06/01/1987 Park Board Packet - Laserfiche WebLink

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Ohl n rt n n C n A Lloyds Plan Insurer • Irt�, �l ULJL LOYDi e -New L.A U.S. Renewal of Number 1999 Bryan Street Dallas, Texas 75201 DECLARATIONS Item 1. Named Insured and Address:(No. Street, Town or City, County, State) American Bicycle Association, Inc. Mendel S . Kalif f 8620 N. New Braunfels, #311 Renaissance Plaza Suite 440 San Antonio, Texas 78217 San Antonio , Texas 78216 44-0041 Item 2. Policy Period: (Mo. Day Yr.) From 1-1-87 to 1-1-88 12:01 A.M., standard time at the address of the named insured as stated herein. Item 3. The insurance afforded is only with respect to such of the coverage parts and coverages indicated herein and in the attached coverage parts by specific premium charge or charges. The limit of the company's liability against each such coverage shall be as stated herein and in the attached coverage parts, subject to all the terms of the policy and the coverage parts having reference thereto. "V Insurance Coverage Parts Coverages Limits of Liability Advance Premiums )] Comprehensive General Liability A Bodily Injury Liability Deposit ❑ Owners',Landlords'and Tenants' Liability y j ry Liabili $ 1, 000 , 000 Each Occurrence 35, 000 ❑ Manufacturers'and Contractors'Liability $ CS L Aggregate $ ❑ Owners'and Contractors'Protective Liability B Property Damage Liability $ Each Occurrence ❑ Completed Operations and Products Liability $INCL Aggregate $ Contractual Bodily ❑ Contractual Liability Insurance Y Injury Liability $ Each Occurrence $ CO (Designated contracts only) Z Contractual Property $ Each Occurrence J Damage Liability $ Aggregate $ ❑ Personal Injury Liability Insurance P Personal Injury Liability $ Aggregate $ i ❑ Premises Medical Payments Insurance E Premises Medical Payments $ Each Person $ Each Accident $ ❑ Comprehensive Personal Insurance L Personal liability Is Each Occurrence ❑ Farmer's Comprehensive Personal Insurance nft Medical Payments $ Each Person $ Each Accident $ N Physical Damage to Property $ Each Occurrence 0 Animal Collision Imarket value not exceeding$400 each animal $ ED Broad Form CGL I See Schedule I See Schedule C Bodily Injury Liability $ Each Person ❑ Comprehensive Automobile Liability Insurance $ Each Occurrence $ ,,,, D Property Damage Liability $ Each Occurrence $, J m ❑ Uninsured/Underinsured Motorists Coverage U Bodily Injury $ Each Person 0 $ Each Occurrence $ 0 cProperty Damage Is Each Occurrence $ ❑ Automobile Medical Payments Insurance F Automobile Medical Payments Is Each Person $ ❑ Automobile Physical Damage See Schedule See Schedule $ ❑ Garage Insurance See Schedule See Schedule $ ❑ See Schedule See Schedule $ $ $ Form numbers of endorsements, L639 5a r Gen. Endt. ; L-6112 Total Advance Premium for this policy. $1 3 5 r other than those entered on L—9 2 9 4 ; L—6111 Audit Period: Annual, unless otherwise stated (enter below) Coverage Part(s), attached at issue Monthly Adjustment It If the Policy Period is more than one year and the premium is to be paid in .installments, premium is payable on: Effective Date 1st Anniversary 2nd Anniversary '4 Item 4. The Named Insured is: d i l Corporation,xJ 4 "4i4i141 Below and describe siness of the Named Insured Countersigned: Dallas, Texas e Y fNot available in Texas Aut prized Representative