10:58 :31a .m. 02- 04- 2016
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936 6321125
FEB/0 4/2016/THU 12 :28 PM
BBS
P. 001/001
FAX No . 936 632 1125
Insurance
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CERTIFICATE OF UABILITY INSURANCE
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'TH1s cER't1F1CATE is 1ssueo AS
MATTEROF INFORMATION ONLY AND CONFERS NO .R iGHrS uPON THE CERT!!'ICATE HOLDER. THIS
cERr1F1cATE ooEs Nor !\FF1RMAr1vr1.v oR NEGATIVELY AMENo . i;xrENo OR ALTER THE covi:RAGE AFFoRoEo sv THE rouctEs
BEL.OW. THIS .CEii.TIFICATE Of INSURANCE DOES NOT CONSTit iJjE A CONrRACT BETWEEN THE :$SUING INSURER(S), ,O.U ~ffioRIZEP
REPRESENTATIVE OR fiROOUCER, AND THE CERTlFl~ATE HOLDER.
IMPORTANT: If the certificate .h.o lder is an ADDff1··-o-N_A_L_1N""s,...u. R""E"'o· ,-t-h-e.-p_o_fi_cy_(,...ie_s_)_m_u_s'""t""b. e-e_n_a,...·
.o-rs-:e-d-.-.1..,f..,S""u,..a=-R·6.(fAfiOr·Tisw;\iV"@o: ~subj ect to
the terms and co11dl.tions of the policy, certain policies may require an. endo.rsement A statement qn this certific1;1te does not confer tights to·the·.
certificat'e h!'llde.r in lieu. of such e.ri.dorsemerit's. .
PRODUCER
Bartlett Bas.gett. &. Shanda
:PO Box 9
i2il4 S First Street
...... IN5 tlfiER!S) -~f,O R~l ~G cov~~A~~ . .. . .. .......... .... ~ .. . .. N.\.1~. if
TX
l. !,,1Jf.~in
75902
INSU~l:l
. Alllerion
.~eleCoro:nunicat:ions ,
.Inc .
........................ .. ...... ... . -'~~Y~E R A :'L'he Hanover ?Ut>.erica.n . ~.I.l:S .. ~$! ... .... .... ... ; .3~0.64
tNSURl.':RBXl l ~ri ca ·Financl.al
f i.::: Ing · co : 4 1 840
. . . . . . . . . . . ---------- - -- ......
_____ ..,. Bene·
·· -- ·· · ····· ··· · · ·· ···· · ·- --: ·· · ·· ·· ·· .... .
r:::~;.:::~:::: ::::::: :::::::::: :::: ::::: :·.·-~:.:: ..::: ::::.:::: ::::::::::::::~:::::::::: :::::. -
P . O . Box 7 20
't ;I..N~UR·
SURER~~·; ~-~=:~~~~=:::::::: ·
....................... +· ··········· .. .
g:
·Lufkin
TX
7590 2·· 0720
R(V!SlON NUMBER :
CE:RT:FICATE NUM8EiR:CLl62401110
C.OVERAGES
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" OESCRJ~T!O N" OF OPeRA1!0NS t L0.CAl10~3- t VEHfCl..E:S rACOAD 10 1, AildiitOrial Rt:m a:r1<s Sc l:e 6Vl'3', Pl&y l~ & Htti~N'l1 : 1f 'nic,-f! :,pac~ 1,- ~equjrei;f}
i
Tho Genoral Liability and Bui>inese ·A utoroobi1.0 ,Po:Licdes .i n clud e s a blanX:e!: additonal il)sured in favor of
cerci:!icate holder when required by contract. ·The Worlters :Com.b>ensation. i;>olicy incliid es ;i Waive.r of
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e_r_w_h._e_~_. r_e_®_· i_r_e._d_b_y_. c_o_n_t_r_a_<:_t_. ----------~-----J
._'__t_h_:.e _:_c_e_.:r._t:_i_f_i_·c_.......a_t_e_._T:l_o_l_a_·
CANCELLATION
CERTIFICATE HOLDER
l ( gJ
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468
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8282
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Stephen F. Austin Sti!i.te :Un .1,:versi ty; ;rts
Directors, Elnployees,Represientatives:· &
1936 Nor1:·h
St.
Nacogdoches, TX
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ACORD 25 (2014/01 )
INS02~ (2:; 1 ~01)
75·962
0
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TH~~:Ov~-~~~-~::::·~01.i C:IF.S B
ECANCEll:E::l BEFO.RE ·1
.SHOU LO:ANY OF
THE EXPIRATION
OATS THEREOF.
N()TJCE
ACCOROA NCE wii'HTl~E:POLICYPROVISIONS
AUTH ClllJ.F.D REP'RESENTATIVE
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<fl 1988-2014 ACORD CORPOMTION. All r:ght:S reserved.
The ACORD .nan1e and lqgo are regis tered marks vf ACORP
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