2024.11.1_COI.pdf
PDF 21 KB Posted
- Attached to
- Master Agreement AZ|CTR063848
- Contract number
- CTR063848
- Issued by
- Arizona
About this file
The document is an ACORD Certificate of Liability Insurance for Metro Fire Equipment Inc (dba Metro Fire+Security), issued by The Mahoney Group in Mesa, Arizona. The certificate covers insurance policies for the company's state contract #CTR063848 with the Arizona Department of Veterans' Services, Administration Division, located in Phoenix, AZ. The insurance is provided by multiple carriers including Great Divide Insurance Co., Alaska National Insurance Company, CopperPoint Indemnity Insurance Company, Admiral Insurance Co., and Hiscox Insurance Company Inc.
The insurance coverage includes comprehensive policies with various limits: Commercial General Liability ($1M per occurrence), Automobile Liability ($1M), Umbrella Liability ($10M), Workers' Compensation ($1M), Professional Liability ($5M aggregate), and Honesty/Fidelity Insurance ($1M per occurrence). Additional coverage includes Contractors Pollution Liability with $3M annual aggregate and $3M per pollution condition limit, as well as an Equipment Floater policy with $250,000 for rented and leased equipment. The policies are effective from 11/1/2023 to 11/1/2024, providing comprehensive protection for the company's operations under the state contract.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| BPM004997_Evaluation_Tool.xlsx | XLSX spreadsheet | |
| CTR063848_Contract_Amendment_3.pdf | ||
| CTR063848_-_Proposed_Subcontractor.pdf | ||
| CTR063848_C.O.I..pdf | ||
| CTR063848_Contract_Amendment_4.pdf | ||
| CTR063848_Contract_Amendment_1.pdf | ||
| CTR063848_Contract_Amendment_5.pdf | ||
| 24-25_COI_-_Arizona_-_Arizona_Department_of_Veterans__Services_Administration_Division.pdf | ||
| CTR063848_Contract_Amendment_2.pdf | ||
| Price_Sheet__3_.xlsx | XLSX spreadsheet |
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER
CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
12/19/2023
(480) 730-4920 (480) 730-4929
25224
Metro Fire Equipment Inc dba Metro Fire+Security 63 S Hamilton Place Gilbert, AZ 85233-5515
38733
13928
24856
10200
A 1,000,000
GLP203045814 11/1/2023 11/1/2024 100,000
5,000
1,000,000
2,000,000
2,000,000
1,000,000B
23K AS 12359 11/1/2023 11/1/2024
10,000,000A
FFX203045914 11/1/2023 11/1/2024 10,000,000
C 1009246 11/1/2023 11/1/2024 1,000,000
1,000,000
1,000,000
D Professional Liabili EO00000789017 11/1/2023 Aggregate 5,000,000
E Honesty (Fidelity) UC24094396.23 11/1/2023 11/1/2024 Each Occurrence 1,000,000
State contract # CTR063848
Arizona Department of Veterans' Services, Administration Division 3839 N. 3rd Street, Suite 209 Phoenix, AZ 85012
METRFIR-02 WMYERS
The Mahoney Group - Mesa 1835 South Extension Road Mesa, AZ 85210
Great Divide Insurance Co.
Alaska National Insurance Company
CopperPoint Indemnity Insurance Company
Admiral Insurance Co.
Hiscox Insurance Company Inc.
X
11/1/2024
X
X
X
X
X
X
X
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ACORD 101 (2008/01)
AGENCY CUSTOMER ID:
LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
The Mahoney Group - Mesa
METRFIR-02
SEE PAGE 1
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
SEE P 1
Metro Fire Equipment Inc dba Metro Fire+Security 63 S Hamilton Place Gilbert, AZ 85233-5515
SEE PAGE 1
WMYERS
Contractors Pollution Liability Coverage:
Effective: 11/01/2023 Expiration: 11/01/2024 Carrier: Evanston Ins. Co.
Policy #: ECPENV05123 Limits:
$3,000,000 Annual Aggregate $3,000,000 Each Pollution Condition Limit $1,000 Deductible Pollution Condition Mold/Fungus/Legionnaires included Owners and Contractors Protective Liability
Professional Liability Policy Retroactive Date - 11/10/2017 Professional Liability Policy Retroactive date amending limits to $5,000,000 limits - 3/5/19
Equipment Floater Effective: 11/10/2023 Expiration: 11/01/2024 Carrier: Alaska National Insurance Company Policy # 23K IA 12359 Rented and Leased Equipment:
Limit $250,000
File details come from the government source that posted it. Updated .