DATE(MM/OO/YYYY)
ACORD
CERTIFICATE OF LIABILITY INSURANCE
10/10/2015
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.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(les) 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).
NAMF^®"^ Kathleen Howard, CISR
PRODUCER
(334)277-1000
ARONOV INSURANCE, INC.
^(334)2«-2579
AnmlFFA- kathleen.howard0aronov.com
3500 Eastern Blvd
PC Box 235000 zip 36123-5000
Montgomery
AL
NAICA
[NSURER(S)AFFORDING COVERAGE
36116
iNSURERA:Granite State Ins. Co
23809
INSURED
INSURER Btlllinois National Insurance Co
23817
Precision Naste Solutions, LLC
INSURERC£ridaefield Casualty Ins. Co.
10335
8118 Jewella Avenue
INSURER D:
P.O. Box 18856 (71138)
Shreveport
INSURER E:
liA
71108
INSURER F:
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.
ADDL SUBR
INSR
TYPE OF INSURANCE
X
INSn
POLICY NUMBER
wvn
POUCY EFF
POLICY EXP
<MM/DD/YYYYI fMM/DD/YYYYl
COMMERCIAL GENERAL LIABIUTY
CLAIMS^OE
A
X
OCCUR
02LX0864820063
10/6/2015
10/6/2016
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY 1
1 jEcf IJLI log
UMITS
EACH OCCURRENCE
$
1,000,000
DAMAGE TO RENTED
PRFMISF..S(Ea occurrence!
$
100,000
MED EXP (Any one person)
$
10,000
PERSONAL & ADV INJURY
5
1,000,000
GENERAL AGGREGATE
$
2,000,000
PRODUCTS - COMP/OP AGG
$
2,000,000
s
OTHER:
COMBINED SINGLE LIMIT
AUTOMOBILE UABIUTY
(Pa sftdrient!
BODILY INJURY(Per person)
ANY AUTO
A
Aa OWNED
X
AUTOS
X
HIRED AUTOS
X
UMBRELLA LIAS
X
SCHEDULED
AUTOS
NON-OWNED
AUTOS
02CA0190483B03
10/6/2015
10/6/2016
EXCESS LIAB
B
DEO
K
$
(Per acddent!
EACH OCCURRENCE
S
10,000,000
AGGREGATE
$
10,000.000
retentions
29 UD 06S1466S4 3
10,000
10/6/2015
10/6/2016
$
■V
*
y/N
ANY proprietor/partner/executive' j
OFFICER/MEMBER EXCLUDED?
(Mandatory In NH)
1
PER
OTH-
STATUTE
FR
E.L EACH ACCIDENT
$
E.L DISEASE
EA EMPLOYEE
$
1,000,000
1,000.000
E.L DISEASE
POLICY LIMIT
S
1,000.000
N/A
^
0196-37268
7/10/2015
7/10/2016
V yes. describe under
DESCRIPTION OF OPERATIONS below
PoJ.icies
5,000
CLAIMS-MADE
WORKERS COMPENSATION
DES :RIPTI0N of
$
OCCUR
AND EMPLOYERS'UABIUTY
C
1,000,000
s
BODILY INJURY(Per accident) $
PROPERTY DAMAGE
Medical payments
1 X
$
operations / locations / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached If more space Is required)
have 30 days notice of cancellation except for non-payment of premium which have 10 days notice.
barrsaG sfasu.edu
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Stephen F. Austin State University, its o
directors, employees, representatives & V
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POUCY PROVISIONS.
1936 North Street
Nacogdoches, TX
75962
AUTHORIZED REPRESENTATIVE
D Harris, CIC/KCH
ACORD 25 (2014/01)
INS02S f7ni4nn
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