PRODUCER
New York Medical 1 Rockefeller Plaza New York, NY
DeBaker and Coolidge, L.L.P. P. O. Box 1234
Houston, TX 78768-1234 INSURED
THIS C E R T I F IC A T E I S IS S U E D A S A M A T T E R O F I N F O R M A T IO N O N L Y A N D C O N F E R S N O RIGHTS U P O N T H E C E R T IF I C A T E H O LD E R . THIS C E R T I F IC A T E D O E S N O T A M E N D , E X T E N D OR A LTER THE C OVE RAG E AFF ORD ED B Y THE POLIC IES B ELO W, E X C E P T A S S P E C IF I E D.
I N S U R E RS A F F O R D IN G C O V E R A G E N A I C #
INSURER A: No Pay Fidelity
INSURED INSURER B: Fast Car Fidelity
INSURER C: INSURER D: INSURER E: COVERAGESCOVERAGES T H E P O L I C IE S O F I N S U R A N C E L I S T ED B E L O W H A V E B E E N IS S U E D T O T H E IN S U R E D N A M E D A B O V E F O R T H E P O L I C Y P E R I O D IN D I C A T E D . N O T W I T H S T A N D IN G A N Y R E Q U I R EM E N T , T E R M O R C O N D IT I O N O F A N Y C O N T R A C T O R O TH E R D O C U M E N T W I T H R E S PE C T T O W H I C H T H IS C E R T I F IC A T E M A Y B E IS S U E D O R M A Y P E R T A I N . THE INSURANCE AFFORDED B Y THE POLI C I E S DE S C R I B E D H E R E IN I S S U B J E CT T O A L L TH E T E R M S , E X C LU S I O N S A N D C O N D IT I O N S O F SU C H P O L I C IE S . A G G R E G A T E LI M I TS S H O W N M A Y H A V E B E E N R E D U C E D B Y P A ID C L A I M S .
INSR LTR
ADD’L
INSRD TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE DATE (MM/DD/YY)
POLICY EXPIRATION
DATE (MM/DD/YY) LIMTS
A GENERAL LIABILITY
:
COMMERCIAL GENERAL LIABILITYGGCLAIMS MADE
:
OCCURG ____________________________________
G ____________________________________
GEN’L AGGREGATE LIMIT APPLIES PER:
G POLICY G PROJECT GLOC
CLP1234567 02/01/03 01/31/04 EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED PREMISES (Ea occurrence)
$ 50,000
MED EXP (Any one person) $ 5,000
PERSONAL & ADV INJURY $1,000,000
GENERAL AGGREGATE $
PRODUCT-COMP/OP AGG $2,000,000
B AUTOMOBILE LIABILITY
:ANY AUTO
GALL OWNED AUTOS
GSCHEDULED AUTOS
:
HIRED AUTOS:
NON-OWNED AUTOSG___________________________________
G
CAP 02/01/03 01/31/04 COMBINED SINGLE LIMIT
(Ea accident) $2,000,000 BODILY INJURY (Per person) $ BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY GANY AUTO G
AUTO ONLY-EA ACCIDENT $
OTHER THAN EA ACC_
AUTO ONLY: AGG $ $
A EXCESS LIABILITY
:
OCCUR GCLAIMS MADEGDEDUCTIBLE GRETENTION $ 123456 02/01/03 01/31/04 EACH OCCURRENCE $5,000,000 AGGREGATE $5,000,000 $ $ $
A WORKERS COMPENSATION AND
EMPLOYERS’ LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED?
If yes, describe under SPECIAL PROVISIONS below
ABCDE 02/01/03 01/31/04 X W C S T A T U -
TORY LIMITS
OTH- ER $
E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE-EA
EMPLOYEE $1,000,000
E.L. DISEASE-POLICY LIMIT $1,000,ooo
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (See A ttachm ent.)
Crescent Real Estate 909 Fannin Houston, TX 78768
General Electric Commercial Credit 2 Rockefeller Plaza
New York, NY
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER W ILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR REPRESENTATIVES.
AUTHORIZED REPRESENATIVE