2025-01-01 ERG CTR070125 GAUWPP.pdf
PDF 106 KB Posted
- Attached to
- Master Agreement AZ|CTR070125
- Contract number
- CTR070125
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Arthur J. Gallagher Risk Management Services, LLC for Eastern Research Group Inc and PG Environmental LLC, with insurance provided by Federal Insurance Company and Underwriters at Lloyds. The certificate names the Arizona Department of Environmental Quality as the certificate holder, with coverage extending to the State of Arizona, its departments, agencies, boards, commissions, universities, and their officers, officials, agents, and employees.
The insurance policies provide comprehensive coverage including commercial general liability, automobile liability, umbrella liability, workers' compensation, and professional liability (Errors & Omissions and Pollution Liability). The policies are effective from January 1, 2024 to January 1, 2025, with various coverage limits including $1,000,000 for general liability, $10,000,000 for umbrella liability, and $5,000,000 for errors and omissions/pollution liability. The certificate references a specific contract number (CTR070125) and provides additional insured status and a waiver of subrogation for the State of Arizona.
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Text version
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
4/10/2024
Arthur J. Gallagher Risk Management Services, LLC 233 West Central St Natick MA 01760
Tina Hayes 508-620-3403 781-586-7940
Tina_Hayes@ajg.com
Federal Insurance Company 20281 EASTRES-02 Underwriters at Lloyds
Eastern Research Group Inc PG Environmental LLC 561 Virginia Rd.
STE 300, BLDG 4
Concord MA 01742
154443374
A X 1,000,000 X 1,000,000
10,000
1,000,000
2,000,000 X X
Y 36032885 1/1/2024 1/1/2025
2,000,000
A 1,000,000
X
X X
99494564 1/1/2024 1/1/2025
A X X 10,000,00078180750 1/1/2024 1/1/2025
10,000,000 X 10,000
A X71754105 1/1/2024 1/1/2025
1,000,000
1,000,000
1,000,000 B B
Errors&Omissions and Pollution Liability
B0621PNEKA000124
B0621PNEKA000124
1/1/2024 1/1/2024
1/1/2025 1/1/2025 per claim aggregate
$5,000,000 $5,000,000
The State of Arizona, its departments, agencies, boards, commissions, universities, and its officers, officials, agents, and employees are additional insureds with respect to the general liability and auto policy per their contract with the insured for contract #CTR070125. And they have a waiver of subrogation in their favor on those two policies and on the workers compensation policy.
Arizona Department of Environmental Quality 1110 W Washington St.
Phoenix AZ 85007
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