10-1-24_COI_GL_AL_WC.PDF

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Attached to
Master Agreement AZ|CTR068174
Contract number
CTR068174
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for UniFirst Corporation, issued by Willis Towers Watson Northeast, Inc., covering insurance policies for the period of 10/01/2023 to 10/01/2024. The certificate involves the State of Arizona's State Procurement Office, specifically referencing the Arizona State Department of Administration (ADOA) with Francine Whittington as the contact. The insurance coverage involves multiple insurers including ACE American Insurance Company, Indemnity Insurance Company of North America, and ACE Fire Underwriters Insurance Company.

The contract appears to be related to a specific contract number CTR068174, with UniFirst Corporation providing services under a statewide contract. The insurance certificate includes general liability coverage with limits of $2,000,000 per occurrence and $20,000,000 aggregate, along with workers' compensation and employers' liability coverage with $1,000,000 limits. The State of Arizona is listed as an additional insured under the general liability policy, and UniFirst Corporation has agreed to a waiver of subrogation. The certificate covers bodily injury, property damage, and potential risks associated with the company's operations, with insurance protections in place for the contract period.

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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)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Willis Towers Watson Northeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

UniFirst Corporation and its Subsidiaries 68 Jonspin Road Wilmington, MA 01887

This Voids and Replaces Previously Issued Certificate Dated 10/20/2023 WITH ID: W30749710.

Division/Location: 315

Contract no.: CTR068174

SEE ATTACHED

ADOA State Procurement Office State of Arizona Attn: Francine Whittington, CPPB 1400 W. Washington, 3rd Floor Phoenix, AZ 85007

10/23/2023

1-877-945-7378 1-888-467-2378 certificates@willis.com

ACE American Insurance Company 22667

Indemnity Insurance Company of North Ameri

ACE Fire Underwriters Insurance Company

43575

20702

W30765630

A

2,000,000

1,000,000

5,000Contractual

2,000,000

20,000,000

4,000,000

Y Y HDOG47359624 10/01/2023 10/01/2024

A

4,000,000

10/01/202410/01/2023ISAH10773544

WLRC50739004 (AOS)

B 1,000,000

No 10/01/2023 10/01/2024 1,000,000

1,000,000

A Workers Compensation and

Employers Liability

EL Each AccidentWCUC50739181(OH) 10/01/2023 10/01/2024

EL Disease -Pol Limit

Per Statute EL Disease - Each Emp

318041124853282SR ID: BATCH:

$1,000,000

$1,000,000

$1,000,000

Willis Towers Watson Certificate Center

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

UniFirst Corporation and its Subsidiaries 68 Jonspin Road Wilmington, MA 01887

The State of Arizona is an Additional Insured under the General Liability policy for bodily injury and/or property damage resulting from the work or product of the Named Insured where required by a written contract with the Named Insured.

Waiver of Subrogation STD Wording: It is understood and agreed that UniFirst Corporation waives its right of subrogation against the Additional Insured which may arise by reason of a payment of claim under General Liability policy, if required by written contract

INSURER AFFORDING COVERAGE: ACE Fire Underwriters Insurance Company NAIC#: 20702

POLICY NUMBER: SCFC50739065 (WI) EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Workers Compensation and EL Each Accident $1,000,000 Employers Liability EL Disease -Pol Limit $1,000,000 Per Statute EL Disease - Each Emp $1,000,000

2 2

Willis Towers Watson Northeast, Inc.

See Page 1

See Page 1 See Page 1 See Page 1

25 Certificate of Liability Insurance

W30765630CERT:3180411BATCH:24853282SR ID:

File details come from the government source that posted it. Updated .