2024-01-01 COI GL AL WC PL.pdf

PDF 3 MB Posted

Attached to
Master Agreement AZ|CTR061869
Contract number
CTR061869
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 primary certificate holder is The State of Arizona/ADOT (Arizona Department of Transportation), with coverage extending across multiple states including California, District of Columbia, Illinois, North Carolina, New York, Texas, and Utah.

The insurance policies provide comprehensive liability coverage with various limits, including $1,000,000 for commercial general liability, $1,000,000 for automobile liability, and $1,000,000 for workers' compensation and employers' liability. The policies are effective from May 1, 2023 to May 1, 2024, with additional coverage provisions such as waiver of subrogation, primary and non-contributory insurance status, and additional insured provisions for entities required by written contract. The policies cover general liability, automobile liability, umbrella liability, and professional liability, with specific endorsements ensuring protection for the named insured and additional scheduled persons or organizations.

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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 .