2023-02-01_COI.pdf
PDF 100 KB Posted
- Attached to
- Master Agreement AZ|CTR060827
- Contract number
- CTR060827
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by AssuredPartners of Pennsylvania, LLC on June 6, 2022, for Cellular Tracking Technologies. The certificate involves insurers ACE Property & Casualty Insurance Company and Chubb National Insurance Company, with the State of Arizona Game & Fish Department listed as the certificate holder. The insurance covers various liability categories including commercial general liability, automobile liability, umbrella liability, and workers' compensation.
The insurance policies are effective from February 1, 2022, to February 1, 2023, with coverage limits including $1,000,000 for general liability, $1,000,000 for automobile liability, and $2,000,000 for umbrella liability. The certificate includes a waiver of subrogation that applies to the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The policy provides blanket additional insured status when required by a written contract, specifically covering operations and locations related to the insured entity.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
06/06/2022
AssuredPartners of Pennsylvania, LLC 1301 Grandview Avenue, Suite 400 Pittsburgh, PA 15211
Stephanie Kuhn
(412) 395-4000 (412) 381-9368 skuhn@tjsins.com
Cellular Tracking Technologies 1293 Hornet Road Suite 1 Rio Grande NJ 08242
ACE Property & Casualty Ins Co. 20702 Chubb National Insurance Company 10052
CL222222605
A D94720151 02/01/2022 02/01/2023
1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000
A D94720151 02/01/2022 02/01/2023
1,000,000
A D94720278 02/01/2022 02/01/2023 2,000,000 2,000,000
B (22) 7178-03-60 08/01/2021 08/01/2022 500,000 500,000 500,000
In respect to the General Liability, Waiver of Subrogation applies to the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, which are included as Additional Insureds, per written contract or agreement.
Waiver of Subrogation and Additional Insured is written on a blanket endorsement and provides status when required by a written contact
The State of Arizona Arizona Game & Fish Department 5000 W. Carefree Hwy.
Phoenix AZ 85086
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
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
File details come from the government source that posted it. Updated .