2024-08-01 COI GL, WC.pdf

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

E-MAIL

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)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

2,000,000*

RGD300136506

ATL-005706399-06

1,000,000

X

150 North College Street

N

X08/01/2023

08/01/2024RAD943787006

B

2,000,000

2,000,000

See attached- Various

1,000,000

X

X favor of the additional insured, if required by written contract with the named insured. ***Please See Additional Page***

03/11/2024

N/A

08/01/2023

Insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT. State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents and employees is/are additional insured under General Liability as their interest may appear, if required by written contract with the named insured. The General Liability insurance is primary and non-contributory over

X

Phoenix, AZ 85007

The State of Arizona/ADOT

CASUA

any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. A waiver of subrogation is included under General Liability and Auto Liability in

A

CN101925409-GAW-GAW-23-24

required by written contract.

Excluded

08/01/2024

2,000,000

2,000,000*

22322

Excluded

1,000,000

See Attached

100 North Tryon Street, Suite 3600

MARSH USA LLC.

Charlotte, NC 28202 and any and all subsidiaries

Bank of America Corporation

One Bank of America Center

Mail Code: NC1-028-17-01

Charlotte, NC 28255-0001

* This coverage applies only if

08/01/2023

206 S. 17th Ave, A

08/01/2024

Greenwich Insurance Company

F0950 GL Only

F0950 WC Only

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

NB Holdings Corporation is a subsidiary of Bank of America Corporation.

Effective/Expiration dates: 08/01/2023 - 08/01/2024�

Including the following state(s): AK, WI �

Carrier: XL Specialty Insurance Company�

Policy Number: RWG300136606�

Effective/Expiration dates: 08/01/2023 - 08/01/2024�

Carrier: XL Insurance America, Inc.�

Charlotte

Carriers and Policy Numbers: � Workers Compensation and Employers Liability: �

Additional insureds under the General Liability are included as their interest may appear, but only if required by written contract with the named insured and the amount afforded is limited to the value of the contract or the available limits, whichever is less.�

Certificate of Liability Insurance

Including the following state(s): OH WA �

CN101925409

Effective/Expiration dates: 08/01/2023 - 08/01/2024�

Including the following state(s): AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SD TN TX UT VA VT WV�

Carrier: XL Insurance America, Inc.�

Policy Number: RWR943546209�

Including the following state(s): AOS �

Effective/Expiration dates: 08/01/2023 - 08/01/2024�

Policy Number: RWE943546309�

This policy is subject to a Self-Insured Retention of $1,000,000 per accident. �

MARSH USA LLC.�

and any and all subsidiaries� Bank of America Corporation�

One Bank of America Center� Mail Code: NC1-028-17-01�

Charlotte, NC 28255-0001 150 North College Street�

Carrier: XL Specialty Insurance Company�

Policy Number: RWD943546109�

F0950 Highlight