n i a o n I s poya ale under Iha Supp10mtli l my Ua o tit U a n a hl shall not ba 7tducaof by any olhu amounts paid a r payable I i nit af Iha policy+) ` , r. DEFINITIONS1E i 14."i, h "Inswed" as used in chit endmemenr means the sunit peisans w who vie covered under Automobile Medicaf.. paymonls Insuronco, d [ s f , parsorll Injury Violation Insumn(e, Uo uge bb(rroncr (CovrlotJC II undym Aida n+Obrle Death lodemndy timounto. ( li "Scot Belt" meantmmmol or ouWmahc solely title or seal and shuufdef (014volt of a (hdd reslrainl device. { f, I "AiibOg" is d lun(nun ng ad boy designed to protect the octupanl al o seal in on ahfmnobrlr. 1 "69nelitlory" means im order of puonry of puymanl): tU (j,}l „ r i t• at the t{ v1 I i1 lyre deceased is un Unmarried minor, raker al Ilia sup, rvlnq vwvit Is %Iio hoif legal v in to if y of the rimy of Ili0 otodeat, at 7 ( s j she estole at the deceased. Ern s r r #Ft` By } +fr , 411 t t l6C6 1 Mull Aulhodted RepiesentativO t f t r rL~ sI ,1 1v r` r-r FORM TX-10-97-SUPPLEMENTAL DEATH BENEFIT V s4! 4 i Te1et Sicti Aulomobito Indortament Pimetil ed July 1, 198S u }s f9 t ,a~ t t r I ?t i . r, L I +LV ~ a Y ~'✓M1!J(+ .S~rh7~~~s'y1>T~~'?~'.,~rlrbt r, ~ ~ + i t. t , I I I 1 ~ 1 .l" IT~~a~~'~~~•~:•~+~••aa~nrw..«::•:u,rrr 1'. TX-03-78A. NUCLEAR ENERGY LIABILITY EXCLUSION ENDORSEMENT Ilrood Yarml r?•--•) s This endorsement forms apart of policy No ULA 2012040 Issued to THY, RESIDENCE SERVICE UES'T. r INC. 1 . I by the .-.,LANDMARK AMERICAN INSURANCE COMPANY ill its Agency 1 Wome al"}nlvf.ate Camtonyl located (City and s(Voe) FT. iJOR'T11, TX 02/08/86 and is elite rive from i (I2 01 A ht Standard Irmo IR (The tnlarmotlpn above (t retluirad only when this ~,,otsemenl is blued tubt¢9uant to preparation of Ike poll¢Y's This ando icho"I forms a pmt of the policy to whlcir vllached, errecti p Iran, fls dole us litre unless otherwise stated herein. Tors endorse font modifies web insuronw as Is afforded by Ihr proylflafn of the pricey m lot no to the following! l ALL AUTOMOBILE LIABILITY, GENERAL LIABILir' AND MEDICAL PAYMENTS INSURANCE OTHER THAN IAMILY AUTOMOBILE, SPECIAL PACKAGE AUTOMOBILF, . 4OMPREHENSIVE PERSONAL AND FARMIR'S COMPREHIHSIVF PERSONAL INSURANCE r s It Is spread Ih011 I I. The polity doer ,laic apply: ..,1 ' I A. Under any Liability Coverage, to bodily InJusy of propaMY damage ' (11 wflh respect to which on Insured order the policy Is also on hnufod under o nuclear encr liability Nuclear Baergy Llablllty Insurance Assaiollon, Muluol AtdmiC Energy Lfobihty Onderwnlcri or %Clrlpolicy once As, s0afotfon at Conada, or would be an Insured under any laclh polity lirl for its rerminollon upon anhaustton of is Iimli i r.. of Ilabiiilyt or - a:. (2) rewlUnO from the hnsorJous propulit) of nu4lem afaled6l and with respect to which in) an g s ' ~ r required to maintain financial pforemon pursuant 10 the Alomlt Energy Act of 1954, or a1 lawwasnonQa;m, there on is ~It~' ei'~'sii !t 's) lit lb) the rntured Is or had this policy not been Issued would be, 1ntilledto indemnity from the Uniled Stales of America or on a erR thereof, 1 on any g y under any ourcc[uent entered Inca by Ihp Untied $tafos of America, or any Cooney thereof, Willi r y person at organization, v ; • R Under any Medical Poyments Coverage, of under ontoy 'r 'r , , 4uned with rat oc[ to b4dlfy Injury resulting from 1 0 liaweidwi pwPak fa~ of ipiutleo Materlialgcndf afar ig gou10 t af ponies er. [ - in, .t aUon 01 o n444ne facility by any person or oloanlratlon. I r C: Under aFly Liability Coveage, to bodily ]njury or pfopo0k, damage rcfultno from the haealdous Propel of nuclear ma. ta111, U (1) the natleal Fel llol lo) it 11 any nuclear facility owned by, or operated by or on heholf or, un Insured of (b) hat been r ' dlschorped or dhpened therl ' (2) the nualtar material Is contained in spent fuel or wester. of city time possental,, handled, used, processed,. stored, Uons• period or disposed of by or on beholl of an Insuredl of 131 the bodily Injury or property der magi mires our of the furnishing by on knoll of services, materials ' f fill In connection Willi the plennlnq, construction, maintenance, operation or use of any melees facilhlb of equip. facility is located within Loo Unload Stores of Amanita, is lerrilories or facility, but if s.rth piles only to plopeHy dsmapo to such nurlaar fodUlY and any property rherastsextom or Canadu, I'+is exclusion f31 or). 11, As used In this endorsement: r' ,l "hawrdeue ptai lln" Ire fuda tadiocciiye, laic or explosive ptopo Iles; 'rnutl4ve iflil ale:means sauna m6ftolal, spatial nuclear material or bypr¢dutt mat irelr ' Act of Male n ny toel ne"doimateriel f; and "byproduct m6leriel" have the rn eaningt given them in the Alemlc Energy s' Act at 1y54 or r In any law amenJaory thereof; ; sr' "speel fuel" means any fuel element or fuel component, solid or llquhd, wine!, hot been used or exposed lei radiation In a nu• 4 tfear rotation v Oslo" . means oily waste molerlal (1) conlanin Ilon of Ionelentrotlon of uranium or shor,um from anyrare tprocesseluffprlnronlyofoe Isssolui ce mottdall tons nlCrundyIN the result np from the operation by any pawn a, orgunl4auon of any nuthar facility fret of under the itsI Iwo Poraprpphs of !h¢ dellnl• lion of nuclear faciihys , .i r'nuebar facility' means (o) any nutlaar etcher, t Ib) any equipment or device coslonnd or used for II) 10PO tn0 the isotopes of uranium Of Plutonium, 12; pimit ino or u ll• Ilzlf,o spent [ud, or (3) hunditng, pwcessltior s t. t g packoQtnp waste, r I ill any equipment or device used for the proeellhtp, fobritalhro of alloying of special nutfeor moler(er if al dry lime she \ { folol anwunt of such maetloi In the cwlody at°the insured of the prernitet where such equlprngnt or doytte Is [stated <onslsts of of tOnlains mofo Ilion 25 Qramr of plutonium or uranlum 233 or onto combination Ihereol, Of mote than 250 Qram3 of ummum 235, (d) oily structure, baton, oxaavaltas, premises of plOCO prepared or used for the slenapo or disposal of waste, 1 ' and Includes life stn on which any. of life foregoing Is locaied, all opesatfons casdvtted on such stir and fill prcmlfes used tot s` ` 1 { such op¢rollolli cv [ °aYdoar 1144161 means anY 0p molls de dpned or used to curtain nuilear Italian In a iplf•su ti•' Ioln o critical mass of fhdona6le mlCrial; pparfin9 tlroln roe<lion or to to,,. a" t ptaprtfY damage" rill all forms of rodioacllve 0- commotion Of properly. i t r (Duly ,t hodtod ill TX.03•ISA.-MUCLIA4 ENERGY LIABILIYY EXCLUSION ftepfas¢ntalrvel ENbORSI MFNT {Broad Pe1m) Texas Standard Aulome6111 Endowmsat Rarlwd Sa piernb at tr 1914 •t'Yr It ~ i dpi rt h fill' + I 3 jl [ , i , • I Ifp i , ' 1 I r-~ c rrY OF DENTON MUNICIPAL OtKI)ING DENTON, TEXAS NUMDER0ATE10Fe 1G~ NAME j C. ADDRES6_-1-Liall:lY-± ' SERVICE AUDRESS__ UTI LITY DEPOSIT OORF, DE RMt15 t.00P TAP Ebci Wanr SeA. COURT [guild. Plumb. Elect. Water Sewer TOTAL KEEP TRis RECEIPT rOR PROOF OF PAYMENT AND DEPOSIT REFUND. r I 490627. Fortes oat neucwED ev ro wilk { 'r F, t 4; 3~ 61 r III; 'A END j. 1 f. i 0 F r~ 1 1. t FILE t i:. t I a' I tr~ riq~i;}yl}c "V „ trtr4xl i;J 1 r