DATE(MM/DD/YYYY)
ACORD
CERTIFICATE OF LIABILITY INSURANCE
9/23/2015
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).
Ragland, Strother, Lafitte
NAME^''^ Patricia Cooper, ACSR
KIStfn
(214)522-4880
3838 Oak Lavm Ave. Ste. 500
^'^[^^sg.pcooper@rslins.com
Dallas
iNSURERA:St. Paul Fire fi Marine
PRODUCER
™
(214)S20-3856
NAICd
INSURERIS)AFFORDING COVERAGE
TX
75219-4506
INSURED
INSURERS:
Production Experience, Inc., DBA: Sound Mind Events
INSURER C:
100 High Ridge Farms
24767
INSURER D:
INSURER E:
McKinney
TX
75069
INSURER F:
CERTIFICATE NUMBER:15/16 gen info
COVERAGES
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.
OTCq:
INSR
LTR
TYPE OF INSURANCE
X
POLICY EFF
POLICY EXP
tMM/OD/YYYYl (MM/DD/YYYY>
POUCYNUMBER
lUSQ. md.
COMMERCIAL GENERAL UABIUTY
CLAIMS-MADE a OCCUR
PREMISES(Ea occurrencal
9/9/2015
9/9/2016
GENT AGGREGATE LIMIT APPLIES PER:
POLICY□
PRO
JECT
I
1,000,000
DAMAGE TO RENTED
ZPP11N0596A
X
UMITS
EACH OCCURRENCE
I LOC
100,000
MED EXP (Any one person)
5,000
PERSONAL & ADV INJURY
1,000,000
GENERAL AGGREGATE
2,000,000
PRODUCTS - COMP/OP AGG
2,000,000
OTHER;
COMBINED SINGLE LIMIT
AUTOMOBILE UABIUTY
(Ea accidenH
BODILY INJURY (Per person)
ANY AUTO
SCHEDULED
AUTOS
Aa OWNED
AUTOS
9/9/2015
ZPP11K0596A
9/9/2016
NON-OWNED
HIRED AUTOS
1,000,000
BODILY INJURY (Per accident)
PROPERTY DAMAGE
fPer aecldentl
AUTOS
5,000
Personal & Advertising Iniury
UMBRELLA UAB
OCCUR
EACH OCCURRENCE
EXCESS UAB
CLAIMS-MADE
AGGREGATE
DED
9/9/2015
ZUP21N33955
RETENTIONS
6/9/2016
PER
STATUTE
WORKERS COMPENSATION
AND EMPLOYERS' UABIUTY
1.000.000
OTHER
Y/N
ANY PROPRIETOR/PARTNER^KECUnVE
OFFICERAtEMBER EXCLUDED?
(Mandatory In NH)
H
E.L EACH ACCIDENT
1,000,000
E.L DISEASE - EA EMPLOYEE
1,000,000
N/A
10/08/20151
ZUP21N33955
6/9/2016
if yes, describe under
E.L DISEASE - POUCY UMIT
DESCRIPTION OF OPERATIONS below
Equipment Covezage
9/1/2015
ZPP11N0596A
9/1/2016
Misc. Equipment
1.000.000
$2,325,000
Deductible
$5,000
DESCRIPTION OF OPERATIONS / LOCATIONS/VEHICLES (ACORD101. Additional Remarks Schedule, maybe attached If more space Is required)
Certificate holder is added as Additional Insured as respects Liability, but only as respects claims
arising out of the negligence of the Named Insured, cmd as Loss Payee as respects Equipment, ATIMA.
CANCELLATION
CERTIFICATE HOLDER
bellcdG sfau.edu
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
Stephen F. Austin University
It's officials, directors, employees,
representatives and volunteers
EXPIRATION DATE
THEREOF,
NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
1936 North St.
Nacogdoches, TX
THE
75962
W. Scott Ragland/PAC
ACORD 25 (2014/01)
INS02S /pniAOti
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