Document 8REOBab1NK0xBV9q0yOVBQa7y

MARINE DOCKS WHARVES DREDGING SURVEYS GOLDSTON ENGINEERING.INC. CONSULTING ENGINEERS CIVIL - MECHANICAL - ELECTRICAL D. BOX 9660 PHONE: AC 512 BB3-924S CORPUS CHRISTI, TEXAS 78408 December 16, 1980 INDUSTRIAL POWER TRANSMISSION FOUNDATIONS PIPING UTILITIES STRUCTURAL LIST OF PEOPLE WHO MAY POSSIBLY BE EMPLOYED ON INGLESIDE DOCK FIRE PROTECTION, WO 1025, E 516 Engineer VI John Hays Regular T ime $35770 Over time $38.64 Engineer V 31.10 32.70 Jim Shiner, Michael Stridde, Govind Nadkarni, Mike McCleske Mody Boatright Engineer IV 25,44 26.75 Larry Pennington, A. E, Hymer Engineer III Doug Hearn, Yogesh Shah 20.50 21.55 Engineer I P. E. Tsiatsios 15.55 16.35 Engineering Technician IV Neil Etie 21.85 23.00 Engineering Technician II G. Cantu 17.50 18.40 Draftsman I 8.75 Janet L. Outlaw, Jerry Guajardo, Larry Horger 9.20 KRC-578 F:. DEC r i r/xw.v. #S(B) 00132 4 K Fold here fo r m oiling to C ertificate holder INSURANCE CERTIFICATE EXHIBIT "B" THIS IS TO CERTIFY THAT the policy or policies, if any, described in items 1 through 6 have been issued by the Texos Employers Insuronce Association, ond/or the Employers Casualty Compony, and/or the Employers Nationol Insurance Compony, and/or the Employers Casualty Corporation, and/or the Employers Notional Insurance Corporation as Insurer or Insurers to the Insured designated in this certificate, and thot each such policy or policies, subject to the limits of liability, exclusions, provisions, conditions ond other terms thereof, are in full force and effect os of the dote of this certificate. If any such policy is cancelled or is not renewed at the request of either the Insured or the Insurer, or if ony such policy or any renewal thereof is changed in any monner or for any reason so as to affect this Certificate, ten days' prior written notice will be mailed by the insurer to the certificate holder, herein named. THE CERTIFICATE OF INSURANCE AS SHOWN IN THIS CERTIFICATE REMAINS IN EFFECT UNTIL TEN DAYS PRIOR WRITTEN NOTICE IS MAILED TO THE CERTIFICATE HOLDER (at the address shown below) AS ABOVE PROVIDED, or if a date is shown in the column heoded "expirotion dote," such insurance shall expire either upon such date, or upon the date specified in written notice mailed ten days prior thereto, whichever dote shall first occur. This certification is not a joint but is a separate undertaking of each of the insurance carriers shown below. This certificate of insuronce is not an insurance policy and does not amend, extend or alter the coverage afforded by the policies listed herein. Notwithstanding any requirement, term or condition of ony contract or other document with respect to which this certificate of insuronce moy be issued or may pertain, the insuronce afforded by the policies described herein is subject to all the terms, exclusions and conditions of such policies. NAME AND ADDRESS OF CERTIFICATE HOLDER EFFECTIVE DATE OF THIS CERTIFICATE December 17, 1980_____ Sunoco Terminal, Inc. P. 0. Box 7J8 Nederland, Texas 77627 Corpus Christ!, Texas Texas EITIPLOY9RS1 insuRance ABsocianan NAME AND ADDRESS OF INSURED EmPLOYens casuaLTV company EmPLOYSRB NBTionaL insurance company Goldston Engineering, Inc. P. 0. Box 9668 Corpus Christi, Texas 781+08 EmPLOYens casuaury coRPORanon EmPLOYSRS NBTionaL I Fold here for m ailing to Insured I TECO -2S90 D OPERATIONS: All Operations. (See Reverse.) rDEC OUTER CONTINENTAL"SHEEP ENDORSEMENT (Offshore oil or gas operations located within waters of that part of the Outer Continental Shelf, which would be within Texas boundaries if extended seaward to the outer margin of the Outer Continental Shelf.) Workers' Compensation Policy #50780 provides coverage for operations subject to U. S. Longshoremen & Harbor Workers' Compensation Act. Comprehensive General Liability Policy #82547U provides underground damage liability coverage. 1,000 P & I coverage under Policy 80L03301 through Hanger Insurance Co. # S(B) 00134 Cancellation: 'M -.mi.J .my die above described policies he cancelled before the expiration date thereof, the issuing compan./ will endeavor lo man _3Q-- days written no*icc to the below named certificate holder. but failure to :i mill! ii.'Cn notice shall impose no obl'd'ihon or liability of any kind upon the company. . 1>1 Sd .I ft' M ATE rlu'il.-t n n. -n OATC l`ISSUFO ___ December J.7 _JS3.Q_ Sunoco Terminals, Inc A >it P. 0. Box 758 Ol:f Q & Nederland, TX 77^27 AUTHOHlZkU Niw- #S(B) 00135