09.01.25_COI_GL_AL_WC.pdf

PDF 95 KB Posted

Attached to
Master Agreement AZ|CTR077640
Contract number
CTR077640
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for ABC Legal Services, LLC, located in Seattle, Washington. The certificate involves multiple insurance providers, including The Continental Insurance Company and Transportation Insurance Company, with The Baldwin Group West, LLC serving as the producer. The certificate holder is the State of Arizona, specifically the agency located at 1802 W Jackson St in Phoenix, AZ.

The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, and Workers' Compensation, with policy periods from 9/1/2024 to 9/1/2025. Key coverage limits include $1,000,000 for general liability, $10,000,000 for umbrella liability, and $1,000,000 for workers' compensation. The State of Arizona is included as an Additional Insured with respect to General Liability, subject to the policy's terms and conditions. A Waiver of Subrogation in favor of the State of Arizona is also included for General Liability when required by written contract.

View the file

Other files

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or 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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

7/29/2025

The Baldwin Group West, LLC 600 University Street, Suite 1200 Seattle WA 98101

(206) 269-0122 (206) 508-9029

License#: CA#0658748 The Continental Insurance Comp 35289 ABCLEGA-01 The Continental Insurance Comp 42625

ABC Legal Services, LLC 1099 Stewart St. Suite 700 Seattle WA 98101

Transportation Insurance Compa 20494

182962066

A X 1,000,000 X 1,000,000

15,000

1,000,000

2,000,000 X

Y Y 7094227561 9/1/2024 9/1/2025

2,000,000

B 1,000,000

X

X X

7094227544 9/1/2024 9/1/2025

A X X 10,000,0007094227558 9/1/2024 9/1/2025

10,000,000 X 10,000

C X7094227575 9/1/2024 9/1/2025

1,000,000

1,000,000

1,000,000

State of Arizona is included as Additional Insured with respect to General Liability if required by written contract and subject to terms, conditions and exclusions of the policy. A Waiver of Subrogation in favor of State of Arizona applies to General Liability if required by written contract, and subject to terms, conditions, and exclusions of the policy.

State of Arizona 1802 W Jackson St # 100 Phoenix AZ 85007

File details come from the government source that posted it. Updated .