2023.09.30 COI.pdf
PDF 8 MB Posted
- Attached to
- Master Agreement AZ|CTR062306
- Contract number
- CTR062306
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate and related policy endorsements for Alamo Group, Inc., issued by Hartford Fire Insurance Company, Hartford Accident and Indemnity Company, and Twin City Fire Insurance Company. The policies cover commercial general liability, commercial automobile, and workers' compensation for Alamo Group, with the State of Arizona Department of Transportation listed as the primary certificate holder. The insurance is effective from 09/30/2022 to 09/30/2023 and is associated with solicitation number BPM004560 for landscape and utility vehicles, trailers, and equipment.
The contract provides multi-layered insurance coverage with various limits, including $2,000,000 for commercial general liability, $2,000,000 for automobile liability, and additional umbrella and excess liability coverage. The policies include provisions for additional insureds, waiver of subrogation, and coverage for leased vehicles. The insurance applies to Alamo Group's operations, with specific endorsements for Texas and Utah operations. The policies cover bodily injury, property damage, and various operational risks, with provisions for hired and non-owned vehicles, and include specific coverage for electronic equipment, vehicle wraps, and temporary transportation expenses.
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Text version
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).
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
CERTIFICATE HOLDER
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)
CERTIFICATE OF LIABILITY INSURANCE
OTHER:
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
OWNED SCHEDULED
HIRED NON-OWNED
AUTOS ONLY AUTOS
AUTOS ONLY AUTOS ONLY
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
INSD
ADDL
WVD
SUBR
N / A
(Ea accident)
(Per accident)
The ACORD name and logo are registered marks of ACORD
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
ESYYTARW
10,000,000 09/30/2023
STATE OF ARIZONA
ARIZONA DEPARTMENT OF TRANSPORTATION
1739 W. Jackson St., Ste A Phoenix, AZ 85007
2,000,000
1,000,000
469-232-2100
Twin City Fire Insurance Company
A
Hartford Fire Insurance Company
2,000,000
3,000,000
22357
Policy Aggregate
09/30/202309/30/2022
12/31/202312/31/2022
1,000,000
300,000
4,000,000
29459
A pwallace@mcgriff.com
Hartford Accident and Indemnity Company
46ECSOF8487
46XSON2116
Patti Wallace
C
A B
4,000,000
3,000,000
N
McGriff Insurance Services, LLC 5080 Spectrum Dr., Suite 900E Addison, TX 75001
Bush Hog, LLC Alamo Group, Inc.
1627 E. Walnut St.
Seguin, TX 78155-5202
05/03/2023
09/30/2022
46WNS78300
46WBRS78301
12/31/2022
Limit Incl. Products Liability
1,000,000
12/31/2023
$1,000,000 SIR 5,000
SOLICITATION NUMBER: BPM004560
DESCRIPTION: Landscape and Utility Vehicles, Trailers and Equipment
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insureds on all policies except Workers Compensation with respect to liability arising out of the activities performed by or on behalf of the Contractor as required by written contract.
Waiver of Subrogation in favor of the Additional Insureds is included on all policies as required by written contract. Coverage is Primary and Non-Contributory in favor of the additional insureds as required by written contract. Thirty (30) Day Notice of Cancellation (except 10-Day for non-payment) in favor of the certificate holder.
Excess/Umbrella Liability is following form.
2,000,000
46ABS78302
19682
XX
X
X
X
X
X X
X
X
X X
X X
XX
X e6906 Accepted
POLICY NUMBER: 46 AB S78302 COMMERCIAL AUTO
CA 20 01 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
LESSOR -ADDITIONAL INSURED AND LOSS PAYEE
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: ALAMO GROUP, INC.
Endorsement Effective Date:
09/30/2023
Insurance Company:
HARTFORD FIRE INSURANCE COMPANY
Policy Number: 46 AB S78302
Expiration Date: 09/30/2024
Named Insured: ALAMO GROUP, INC.
Address:
Additional Insured (Lessor):ANY LESSORS
Address:
SCHEDULE
I Effective Date: 09/30/2023
AS REQUIRED BY WRITTEN CONTRACT
Designation Or Description Of "Leased Autos":
ALL LEASED AUTOS LEASED FROM A LESSOR AS REQUIRED ABOVE
CA20 0110 13 © Insurance Services Office, Inc., 2011 Page 1 of 2
ABCDEFGHIJ
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF OUR RIGHT TO RECOVER
FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
SCHEDULE
Countersigned by Authorized Representative
Form WC 00 03 13 Printed in U.S.A.
Process Date: Policy Expiration Date:
Policy Number:
Effective Date:
46 WN S78300
09/30/2023
Named Insured and Address:
Endorsement Number: -- Effective hour is the same as stated on the Information Page of the policy.
ALAMO GROUP, INC.
1627 E WALNUT STREET
SEGUIN, TX 78155
ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY CONTRACT OR AGREEMENT
TO OBTAIN THIS WAIVER FROM US.
ABCDEFGHIJ
TEXAS WAIVER OF OUR RIGHT TO
RECOVER FROM OTHERS ENDORSEMENT
Policy Number:
Effective Date:
This endorsement applies only to the insurance of the operations described in the Schedule where provided by the policy because Texas is shown in you are required by a written contract to obtain this Item 3.A. of the Information Page. waiver from us.
We have the right to recover our payments from This endorsement shall not operate directly or anyone liable for an injury covered by this policy. We indirectly to benefit anyone not named in the will not enforce our right against the person or Schedule.
organization named in the Schedule, but this waiver The premium for this endorsement is shown in the applies only with respect to bodily injury arising out Schedule.
Schedule
1. ( ) Special Waiver Name of person or organization
( ) Blanket Waiver Any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
2. Operations:
3. Premium:
The premium charge for this endorsement shall be percent of the premium developed on payroll in connection with work performed for the above person(s) or organization(s) arising out of the operations described.
4. Advance Premium:
Form WC 42 03 04 B Printed in U.S.A.
Process Date: Policy Expiration Date:
46 WN S78300 Endorsement Number: -- Effective hour is the same as stated on the Information Page of the policy. 09/30/2023
Named Insured and Address: ALAMO GROUP, INC.
1627 E WALNUT STREET
SEGUIN, TX 78155
X
ALL TEXAS OPERATIONS
UTAH WAIVER OF SUBROGATION ENDORSEMENT
Policy Number:
Effective Date:
Named Insured and Address:
This endorsement applies only to the insurance provided by the policy because Utah is shown in Item
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule. Our waiver of rights does not release your employees’ rights against third parties and does not release our authority as trustee of claims against third parties.
3.A. of the Information Page.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)
Schedule
Countersigned by
Authorized Representative
Form WC 43 03 05 Printed in U.S.A.
Endorsement Number: --
Effective hour is the same as stated on the Information Page of the policy.
46 WN S78300
09/30/2023
ALAMO GROUP, INC.
1627 E WALNUT STREET
SEGUIN, TX 78155
ANY PERSON OR ORGANIZATION FROM WHOM YOU ARE REQUIRED BY WRITTEN CONTRACT OR
AGREEMENT TO OBTAIN THIS WAIVER OF RIGHTS FROM US.
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