2024-01-01 COI GL AL WC PL.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR061868
- Contract number
- CTR061868
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by multiple insurance companies, including Great Northern Insurance Company, Chubb Indemnity Insurance Company, and Attorneys' Liability Assurance Society Ltd., for Mayer Brown LLP. The insurance coverage spans multiple states including California, District of Columbia, Illinois, North Carolina, New York, Texas, and Utah. The certificate holder is The State of Arizona/ADOT (Arizona Department of Transportation), located in Phoenix, Arizona.
The insurance policies provide comprehensive coverage including commercial general liability, automobile liability, umbrella liability, and workers' compensation and employers' liability. The policies are effective from May 1, 2023 to May 1, 2024, with various coverage limits. The general liability policy has a $1,000,000 per occurrence limit and a $2,000,000 general aggregate limit. The automobile liability includes $1,000,000 combined single limit. The workers' compensation policy covers employees in the specified states, with $1,000,000 limits for each accident, disease, and policy limits. The certificate includes provisions for additional insured status, waiver of subrogation, and primary non-contributory insurance where required by written contract.
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Text version
1,000,000
3575-67-07
X
CHI-010126026-13
1,000,000
(CA, DC, IL, NC, NY, TX, UT)
X
X
20303
Attn: Chicago.CertRequest@marsh.com
N
X05/01/2023
05/01/20247353-26-10
C
2,000,000
1,000,000
X
12777
Great Northern Insurance Company
1,000,000
07/26/2023
05/01/2023
The Certificate Holder is/are included as additional insured where required by written contract with respect to general liability and auto liability. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms
X
Phoenix, AZ 85009
The State of Arizona/ADOT and conditions.
B
Chubb Indemnity Insurance Company
10,000
05/01/2024
1,000,000
2,000,000
N/A
1,000,000
1,000,000
7172-02-31
540 W. MADISON
MARSH USA LLC.
CHICAGO, IL 60661
71 S. Wacker Dr. Ste 2200 Mayer Brown LLP
Chicago, IL 60604
05/01/2023
1324 N. 22nd Ave., B
05/01/2024
HIRED $1,000 COMP/COLL DED
N/A e6906 Accepted
File details come from the government source that posted it. Updated .