ACORD"
I
CERTIFICATE OF LIABILITY INSURANCE
~
DATE (MM/DONYVY)
~/29/201~
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(SI, AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the tenns and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
I
PRODUCER
Texas American Insurers,
Inc.
1845 Precinct
Line Rd., Ste 101=tE,
r~"
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r
Hurst
.•......
76054
TX
Inc.
COJIIIDUJ'li.cations,
501 Duncan Perry
'j
IIlh~{\fl
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INSURED
DEW
-
Timmons1 ACSR
(817)877-3101
I
PHONE
.
1
I ~=bs:rtimmons@txam..com
r~~
No): (817)332-6916
INSURERfSI AFFORDING COVERAGE
n 1,;
INSURERA
:Travelers
Llovds
NAte#
Insurance
41564
Co
INSURER B:Travelers
Indemn Co Of America
MUtual. Insurance
Co.
INSURERC :Texas
SFASU PROCUr-:'L,'IENT
Rd
~~~tl,,;
Rachel
25666
INSURER 0:
INSURER E:
JIo..rlinqton
76011
TX
COVERAGES
INSURER F'
CERTIFICATE
THIS IS TO CERllFY
THAT THE POLICIES
NUMBER:CL1552901919
OF INSURANCE
LISTED
BELOW
REVISION
HAVE BEEN ISSUED
TO THE INSURED
NUMBER:
NAMED ABOVE
FOR THE POUCY
PERIOD
INOICATED. NOTVll1THSTANDINGANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IMTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
I~~:
COMMERCIAL GENERAL LIABILITY
X
A
""""
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFF
MMI
:C~~~~
-.J CLAIMS MADE [i] OCCUR
-
:~r:
POLICY
H-6307~3~P~41-TCT-15
D ~~T D
6/1/2015
6/1/2016
LOC
OTHER
~OMOBILE
B
X
LIABILITY
ANY AUTO
ALL OVVNED
AUTOS
-
_
HIRED AUTOS
I
~
-
-
UMBRE1.LALIAB
EXCESS LIAS
B
S
1,000,000
lea occurrence\
S
;:WO,OOO
MED EXP (Arly one person)
S
10,000
PERSONAL & ADV INJURY
S
PREMiSeS
ACCR.CAT. LIM" APPLI.S PER,
X
LIMITS
EACH OCCURRENCE
SCHEDULED
AUTOS
NON.QWNED
AUTOS
BA1939P947-1S-TEC
6/1/2015
6/1/2016
CENERAL ACCRECIITE
,
1,000,000
PRODUCTS. COMP/OPAGG
S
2,000,000
Bodi¥ injury limit(s)
S
~~~~t\.::.IN\::lLI;;.L.IMII
S
BODILY INJURY (per person)
S
2,000,000
1,000,000
BODILY INJURY (per accident) S
Pp~?~;:~PAMAGE
S
s
nOCCUR
CLAiMSMADE
I
DED I X
RETENTIONl
~O 000
WORKERS COMPENSATION
AND EMPLOYERS LIABILITY
YIN
ANV PR::OPR::I
FTOR,<PARTNERIFX
F.CUTlVE
IOFFl08"M •• 0.' EXCLUD.D?
N/A
C (Mandatory In NHJ
If as, desaibe under
D~CRIPTION OF OPERATIONSbelow
C!!J
CUr-2330~64-~C~-16
6/1/.2016
EACH OCCURRENCE
S
4 000 000
AGGREGATE
S
,
4 000 000
6/1/2016
X
I
0001238308
6/1/2015
--
6/1/2016
I ~\%UT.
E lEACH
I ~~H-
ACO DENT
S
1 000 000
E.L. DISEASE. EA EMPLOYEE $
1 000 000
EL QISEASE• ~lICY
1 000 000
LIMIT
S
I
DESCRIPTIONOF OPERATIONSI LOCATIONSI VEHICLES (ACORD 101, Additional Remark!! SChedule, may be attached If more space Is required)
SEE NOTES FOR SPECIFIC
WORDING
RECEIVED
II ,~
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-
(.1'"
~
CO .'-" -"'-.•. IER/AP
(
CERTIFICATE
HOLDER
STEPHEN
F. AUSTIN
STATE
ITS
OFFICIALS,
DIRECTORS,
1936
NORTH
STREET
TX
NACOGDOCHES,
75962
CANCELLATION
UNIVERSITY
EMPLOYEES
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
DATE THEREOF,
NOTICE WilL
BE DELIVERED
IN
ACCORDANCE WITH THE POLICY PROVISIONS.
THE EXPIRATION
AUTHOll:1ZI!!O1l:~P\I!!SI!!:NTATIVI!!
Colby Shannon/RHT
~~7~
~ 1988.2014 ACORD CORPORATION.
ACORD 25 (2014101)
INS026 (:2014Ul)
The ACORD name and logo are registered
marks 01 ACORD
All rlghls
reserved_
COMMENTS/REMARKS
GENERAL LIABILITY AND AUTO LIABILITY POLICIES INCLUDE A BLANKET AUTOMATIC ADDITIONAL
INSURED ENDORSEMENT PER rORMS (CGD246 08/05 AND CAT353 03/10)
GENERAL LIABILITY, AUTO LIABILITY, WORKERS COMPENSATION AND UMBRELLA LIABILITY POLICIES
INCLUDE A BLANKET AUTOMATIC WAIVER or SUBROGATION ENDORSEMENT THAT PROVIDES THIS rEATURE
ONLY WHEN THERE IS A WRITTEN CONTRACT BETWEEN THE NAMED INSURED AND THE CERTIrICATE HOLDER
THAT REQUIRES IT
GENERAL LIABILITY, AUTO LIABILITY, WORKERS COMPENSATION AND UMBRELLA POLICIES INCLUDED AN
l'NlJOJ<S},;Ml'N'I'~J<OVilJiNG 'I'HA'I' 30
lJAYS NO'J'lCl'
Or' CANCl'LLA'l'lON WiLL
Ill' r'UJ<NiSHl'lJ '1'0 'I'Hl'
CERTIFICATE HOLDER
OFREMARK
COPYRIGHT
2000, AMS SERVICES INC.