1-Attachment 5-C Insurance and Bonding Evidence.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR052953
- Contract number
- CTR052953
- Issued by
- Arizona
About this file
This document is a Request for Proposals (RFP) No. BPM002972 issued by the Arizona Department of Public Safety for Tower Services. The solicitation involves Enertech Resources, LLC, which is submitting documentation for insurance and bonding evidence. The documentation includes a Certificate of Liability Insurance from Alliant Insurance Services, Inc., a Surety Bonding Reference and Capacity letter from Willis Towers Watson, and a Power of Attorney from multiple insurance companies including Federal Insurance Company, Vigilant Insurance Company, Pacific Indemnity Company, and Westchester Fire Insurance Company.
Enertech Resources, LLC is proposing to provide tower services with comprehensive insurance coverage. Their insurance portfolio includes commercial general liability with $1,000,000 per occurrence, automobile liability, umbrella and excess liability with a combined $10,000,000 in coverage, workers' compensation, and contractor's pollution liability. The company has an AM Best Rating of A++ (Superior) and demonstrates bonding capacity for individual projects exceeding $3,500,000. The insurance policies cover various entities and subsidiaries, with endorsements for additional insured status and waivers of subrogation. The documentation demonstrates Enertech's financial stability and capability to perform contracted services with robust insurance and bonding provisions.
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Request for Proposals
Solicitation No.
BPM002972
Description: Tower Services
Arizona Department of
Public Safety
2102 W. Encanto Blvd., Phoenix, Arizona 85009
SECTION 1-C: Attachments (Offeror Forms)
Date:9-17-20
Template: 1.2 (06/15/2016)
Instructions and Attachments
Page 49 of 52 1
Attachment 5-C
Insurance and Bonding Evidence
Per Exhibit 1 to the Special Terms and Conditions, bonding requirements, etc.
Procurement Officer may determine that your Offer is Not Susceptible for Award if it is conditioned on an exception to a material aspect of the Solicitation. Even if Procurement Officer determines that an exception is one that does not merit Not Susceptible for Award determination, he or she may down-grade your Offer in
Evaluations if the exception is significant.
Offeror Response:
Enertech will supply the required insurance and bonding. Enertech is fully insured and has a Bonding AM Best Rating of A++(Superior). See Attachment 5-C Supplement 1 for copies of the Insurance Certificate and Surety Bonding Reference and Capacity.
ATTACHMENT 5-C SUPPLEMENTS:
(Offeror to insert as required and list here or type “None” on first line)
Title Document
Date No. of pages Purpose in Offer
1. Attachment 5-C Supplement 1 10/14/20 6 Insurance and Bonding Documentation
2.
3.
4.
5.
6.
7.
End of Attachment 5-C
See Attachment 5‐C Supplement 1 Response to Solicitation No. BMP002972 Tower Services
ENERTECH PROPRIETARY
Insurance and Bonding Evidence
Offer Response:
Enertech will provide the required insurance and bonding. Enertech is fully insured and has a Bonding AM Best Rating of A++(Superior). See Attached copies of the Insurance Certificate and Surety Bonding Reference and Capacity.
02/26/2020
Alliant Insurance Services, Inc.
1421 Hanz Drive
New Braunfels TX 78130
Maria Zenkner (830)387-7019 (830)387-7022 change@tcormanagement.com
TAC Enertech Resources Holdings LLC 1820 Watson Lane East
New Braunfels TX 78130
ACE Property and Casualty Insurance Company20699 Navigators Insurance Company 42307 Texas Mutual Insurance 22945 Lloyds of London - AM Best # 085202 RSUI Indemnity Company 22314
CL2022616750
A
X
X
X
G46608288 004 02/28/2020 02/28/2021
1,000,000
300,000
10,000
1,000,000
2,000,000
2,000,000
A X
PMU H08467973 02/28/2020 02/28/2021
1,000,000
Uninsured motorist combined single limit 1,000,000
B
E
X X
X 1,000
HO20EXCZ01EJAIV (Lead $5M) 02/28/2020 02/28/2021
NHA89158 (Excess $5M x $5M) 02/28/2020 02/28/2021
10,000,000
10,000,000
C N
0001302345 (TX) 02/28/2020 02/28/2021
X
1,000,000
1,000,000
1,000,000
D Contractor's Pollution Liab B0621PENER008020 (Lead $2M) 02/28/2020 02/28/2021 Each Pollution/Aggregate $5,000,000
D B0621PENER009820 (Excess $3M) 02/28/2020 02/28/2021 Retention $25,000
-Umbrella and Excess Liability: Umbrella is with Navigators Insurance Company and has a $5,000,000 limit/aggregate. The Excess Liability is with RSUI Indemnity Company and has an excess limit/aggregate of $5,000,000 over the Navigators policy. These policies together provide $10,000,000 in coverage. Both the Umbrella and Excess Liability policies are follow form over the underlying policies.
-Architects & Engineers Professional Liability; Error & Omissions & Pollution: Lloyds of London (2/28/2020-2/28/2021) Policy # B0621PENER008020: Limits of Liability $2,000,000 each claim; $2,000,000 Aggregate with $25,000 deductible AND The Excess Professional & Pollution policy is with Lloyds of London
Rick Dudney/ZENKMA
The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECT
PRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
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.
INSD
ADDL
WVD
SUBR
N / A
(Ea accident)
(Per accident)
OTHER:
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(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 endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201401)
Master only.
Not valid without Certificate
Holder information.
DAS Purchaser 1 Corp.
DAS Purchaser 2 Corp.
EasTex Tower, Inc.
EasTex Tower, LLC
Enertech Resources, LLC
Integrated Wireless Solutions, LLC
JCET Holdings, LLC
Legacy Telecommnications, LLC
Legacy Telecommunications, Inc.
LH Consulting LLC
Additional Named Insured
Additional Named Insured
Corporation, Additional Named Insured
Limited Liability Company, Additional Named Insured
Limited Liability Company, Additional Named Insured
Limited Liability Company, Additional Named Insured
Additional Named Insured
Limited Liability Company, Additional Named Insured
Corporation, Additional Named Insured
Limited Liability Company, Additional Named Insured
Ontivity, LLC
RiggingCalc, LLC
TAC Enertech Resources Holdings LLC
Limited Liability Company, Additional Named Insured
Limited Liability Company, Additional Named Insured
Limited Liability Company, Additional Named Insured
Additional Named Insureds
Other Named Insureds
OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC
Master only.
Policy #B0621PENER009820 and has an excess limit/aggregate of $3,000,000 over the $2M Lloyds policy. These policies together provide $5,000,000 in coverage. They are Claims made and reported coverage form.
- Cyber Liability: Lloyds of London (2/28/2020-2/28/2021) Policy #ESI0014137894; Limits of Liability $10,000,000 Deductible $25,000; Includes Liability, Cyber Crime and Media Liability.
-Other States Workers Compensation Coverage: Argonaut Midwest Insurance Company (2/28/2020-2/28/2021) Policy #WC92-859-845142-4: Limits of Employers Liability $1,000,000 Each accident, policy limit and each employee. Argonaut policy covers AZ, NM, AL, MS, OK, CA, CO, AR, GA, LA, ID, IA, PA, FL and MT. Other States coverage covers all states including those listed previously except NY, IL, ND, OH, TX, WA and WY.
-Inland Marine/Contractors Equipment: (2/28/2020-2/28/2021) Policy #0670-46-95, written with Federal Insurance Co., Scheduled Contractors Equipment Limit $1,126,250; Leased, Rented or Borrowed Equipment from Others Limit $100,000; $2,500 deductible.
Project Works/Open Installation (Installation Floater): $1,500,000 limit not to exceed $300,000 per job site. $100,000 in transit; $100,000 temporary locations. $2,500 deductible.
-The General Liability policy includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder per coverage form CG 2010 0413 & CG 2037 0413.
-The Commercial Auto policy includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder per coverage form DA-9U74c (03/16).
-The Pollution policy (claims made and reported coverage form) includes a blanket automatic additional insured endorsement that provides additional insured status to the certificate holder when there is an agreement requiring the insured to require such status to the certificate holder per coverage form MEEI 0001 0612.
-The General Liability (CG 2404 0509), Commercial Auto (DA13115a0614), Workers Compensation and Pollution (MEEI 2211 0516) policies include a blanket waiver of subrogation endorsement that provides this feature only when there is a written contract between the named insured and the certificate holder that requires it.
-Policies contain a special provision with "Primary and NonContributory" wording.
-30 Days Notice of Cancellation applies to the General Liability, Auto and Workers Compensation policies.
-Property policy #3605-43-58 WCE, written with Federal Insurance Co., effective 2/28/2020 to 2/28/2021. Blanket Building limit $1,300,000, blanket personal property limit $2,980,910, EDP Property on Premises $175,000. $2,500 deductible.
COMMENTS/REMARKS
COPYRIGHT 2000, AMS SERVICES INC.OFREMARK
Master only.
| Attachment 5-C Supplement 1.pdf |
| Attachment 5-C Supplement 1 |
| Master Insurance Certificate |
| Bonding Capacity |
File details come from the government source that posted it. Updated .