2022-07-01 COI.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR058634
- Contract number
- CTR058634
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Marsh USA Inc. for R.R. Donnelley & Sons Company, with ADOT (Arizona Department of Transportation) listed as the certificate holder. The primary insurers are AIU Insurance Company and National Union Fire Insurance Company of Pittsburgh, PA. The insurance covers multiple states including Arizona, California, Ohio, New Hampshire, New Jersey, New York, Texas, and Wisconsin, with various policy types including Commercial General Liability, Automobile Liability, Umbrella Liability, and Workers' Compensation.
The insurance policies provide coverage from 07/01/2021 to 07/01/2022, with liability limits ranging from $1,000,000 to $2,000,000 across different coverage types. The policies include additional insured provisions for ADOT, with general liability being primary and non-contributory. Key policy numbers include GL 1728936 for Commercial General Liability and various Workers' Compensation policy numbers for different states. The insurance covers the named insured's operations, with waivers of subrogation and provisions for additional insureds where required by written contract.
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Text version
212-948-0770
1,000,000
GL 1728936
CHI-010012798-02
1,000,000
X
N/A
CHICAGO, IL 60601
SIR Value
N
X07/01/2021
07/01/2022
07/01/2021
Chicago.CertRequest@marsh.com
AL 4594348
EXCESS WORKERS COMP (OH)
C
2,000,000
1,000,000
19399
N/A
1,000,000
X
A
X
01/27/2022
1,000,000
07/01/2021
1,000,000
ADOT is included as Additional Insured (except workers’ compensation) where required by written contract. General Liability is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions.
X
Phoenix, AZ 85009
ADOT
A
AIU Insurance Co
Limit
5,000
07/01/2022
1,000,000
2,000,000
19445
500,000
1,000,000
07/01/2022
WC 45886664 (AOS)
540 W. MADISON
MARSH USA INC.
CHICAGO, IL 60661
AND ITS SUBSIDIARIES
R.R. DONNELLEY & SONS COMPANY
36TH FLOOR (RISK MANAGEMENT)
35 W WACKER DRIVE
WC 6559387 (OH)
07/01/2021
1324 N. 22nd Ave.
A
Marsh | U.S. Operations
07/01/2022
866-966-4664
National Union Fire Insurance Company a8812 Accepted
Carrier: AIU Insurance Company
Limits:
-Disease-Policy: $1,000,000
-Each Accident: $1,000,000
-Disease-Each: $1,000,000
Experation Date: 07/01/2022
-Disease-Each: $1,000,000
-Disease-Policy: $1,000,000
Policy #: WC 45886666 (CA)
Carrier: AIU Insurance Company
-Each Accident: $1,000,000
Limits:
Workers' Compensation Continued:
Carrier: AIU Insurance Company
Effective Date: 07/01/2021
Policy #: WC 45886667 (WI)
-Disease-Each: $1,000,000
-Each Accident: $1,000,000
Effective Date: 07/01/2021
-Disease-Policy: $1,000,000
Policy #: WC 16393260 (NY)
MARSH USA INC.
AND ITS SUBSIDIARIES
R.R. DONNELLEY & SONS COMPANY
36TH FLOOR (RISK MANAGEMENT)
35 W WACKER DRIVE
CHICAGO, IL 60601
Effective Date: 07/01/2021
Limits:
Experation Date: 07/01/2022
Experation Date: 07/01/2022
File details come from the government source that posted it. Updated .