2024-04-23_COI.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR068972
- Contract number
- CTR068972
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Strong Tower Insurance Group Inc. dba Glendale Insurance Group for The Stock Shop Inc., Arizona Feeds Country Stores LLC, Stock Shop AJ LLC, and Kevin & Andrea Bloomquist. The insurance policies are underwritten by The Cincinnati Casualty Company and Travelers Property Casualty of America, with coverage for the State of Arizona Department of Corrections, Rehabilitation & Reentry listed as the certificate holder. The policies include commercial general liability, automobile liability, and umbrella liability insurance with various coverage limits.
The contract is for Canine Feed and Supplies, with a contract number CTR068972, effective from 04/23/2023 to 04/23/2024. The insurance provides additional insured status, primary non-contributory wording, and a waiver of subrogation for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The commercial general liability policy has a $1,000,000 per occurrence limit, $2,000,000 general aggregate limit, and $1,000 medical expense limit. The automobile liability and umbrella liability policies provide additional coverage with limits of $1,000,000 and $5,000,000 respectively.
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Text version
12/11/2023
Strong Tower Insurance Group Inc dba Glendale Insurance Group
3325 E Baseline Rd
Gilbert AZ 85234-2633
Lesley Snyder
(480) 926-9011 (877) 464-6442 lsnyder@glendaleinsurance.com
The Stock Shop Inc., Arizona Feeds Country Stores LLC, Stock Shop AJ LLC and Kevin & Andrea Bloomquist
6615 W Thunderbird Rd
Glendale AZ 85306
The Cincinnati Casualty Company 28665
Travelers Property Casualty of America 25674
23 24 GL AUT UMB
A EPP 0388736 04/23/2023 04/23/2024
1,000,000
500,000
1,000
1,000,000
2,000,000
2,000,000
A EBA 0388736 04/23/2023 04/23/2024
1,000,000
B
CUP-1S66206A 04/23/2023 04/23/2024
5,000,000
5,000,000
Contract number: CTR068972 Description: Canine Feed and Supplies
Additional Insured, Primary Non-Contributory wording/endorsement, and Waiver of Subrogation status for The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees when required by a written contract per attached endorsement(s).
State of Arizona Department of Corrections, Rehabilitation & Reentry
701 E Jefferson St
MC 55302
Phoenix AZ 85034
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
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.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
Lesley Snyder
Additional Named Insureds
Other Named Insureds
OFAPPINF (02/2007) COPYRIGHT 2007, AMS SERVICES INC
File details come from the government source that posted it. Updated .