TRUEN-1
OP ID: JILL
DATE(MM/DO/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
11/03/15
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 i
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 poUcy(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 endorsements).
PRODUCER
773-525-0661
Kane Insurance Group, Inc.
CONTACT
NAME:
phone
lA/C. No. E*h;
Michael J. Kane
4016 N. Lincoln Ave.
FW
(A/C. No):
1
'
E-MAIL
ADDRESS:
Chicago, IL 60618
NAICff
INSURERIS)AFFORDING COVERAGE
iNsuRERA;Travelers Indemnity Company
INSURED
True North Travel Solutions
INSURERS:
1011 E. Touhy Avenue Ste 135
INSURER 0:
'
,
Des Pialnes, IL 60018
1
1
INSURER D:
INSURER E:
I
INSURER F;
REVISION NUMBER:
CERTIFICATE NUMBER:
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.
JSEQ
INSR
LTR
TYPE OF INSURANCE
1US&
POUCYNUMBER
POUCY EFF
(MMnJD/YYYYI
POUCY EXP
tMM/DD/YYYYl
08/25/15
08/25/16
GENERAL LIABILITY
CLAIMS-MADE □ OCCUR
Business Owners
GENl AGGREGATE LIMIT APPLIES PER;
POLICY I I JFCT I
I LOO
AUTOMOBILE UABILTTY
6806543P7i0
HIRED AUTOS
08/25/15
08/25/16
SCHEDULED
AUTOS
NON-OWNED
AUTOS
UMBRELLA UAB
EXCESS UAB
(Mandatory In NH)
300,000
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
COMBINED SINGLE LlMfT
1,000,000
fEa accldenU
BODILY INJURY (Per person)
fPer accldenti
CUP6544P442
08/25/15
08/25/16
11/16/15
11/16/16
EACH OCCURRENCE
8,000,000
AGGREGATE
3,000,000
5000
I WCSTATU-
WORKERS COMPENSATION
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
PREMISES (Ea occurrencel
BODILY INJURY (Per acddenl)
CLAIMS-MADE
AND EMPLOYERS'LIABIUTY
Damage TO rented—
PROPERTY DAMAGE
OCCUR
RETENTION $
DEO
1,000,000
EACH OCCURRENCE
6806543P710
COMMERCIAL GENERAU^ILITY
ANY AUTO
AU OWNED
AUTOS
UMRS
I TORY LIMITS
y/N
I « IS
□
UB1B345562
jOTHL£R
E.L EACH ACCIDENT
N/A
If yes, describe under
DESCRIPTION OF OPERATIONS below
100,000
E.L DISEASE - EA EMPLOYEE
500,000
E.L DISEASE - POLICY LIMIT
100,000
DESCtUPTION OF OPERATIONSILOCATIONS / VEHICLES (Attach ACOR0101, Additional Remarks Schedule, If more space Is required)
Certificate Holder: Stephen F. Austin State University, its officials,
directors, employees, representatives and volunteers
CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Stephen F Austin State
ACCORDANCE WITH THE POUCY PROVISIONS.
University
1936 North St
AUTHORIZED REPRESENTATIVE
Nacogdoches, TX 75962
1
ACORD 25 (2010/05)
The ACORD name and logo are registered marks of ACORD