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DATE (MWDDIYVYY)
10/30/2015
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
CERTIFICATE OF LIABILITY INSURANCE
IMPORTANT: Ir the certificate holder Is an ADDrTIONAL INSURED, the pollcy(lea) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the p olicy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder In lleu of such endorsemenl(s).
PRODUCER
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MHBT Inc.
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8144 Walnut Hiii Lane. 16th Fl
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Dallas TX 75231
fNSURERISI AFFORDING COVERAGE
NAICI
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INSURER A:f"ll.-1 ~ .. ,.,, ,._11,.. lnc>1 "''"'""' r.n
INSURER B !
INSURED Boy Scouts of America, National Council and All of its
INSURERC :
affiliates and subsidiaries Including:
East Texas Area Council
INSURERO :
1331 E. Fifth Street
INSURER E :
Tyler, TX 75701
INSURER F:
COVERAGES
REVISION NUMBER:
CERTIFICATE NUMBER: 902318861
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSUREO NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOlWJTHSTANOING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO AU THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES . LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID Cl.AIMS.
INSR
POUCYEFF POLICY EXP
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TYPE OF INSURANCE
LIMITS
POLICY NUMBER
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IMMltlOIYYYYI ' IMMibOIYYYYI
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GENERAL LIABILITY
tll1120f5
311 /2016
MWZY303431
EACH OCCURRENCE
$ 1,000,000
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$
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POLICY
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DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Atlach ACORD IOI, AddltloBll R1mark1 Scll1dul1, II mor. 1p1c1i.1'11qul,.d)
Certificate holder Is named as an addltlonal Insured blc virtue of a written or oral contract or by the Issuance/existence of a permit or
certificele of insurance but only with respect lo operat ons by or on behalf of the Insured, or to facilities of, or faclllUes used by lhe Insured
and then only for the lirnils or habllity specified in such contracl for the event specified herein.
Use of the rock climbing facility at the Stephen F. Austin Recreation Center by Troop 100 on November 10, 2015 from 6:30pm-8:30pm .
CERTIFICATE HOLDER
Stephen F. Austin University
Campus Recreation Department
lA.ttn: Kelley Consford
P.O. Box 13016, SFA Station
Nacogdoches, TX 75962-30i6
I
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCOROANCE WITH THE POLICY PROVISIONS.
AllTHORtzED REPRESENTATIVE
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