1-COI BPM007111.pdf
PDF 276 KB Posted
- Solicitation number
- BPM007111
- Issued by
- Arizona
About this file
This is a Certificate of Liability Insurance issued by Insurance Professionals of Arizona on behalf of Arizona Auto Glass Direct LLC for the Arizona Department of Transportation (ADOT) Solicitation No. BPM007111, covering Vehicle Glass Replacement, Repair, Tinting and Accessories services. The certificate documents insurance coverage effective September 18, 2025, through September 17, 2026, and confirms that the contractor maintains the required insurance policies to support the statewide contract. The certificate holder, Arizona Auto Glass Direct LLC located in Tempe, Arizona, demonstrates compliance with ADOT's insurance requirements for this procurement opportunity.
The certificate confirms that Arizona Auto Glass Direct LLC maintains comprehensive liability coverage through two insurers: Property & Casualty Insurance Company of Hartford and United Financial Casualty Company. Coverage includes Commercial General Liability with limits of $1,000,000 per occurrence and $2,000,000 aggregate, Automobile Liability with $1,000,000 combined single limits, and Garagekeepers coverage of $200,000. The certificate specifies that the Arizona Department of Transportation is listed as an additional insured on a primary and non-contributory basis when required by written contract, and a waiver of subrogation applies to both General Liability and Automobile Liability policies. This documentation confirms the contractor's financial responsibility and insurance compliance necessary for contract execution with the State of Arizona.
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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
9/18/2025
Insurance Professionals of Arizona
3521 E Brown Rd. Ste 101
Mesa AZ 85213
Amanda Bouchard
(480) 981-6338 (480) 981-6339
AmandaB@insuranceproaz.com
Arizona Auto Glass Direct LLC
2010 S Rural Rd
Tempe AZ 85282-1408
PROPERTY & CAS INS CO OF HARTFORD 34690
UNITED FNCL CAS CO 11770
A Y Y 59SBABV4UBU 09/18/2025 09/18/2026
1,000,000
1,000,000
10,000
1,000,000
2,000,000
2,000,000
B Y Y 863182759 09/17/2025 09/17/2026
1,000,000
A 59SBABV4UBU 09/18/2025 09/17/2026 Garagekeepers $200,000
BPM007111
Certificate holder is listed as additional insured when required by written contract on a primary and non contributory basis. A waiver of subrogation applies in favor on the General Liability and Automobile Liability.
Arizona Department of Transportation, Procurement Group
1655 W. Jackson Street, MD 100P
Phoenix, Arizona 85007-3276
File details come from the government source that posted it. Updated .