2022-09-01 CTR056544 Harris GAUW.pdf
PDF 209 KB Posted
- Attached to
- Master Agreement AZ|CTR056544
- Contract number
- CTR056544
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Harris Environmental Group Inc., located in Tucson, Arizona, with the Arizona Department of Environmental Quality as the certificate holder. The insurance is provided by Continental Casualty Company and Landmark Insurance, covering multiple liability areas including commercial general liability, automobile liability, umbrella liability, workers' compensation, and professional liability.
The insurance certificate details coverage periods from September 1, 2021 to September 1, 2022 for most policies, with professional liability coverage from July 20, 2022 to July 20, 2023. The policies include various coverage limits, such as $2,000,000 for each occurrence in general liability, $1,000,000 for automobile liability, and $2,000,000 for professional liability (both per claim and aggregate). The State of Arizona and its departments are listed as additional insured, with coverage specified as primary and non-contributory. The contract is referenced by number CTR056544, indicating a specific state contract for environmental services.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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 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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
7/19/2022
(505) 822-8114 (505) 822-0341
20443
Harris Environmental Group Inc 650 North 6th Avenue Tucson, AZ 85705
A 2,000,000
X X 6024690705 9/1/2021 9/1/2022 1,000,000
10,000
2,000,000
4,000,000
4,000,000
1,000,000A
X X 6021655652 9/1/2021 9/1/2022
1,000,000A 6079238369 9/1/2021 9/1/2022 1,000,000
10,000 A
X 6021639385 9/1/2021 9/1/2022 1,000,000
1,000,000
1,000,000
B Professional Liab X LHR797524 7/20/2022 Each Claim 2,000,000
B Professional Liab LHR797524 7/20/2022 7/20/2023 Aggregate 2,000,000
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are additional insured with respect to General & Auto Liability as required by written contract. Coverage is primary and non-contributory. Waiver of subrogation applies to all policies listed as required by written contract. Contract number: CTR056544
Arizona Department of Environmental Quality 1110 W Washington Street Phoenix, AZ 85007
HARRISEN01 EHUGHES
Professional Liability Insurers, Inc.
6101 Moon Street NE Suite 1000 Albuquerque, NM 87111
Eloise Hughes ehughes@cressinsurance.com
Continental Casualty Company Landmark Insurance
X
7/20/2023
X X
X
X
X
X
X
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