ACORD®
CERTIFICATE OF LIABILITY INSURANCE Page
~
DATE (MM/DD/YYYY)
I
1 of 1
12/16/2015
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(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).
PRODUCER
CONTACT
"'"'"'"'
PHONE
Willis of New York, Inc.
c/o 26 Century Blvd.
P . 0 . Box 305191
Nashville, TN 3723 0-5191
I
FAX
l\J{)'·
877-945-7378
certificates@willis.com
IJ> lr' •1n <' )(TI ·
E-MAIL
J>nn<><=<:<: ·
888-467-2378
I A Jr '
INSURER(S)AFFORDING COVERAGE
INSURER A:
INSURED
IN SURERS:
Schindler Elevator Corporation
Box 1935
20 Whippany Road
Morristown, NJ 07962-1935
P.O.
NAIC#
Zurich American Insurance Company
American Zurich Insurance Company
16535-003
40142-001
INSURERC :
INSURERD :
INSURERE:
INSURER F:
I
COVERAGES
CERTIFICATE NUMBER· 23987290
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
IN DI CATED . NOTWITHSTANDING AN Y 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 HEREI N IS SUBJECT TO ALL THE TERMS ,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL SUBI
,.,.,n
"'"n
TYPE OF INSURANCE
ITR
x
A
GL0644543526
COMMERCIAL GENERAL LIABILITY
ICLAIMS- MADE W
POLICY EXP
!:OLICYEFF
POLICY NUMBER
1/1 /2016
1/1/2017
OCCUR
,..x_ Contractual Liability
f--
GEN'LAGGR EGATE LIMIT APP LIE S PER:
~
POLICY D
PRO·
JECT
D
LIMITS
EACH OCCURRENCE
$
~M~~f~HM~~J.\'r~nce)
$
MED EXP (Any one person)
$
PERSONAL & ADV INJURY
$
GENERALAGG REGATE
$
PRODUCTS - COMP/OP AGG
Loc
$
OTHER:
A
BAP644543626
AUTOMOBILE LIABILITY
1/1/2016
1/1/2017
COMBINED SINGLE LIMIT
(Ea accident)
$
BODILY INJURY(Per person)
$
BODILY INJURY(Per accident)
$
~
x
f-x
x
~
ANY AUTO
ALL OWNED
AUTOS
-
HIRED AUTOS
~
-
UMBRELLA LIAB
x
A
B
I
SCHEDULED
AUTOS
NON-OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
H
EXCESS LIAB
DED
$
2 000 000
1 000 000
10.000
2 000 000
5.000 000
5 000 000
5,000,000
$
$
OCCUR
EACH OCCURRENCE
$
CLAIM S-MADE
AGGREGATE
$
$
\RETENTION $
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
Y/N
ANY PROPRIETOR/PARTNER/E X ECUTI VE~
OFFICER/MEMBER EXC LUDED ?
N/A
WC644543827
1/1/2016
WC666818725
1/1/2016
1/1/2017
1/1/2017
x I :T~'i, IT<=
I
\ u~;;;-
E.l. EACH ACCIDENT
$
E.L. DISEASE - EA EMPLOYEE $
lr~~~~~~gie~~~er
D~SCRIPTION OF OPERATIONS below
E.l. DISEASE - POLI CY LI MIT
$
5,000,000
5,000,000
5,000,000
DESCRIPTION OF OPERA TIO NS I LOCATIONS I VEHICLES (ACORD 101 , Additonal Remarks Schedule, may be attached if more space is required)
Stephen F. Austin State Univsersity, Student Residences
CANCELLATION
CERTIFICATE HOLDER
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
Procurement Services
P. O. Box 13030, SFA Station
Nacogdoches, TX 75962
ACORD 25 (2014/01)
Coll: 4819232 Tpl: 2016806 Cert: 23987290
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