DATE (MM/ODIYYYY)
CERTIFICATE OF LIABILITY INSURANCE
4/ 15/2016
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 s uch endorsement(s).
PRODUCER
Hylant Group, Inc. - C leveland
6000 Freedom Sq Dr, Ste 400
Independence OH 44131
INSURED
I FAX
, (AJC,
SHERCOM-01
The Sherwin-Williams Company
101 W . Prospect A venue
Cleveland O H 4411 5
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INSURER B
INSURER.fC_j:~t.J:.J[JLlJ!Il.QieOMIJ~S...J.(is_;!.£Q_ _ _ _ __ _~W,l!L_ _ ,
D~:- - IN SURER""'_:_ _ _ _ _ _ __
INSURER_E
INSURER F :
REVISION NUMBER:
CERTIFICATE NUMBER: 387100928
COVERAGES
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.
ADUL SUBR
INSR
~IOLICY EFF() I l OLICY EXfvi
LIMITS
TYPE OF INSURANCE
POLICY NUMBER
M/ODIYYYY MM/00/YYY
IN~~ wvn
LTR
5/1/2017
511/2016
HDOG274054B4
A
EACH OCCURRENCE
GENERAL LIABILITY
s2.ooo.ooo
5/1/2017
5/1/2016
HDOG27405496
A
IJAMA l.>t. TO Kt.NI t.U
x COMMERCIAL GENERAL LIABILITY
$2,000,000
PREMISF!'; IFa occurrence\
person)
one
(Any
EXP
MED
s
CLAIMS.MADE ~ OCCUR
I
-
D
I
~
GEN'L AGGREGATE LIMIT APPLIES PER:
n
1
~r-&
POLICY
ti:"OMOBILE LIABILITY
xi
A
ANY AUTO
ALL OWNED
t-----1 AUTOS
X
~ HIRED AUTOS
X
LOC
ISA H09042416
AUTOS
NON.OWNED
~ AUTOS
I
I
~
EXCESS LIAB
I
B
c
A
I I
OCCUR
5/1/2016
5/1/2017
RETENTION s
OED
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
YIN
ANY PROPRIETORIPARTNERIEXECUTIVE ~ N / A
OFFICERIMEMBER EXCLUDED?
(Mandatory In NH)
If~· dosalbo ood«
Excess Workers' Comp
and Employers Llab
s2.ooo.ooo
GENERAL AGGREGATE
S10,000,000
PRODUCTS · COMP/OP AGG
Prod/Comp Ops Ea Occ
$10,000,000
$5,000,000
_fu'.:;:~~~_tu _;>n• \iLt LIMI I
ldentl
BODILy INJURY (Per person)
~.000000
$
BODILY INJURY (Per accident) $
~OPERTY DAMAGE
$
Per accident)
s
I
I
EACH OCCURRENCE
-
$
~
I
CLAIMS·MADE
-
D SCRIPTION OF OPERATIONS below
A
I
~ SCHEDULED
~ UMBRELLA LIAB
PERSONAL & ADV INJURY
r--
---
H
AGGREGATE
s
$
5/1/2017
15/1/2017
5/112017
5/112016
5/1/2016
51112016
WLRC4B60206A
SCFC4B6020B3
WLRC 48602071
x 1T~~;m1¥;; 1
E.L. EACH ACCIDENT
1 °1~·
s2.ooo.ooo
E.L. DISEASE - EA EMPLOYEE s2.ooo.ooo
E.L. DISEASE· POLICY LIMIT 12,000.000
I
I
I
5/1/2017
5/1/2016
WCUC4B602095
Wor1<ers' comg
Employers Lia
Statutofuo
$2,000,
I
I
DESCRIPTION OF OPERATIONS I LOCATIONSI VEHICLES (Attach ACORD 101, Addltlonel Remar1ts Schedule, Ir more space Is required)
ALL LOCATIONS AND OPERATIONS OF THE NAMED INSURED AND ITS DIVISION S IN ALL STATES. WC SELF-INSURED STATES:
A L,AR,CA ,FL,GA, IL,IN, KS, KY,LA,MD,MA,Ml,MO , NJ. N Y, NV,NC, OH, OK,PA, SC,TN,TX.VA
CANCELLATION
CERTIFICATE HOLDER
STEPHEN F. AUS TIN STAT E UNIVERS ITY
PURCHASING DEPARTMENT
PO BOX 13030
NACOGDOCHES TX 7 5962
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
flJJJ._~~
C 1988-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05)
The ACORD name and logo are re gistered marks of ACORD