2022-08-01_COI.pdf
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- Attached to
- Master Agreement AZ|CTR060939
- Contract number
- CTR060939
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance issued on 6/6/2022 by AssuredPartners of Arizona, LLC for Sonotronics Inc., with coverage involving the State of Arizona and the Arizona Game & Fish Department. The insurance is provided by Travelers Indemnity and Travelers Casualty Insurance Company, covering commercial general liability, automobile liability, and workers' compensation for the period from 8/1/2021 to 8/1/2022 and 1/1/2022 to 1/1/2023.
The certificate is associated with Contract #AGFD12-015032 and provides multiple insurance coverages with specific limits, including $1,000,000 per occurrence for commercial general liability, $1,000,000 combined single limit for automobile liability, and workers' compensation coverage. The State of Arizona and the Arizona Game & Fish Department are listed as additional insureds, with a waiver of subrogation applicable per the contract terms. The insurance policies cover various aspects of potential liability, with policy periods spanning from August 2021 to August 2022 and January 2022 to January 2023.
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Text version
6/6/2022
AssuredPartners of Arizona, LLC 4544 E Camp Lowell Dr Ste 110
Tucson AZ 85712-1282
Frani Schmidt (520)571-7737 (520)571-9115
Frani.Schmidt@AssuredPartners.com
Sonotronics Inc.
3169 S. Chrysler
Tucson AZ 85713
Travelers Indemnity 25658 Travelers Casualty Insurance Company of America19046
21-22 GL AU 22-23 WC
A
X
X
X
X 6803H150727 8/1/2021 8/1/2022
1,000,000
300,000
5,000
1,000,000
2,000,000
2,000,000
B X X X
BA3N212840 8/1/2021 8/1/2022
1,000,000
Medical payments 5,000
A UB8R0524992142G 1/1/2022 1/1/2023
1,000,000
1,000,000
1,000,000
Contract #AGFD12-015032
The State of Arizona and the Arizona Game & Fish Dept are Additional Insureds as regards general libility, if required by contract, waiver of subrogation applies - per form CG D4 17 01 12 subject to all policy terms, conditions, definitions and exclusions.
Arizona Game and Fish Dept 5000 W Carefree Highway Phoenix, AZ 85085 jscherbing@azgfd.gove
Frani Schmidt/FRANI
The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECT
PRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
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.
INSD
ADDL
WVD
SUBR
N / A
(Ea accident)
(Per accident)
OTHER:
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 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:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201401)
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