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ACORD
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CERTIFICATE OF LIABILITY INSURANCE
Page
1
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DATEI"MJD~
06/01/2015
THIS CERTIFICATE IS ISSUED AS A MA TIER 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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms 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).
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PRODUCER
willis
of New York.
Inc.
FAX
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INC,NQ.EXT);_877
c/o
26 Century
Blvd.
Box 305191
Nashville,
TN
37230~Sl91
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P.
CONTACT
NAME;
PHONE
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INSURER(S }AFFORDING COVERAGE
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Ricoh Americas
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Ricoh USA, Inc.
(f!k!a IKON Office
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70 Val16y
Stream
parkwayMalvern.
PA
19355
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NUMBER'
23197448
REVISION NUMBER'
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING
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 ALL THE TERMS.
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
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DESCRIPTIONOF OPERATIONSI LOCATIONSI VEHICLES(ACORD101,Addilonal Rematkli Sch•.•dul•.•.may bit attached If more spaculs required)
Stephen F. Austin State University, its officials, directors. employees, representatives and
volunteers are included as Additional Insureds as respects to General Liability where required by
written contract.
As contractually
insurance.
CERTIFICATE
stipulated.
this insurance is Primary over any other valid
HOLDER
&
collectable
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION
DATE THEREOF,
NOTICE WILL BE DELIVERED
IN
ACCORDANCE
WITH THE POLICY PROVISIONS.
Stephen F. Austin State University
Attn: Jamie Garrie
P.O. Box 13030. SFA Station
Nacogdoches,
TX
75962
Coll:4698770
ACORD 25 (2014/01)
Tpl:1960261
Cert:23197448
The ACORD name and logo are registered mark
88-2014 ACORD CORPORATION. All rights reserved.
of ACORD
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