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.
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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
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
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