1-COI BPM007111.pdf

PDF 276 KB Posted

Attached to
Vehicle Glass Replacement, Repair, Tinting and accessories
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

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

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 .