2023-03-31_COI_B_and_H.pdf
PDF 20 KB Posted
- Attached to
- Master Agreement AZ|CTR062939
- Contract number
- CTR062939
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Lockton Companies on 10/25/2022, involving B&H Foto & Electronics Corp as the insured and Arizona Game and Fish Department as the certificate holder. The insurance is provided by multiple carriers including QBE Insurance Corporation, General Casualty Company of Wisconsin, and Arch Insurance Company, with coverage effective from 3/31/2022 to 3/31/2023.
The certificate details comprehensive insurance coverage, including commercial general liability with a $1,000,000 per occurrence limit, automobile liability with a $1,000,000 combined single limit, and an umbrella/excess liability policy providing $15,000,000 in coverage. The policy includes additional insured provisions for the Arizona Game and Fish Department, with a waiver of subrogation as required by written contract. The insurance covers various potential liability scenarios, with aggregate limits matching the per-occurrence limits, and includes provisions for general aggregate, personal and advertising injury, and products-completed operations coverage.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
DATE (MM/DD/YYYY)
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 RENTED
CLAIMS-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 AGG $JECT
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 LIMIT $DESCRIPTION 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.
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
Lockton Companies 444 W. 47th Street, Suite 900 Kansas City MO 64112-1906
(816) 960-9000 kctsu@lockton.com
B&H FOTO &
ELECTRONICS CORP
177 N 11TH ST
BROOKLYN NY 11211
Arch Insurance Company 11150 General Casualty Company of Wisconsin 24414 QBE Insurance Corporation 39217
X X
1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000
X 1,000,000
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
X
X 10,000
15,000,000 15,000,000
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
EXCESS LIABILITY
$10M XS $15M
EACH OCC $10,000,000
AGGREGATE $10,000,000
B 161000106 3/31/2022 3/31/2023
A CGA1383408 3/31/2022 3/31/2023
C UXP3000086-00 3/31/2022 3/31/2023
A 140000018 3/31/2022 3/31/2023
NOT APPLICABLE
3/31/2023
1490623
Y Y
Y Y
N Y
10/25/2022
N N
19053243
19053243 XXXXXXX
ARIZONA GAME AND FISH DEPT.
ATTN: PURCHASING
5000 W CAREFREE HWY
PHOENIX AZ 85086
THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED.
B&H FOTO &/ELECTRONICS CORP IS AN ADDITIONAL INSURED ON GENERAL LIABILITY AND AUTO LIABILITY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF THE ADDITIONAL INSURED APPLIES ON GENERAL LIABILITY, AUTO LIABILITY AND UMBRELLA/EXCESS LIABILITY, AS REQUIRED BY WRITTEN CONTRACT AND WHERE ALLOWED BY LAW. COVERAGE IS SUBJECT TO THE TERMS AND
CONDITIONS OF THE POLICY.
X
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