ACORD@
I
CERTIFICATE OF LIABILITY INSURANCE
~
DATE (MM/DO/YYYYJ
6/26/2015
THIS CERTIFICATE IS ISSUED A S 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 polic y(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions o f the policy, certain policies may require an endorsement. A statement on this certif icate does not confer rights to the
certificate holder i n lieu of such endorsement(s).
PRODUCER
!.;~!!~~CT Layla Smith
Morgan Insurance Agency,
s.
3708
r.~9N!n c~" (936) 634-7755
Ltd .
I f~~
.._.. (936) 632 - 386 2
~~t~~cc. lsmi th@morganins . com
Medford
INSURERISI AFFORDING COVERAGE
Lufkin
TX
75901 - 5700
INSURED
PAW Sec urity LLC dba Uni ted Security Services
Southern Suppl y,
Inc.
NAIC #
10851
INSURER B :The Cincinnati Casualty Comoanv 286 65
INSURER C :TEXAS MUTUAL INSURANCE CO
22945
INSURER A :Everest Indemnity Insurance Co.
INSURER D:
2218 Atkinson Dr., Suite F
L ufkin
TX 75901
INSURER E:
INSURER F :
COVERAGES
C ERTIFICATE NUMBER·CL1562603197
REVISION NUMBER
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO TH E INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREME NT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT VlllTH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAI N, THE INSURANCE AF FORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.
EXCLUSIONS AN D CONDITIONS OF SUCH POLI CIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
ADDL ISUDM
POLICY EFF
POLICY EXP
TYPE OF INSURANCE
lou~o
LIMITS
LTR
"'"A
POLICY NUMBER
IMM/DDIYYYYI IMMIDDIYVYYI
GENERAL LIABILITY
1,000,000
EACH OCCURRENCE
$
,__
A
,..!..
,__
,__
,__
g,,
~~~~'i'c~~ 1 cu
COMMERCIAL GENERAL LIABILITY
D
GU
CLAIMS-MADE
~ 1GL0 068 55 - 151
OCCUR
17 / 1 / 2015
17 / 1/20 1 6
GEN"L AGGREGATE LIMIT APPLIES PER
rxi POLICY n
B
-
~
c
UMBRELLA LIAB
EXCESSUAB
PERSONAL & AOV INJURY
$
1,000,000
GENERAL AGGREGATE
$
2,000,000
PROOUCTS • COMPIOP AGG $
2,000, 0 00
SCHEDULED
AUTOS
NON-OWNED
AUTOS
H
)!PP019986 2
17 /
1/ 2015
17 / 1/ 2 016
OCCUR
a.AIMS-MADE
I I
5,000
$
nLOC
AUTOMOBILE LIABILITY
,_
x ANY AUTO
,_
ALLO'MIEO
,_ AUTOS
x HIREOAUTOS ,__
x
,_
x
,_
A
~~,9;
s
s
50 ,00 0
MEO EXP (Any one person)
)/:~~~~~~~t\:SINc;LI: l 1Ml1
t
BODILY INJURY (Per person)
$
ls 1B0001 023 -151
17 /
1/ 2015
ife?~~.~MAGE
$
PIP-Basic
$
EACH OCCURRENCE
$
2 500
2,000,000
$
2,0 00 , 0 00
17 / 1 /2016
$
x I T~$'I~JN;; I
E.L EACH ACCIDENT
trSP -000121366 9
rT/ 1/ 2015
7/1 / 2 0 1 6
~i~~ ~PERATIONS below
000 000
BODILY INJURY (Per aa:idenl) $
AGGREGATE
OED
RETENTION$
WORKERS COMPENSATION
ANO EMPLOYERS' LIABILITY
YI N
ANY PROPRIETORIPARTNERIEXECUTIVE ~
NI A
OFFICERIMEMBER EXCLUDED?
n
(Mandatory in NH)
l
IOJ~$
l
000 000
E.L DISEASE • EA EMPLOYEI $
1,000 000
E L DISEASE · POLICY LIMIT $
1,00 0 000
DESCRIPTION OF OPERATIONS/ LOCATIONSI VEHICLES (Attach ACORD 101, Addillonal Remarl<s Schedule, If more apace Is required)
Certificate Hol der is included as an Additi o nal Insured on General Liabil i ty & Auto Liability policies
when requi red by written contract. Wa i ve r of Subroga tion in favor of Certificate Ho lder on all policies
when r e quired by written contract.
CERTIFICATE HOLDER
( 9 3 6 ) 4 6 8 - 4282
CANCELLATION
purc hase@sfas u.edu
Stephen F. Austin State University
Attn: Linda, Purchasing Dept.
P O B o x 6 0 85
Nacogdoches, TX
7 5 962
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
Terry Morgan/LAYLA
ACORD 25 (2010/05)
I N~02!i 1m1nn"'1 n1
~~~
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Tho A t'"':f"U:)n n::amo ::iinl'f ln n n ::iiro r onic.torort m::ii r&rc nf t..r.ngn