1-Attachment-Supplement Insurance.pdf

September 3, 2024

Arizona Department of Environmental Quality (ADEQ)

1110 W. Washington Street

Phoenix, AZ 85007

RE: Solicitation No. BPM006379

Letter of Insurability: Consor Engineers, LLC

To Whom it May Concern:

I write on behalf of Lockton Companies, the insurance broker for Consor Engineers, LLC

(“Consor”). In response to your request for a letter of insurability, I note that Consor meets the insurance requirements for Solicitation # BPM006379 as shared with me. I provide a copy of

Consor’s exemplary, “for information purposes only” (FIPO) insurance certificate as evidence of its insurability.

If further evidence is needed for your purposes, please let Consor and me know, and I will work with them to supply it.

Sincerely, Alec Clifton

Account Executive

Lockton Companies

Enc: Certificate of Insurance, Consor Engineers, LLC, Exp 12/31/2024

Docusign Envelope ID: 3133BCEE-C97C-4D1D-ACFB-853471854D26

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

DATE (MM/DD/YYYY)

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER

POLICY EFF POLICY EXP

TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

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

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTED

CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-

POLICY LOC PRODUCTS - COMP/OP AGG $JECT

OTHER: $

COMBINED SINGLE LIMIT $

(Ea accident)

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED BODILY INJURY (Per accident) $

AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE $

AUTOS ONLY AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE $

CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N

N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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 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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE

Lockton Companies, LLC Three City Place Drive, Suite 900 St. Louis MO 63141-7081

(314) 432-0500 midwestcertificates@lockton.com

Consor Holdings, LLC 6505 Waterford District Drive, Suite 470 Miami FL 33126 AXIS Surplus Insurance Company 26620

Continental Casualty Company 20443

Great American Insurance Company 16691

National Fire Insurance Co of Hartford 20478

Travelers Property Casualty Company of America 25674

X

X

1,000,000

1,000,000

15,000

1,000,000

2,000,000

2,000,000

X

2,000,000

XXXXXXX

XXXXXXX

XXXXXXX

XXXXXXX

X X 5,000,000

5,000,000

XXXXXXX

N

X

1,000,000

1,000,000

1,000,000 Professional & Environmental Liab.

Excess Liab.

$10,000,000 per Claim $10,000,000 Aggregate Deductible: $500,000 $5M occ / aggr

A 7036360766 12/31/2023 12/31/2024

A 7036360752 12/31/2023 12/31/2024

D EBZ634816/01/2023 12/31/2023 12/31/2024

E EX-6X767086-23-NF 12/31/2023 12/31/2024

B TUE 3274463 04 12/31/2023 12/31/2024

C 7036465081 (AOS) 12/31/2023 12/31/2024

C 7036441749 (CA) 12/31/2023 12/31/2024

12/31/2024

1407115

N N

N N

N N

N

8/28/2024

N N

20874705

20874705 XXXXXXX

For Informational Purposes Only

Auto Physical Damage: Comprehensive deductible is $1,000 and Collision deductible is $1,000.

X

See Attachment

For Informational Purposes Only

Lockton Companies Three CityPlace Dr, Suite 900 / St. Louis, MO 63141-7088

314-432-0500 / lockton.com

To whom it may concern:

In our continuing effort to provide timely certificate delivery, Lockton Companies is transitioning to paperless delivery of Certificates of Insurance.

To ensure electronic delivery for future renewals of this certificate, we need your email address.

Please contact us via one of the methods below, referencing Certificate ID 20874705.

• Email: STL-edelivery@lockton.com

• Phone: (866) 728-5657 (toll-free)

If you received this certificate through an internet link where the current certificate is viewable, we have your email and no further action is needed.

In the event your mailing address has changed, will change in the future, or you no longer require this certificate, please let us know using one of the methods above.

certificates ONLY. Your information will be input within 90 days.

Thank you for your cooperation and willingness in reducing our environmental footprint.

Lockton Companies

Attachment Code: D545910 Master ID: 1407115, Certificate ID: 20874705