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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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:

E-MAIL

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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