_______, ACORD® I.. I1D;T;1~;7~·~{l5 CERTIFICATE OF LIABILITY INSURANCE -"' THIS CERTIFICATEIS 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain polic ies may require an endorsemenl A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT HIGGIN BOT!Lll,M INS AGENCY INC / P HS PHONE. f.AJC . tfo. &t) 5042 21 p : (8 66 ) 467 - 8730 F : ( 888 ) 4 -13 - 6112 PO BOX 33015 Sl\N ANTONIO TX 782 5 5 E-MAIL rJAME.. INSURED j:"" (866 ) 467 - 873 0 (888 ) 443-6112 (ACC. rJo) ADoqess 1 ~-lSUnEr.l(SJ .-:.::.r, .. : .. F 1 lf1SlJR €R A r~A1a;; .\FFO!lOING COVERAGE .. - 'T'' INSURER B INSURER C GREG WILLIP-..MS DBA WILL I AMS ELE CTRIC INC 156 PINE CO lE LN LUFKIN TX 75 901 ~ Wi (f 111..NttS el e,tkiC.,{) 'f lrlSVHER D 1~1S UREH. E l/ tLJriW • G~ I INSU REH F - N CERTIFICATE NUMBER: COVERAGES (!!. "' REVISION NUMBER: THIS IS TO CERTIFY T HAT THE POLICIES OF INSURANCE LISTED BELO W HAVE BEEN ISSUED T O T HE INSURED NAMED ABOVE FOR THE POLIC Y PERIO D IND ICATED. NOTWITHSTANDING ANY REQUIREMENT . TERM OR CON DITION OF ANY CONTRACT OR OTH ER DOC UMENT WITH RESPECT TO WHIC H THIS AFFORDED BY THE POLIC IES DESCRIB ED HERE IN IS SU BJECT TO ALL THE CERT IFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE TERM S.EXCLUS IONS AND COND ITIONS O F SUCH POLICIES . LIMIT S SHOWN M AY HAVE BEEN REDUCED BY PA ID CLAIMS . J.'\'SH. , 11)/)j n-PF. OF L\ Sr-R,ISCE .,.,, l:YS.H. ,,...,, Sl 'l>R l'()LJCJ'EFF 1.\LlJ/ t>JlllTrn l'OLllT STrllJJER l'Ol. lt"I' EXl' I CLAIMS-MADE 0 E.ACH OCCURRENCE A -L RN' OCCUR ,, x General Li ab 0 •• / - ~' • L .. ' .l ~ /.;.},. ~ ;: ,._ '~it~ I I I I O IHER· I .. DAMAGE TO RENTED PREMISES (Ea ocourrence) I D ;\GGREGATF LI MIT f,PP U ES P ER P011r PRO· _ _J '.,r _,,.... v ,;. . .JEC:L L _, II . ~~ ·.~ =- ~.: -~ _: .. ANY AUTO 1-~ ~ 1-- x ALL OWNED AUTOS HIRED AUTOS - A - x - x UMBREUA LIAS EXCESS LIAS oJ SCHEDULED AUTOS NON-OWNED AUWS '" _... _s:·"': -·~< : ~ ~, ... • .t:/ ;".~· / ; , . , r:, l .{ .1 .z 9 /:.. ·.11 :-, t~hqjlf ~; CLAIMS•';\ADE d~•ibe 1.m oet ! D ::- t·~ 3~ .: :· 1.:./ ;_ ·:·.' l:·:·::.. ~ NIA r-r-- ~1./ 2.::; . . ·:_r, ' ~~ ~t, ~ f,t~I(, - = PROPERn' DAMAGE ,. :::= (Per acctdem) ~ , 5 , 000 , 000 <5, 000 , 000 AGGREG ATE 'PER STAiUTE I l ~H- E.L EACH ACCIDENT = = = - ~ == ' ' E.L. DISEASE- EA EMPLOYEE E EL DISEASE - POLICY UMlT ll"SCRJPllON OF OPERATIONS below ol , 000 , 000 cl , 000 , 000 :i lO , 000 ;: l , 000 , 000 ,2 , 000 , 000 = , 2 , 000 , 000 = :::;::; " ,1 , 000 , 000 = ' t~0v I X lne:rENnorislO , 000 ANY PROPRIETORiPARTNERIEXECUllVEYIN OFFICERiMEMBER EXCLUDED? (f.fancntory in NH) ~£: '-: 0 0 0 0 BODILY INJURY (Peraccidentl ,, EACH OCCURRENCE MOCCUR WOlt££JtS CO llPL""\'S 1170'\ <t.\ J) E.ttl'LIJfEJiS LJ.111U.JTI" If yes . GENERAL AGGREGATE PRODUCTS - COMP/OP AGG BODILY INJURY (Per person) - MED EXP lAny one person ) PERSONAL & ADV INJURY COMB INED SINGLE LI MIT (Ea accident) ~TO MOB ILE LIABIUTY ~ U >UP.> r.u wn o1r l"!'11 COMMERCIAL GENERAL LIAB ILITY g: ' DESCRJPTION OF OPERATIONS I UXATIC»IS I VEH/c::Jlllf!CRD 101, Additi onal Remar1(s Sch edula, may be attached if more s pace is requ i red) !Those usual to the Insur.::d ' s Operati.ons _ RE: Stephen L Austin State !univei sit:-, it.s o fficials , directors , employee s , representative and vol unteers , I I I CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE T HE EXPIRATION DATE THEREOF . NOT ICE WILL BE DELIVERED IN ACCORDANC E WITH THE POLIC Y PROVISIONS. CERTIFICATE HOLDER I' Stephen F . Austin State University 1936 NORTH Sm ! NACOGDOCHES , TX 75 965 ' ACORD 25 {2014/01) AUTHORIZED REPRESENTATIVE © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registe red marks of ACORD - - I ~ ACORD® _,., I.. I ;;TJ1~~~17;~v~1 5 CERTIFICATE OF LIABILITY INSURANCE THIS CERTIFICATEIS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVEL'i 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 SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain polic ies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). Pnoaucrn COrlT.\CT rn NORTHE!>-. ST P..Gt:NCIE tJ AME PHONE tA!C No, !;.I) / Pfi S 214608 p : (8 66 ) 4 6 7 - 8 730 F : ( 88 8) 44 3- 6112 301 NOODS PARK DRIVE CLINTON NY 13323 ( 866 ) IF A.< (A'C . rlo) (888) 467 - 8 73 0 A0011ESS 1'l3UREtt(_5} AFFORO!tlG COVEHAGE INSURER A IN.SURED 443-6112 EA,IAIL i! ~ ..-:... ·"' ·' =· j ·· ~ (;. l j •· . :".~ .l. ..:. woe ~: rlAIC# '· INSURER B IUSVRER C GREG WILLIAMS DBA \\!I LL I.!l.MS ELECTRIC INC 1S6 PINE CONE LN LU FKIN TX 75 901 lt~SUREH D lrlSlJRER E l tJSURER F CERTIFICATE NUMBER: COVERAGES REVISION NUMBER: '" TH IS IS l 0 CERT IF Y THA I THE PO LIC IES OF INSURANCE LISTED BELOW HAVE BEEN ISSUE D TO fHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICAT ED . NOTWITHSTANDING AN Y REQUIREMENT . TERM OR CONDITIO N OF ANY CONTRACT OR OTH ER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DE SC Hf BED H EREIN IS SUBJECT T O ALL THE fERMS.EXCLUS IO NS AN D CO N Oil 1\.!NS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. , , ·..~·H. . i/l/ll 1Tl>.t OF LV.W '/l...·J ' 'CJ." • ·ra ,., ·1;11 ~- , 1.:M. l"fJL f{"J' _, Jfl "I) f'Ol.l< Tf:FF f.11.\b'VfJ!ffl. 11 r .1JS£ R POLf(T £ \"/• 0 0 0 LIMI TS / l/ lf/1)/l/1"1T1. ICOMMERCIAL GENERAL LIABILITY ICLAIMS-MADE DOCCUR "' ;; EACH OCCURRENCE DAMAGETO RENTED PREMISES (Ea occurrence) s MED EXP (Any one person) 3 ~ PERSONAL & MJV INJURY .___ R GENERAL AGGREGATE GENL AGGREGATE UMIT APPLIES PER POLICY D PRO· JECT D PRODUCTS . COMP/OP AGG " LOC - ,__ SCHEDULED AUTOS NON-OWNED AUTOS HIREU AUTOS ~ UMBREU.A lJAB COMBINED SINGLE LIMIT (Ea accident) s ~ RODILY INJURY (Por person) ; BODILY INJURY (Per acc<Jonl) o PROPERTY DAMAGE ; (Per accident) . QEd EACH OCCURRENCE HOCCUR EXCESS LJ AB CLAIMS-MADE AGGREGATE s O-YJy/te ,uurn ANY PROPRIETORIPARTNERIEXECuTIVEYIN OFFICER/MEMBER EXCLUDED ? D (Mandatory in NHJ If yes . descnbe under .::::: ~ ,_ ...__ ~ = s JRETEtmoNs ;1'0.JU.J.:.N.SrU.1U'E.-..Jl.1T/iJ.'\: 1..:vn £..tu~. ora::.- Ll A !==::: r ._ ' ,__ = = ; OTHER AUTOMOBILE UABIUTY .___ .___ ANY AUTO ALLOWNEC .___ AUTOS .___ 's "14 .___ 1-- .. tt r: ·: :.": 'l : ···'4.:.. 't j '~ ' : :. ... =) / ';' . I,.... ~ . : DESCRIPTION OF OPERA TlONS I LOCATIONS / VEHJqtt:&:S) RD 1D1 , Additional Remarks Schodulu, may be attached if more spaca ls I l ~H- E.L EACH ACCIDENT '' l , 000 , 0 0 0 E.L DISEASE· EA EMPLOYEE '' l , 000 , 000 sl , 000 , 000 E.L DISEASE - POLICY LIMIT I DESCRIPTION OF OPERAllQNS tr..low x IPER 5TATVTE. r&1qu l r~d} Those usual to the InsuLed ' s Oper.at i ons . RE : Stephen F . Austin State University its offic i als , dir.ectors , employees , representative and volunteers . CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX PIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN AC CORDANC E WITH THE POLICY PROVISIONS. Stephen F . Austin State Uni versi::::y AUTHORIZED REPRESENrATNE 1936 NORTH ST 1 NACOGDOCHES , ACORD 25 (2014/01) TX 75965 © 1988-2014 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD