2025-01-01_ERG_GAUWP.pdf

2 MB Posted

Attached to
Master Agreement AZ|CTR074220
Contract number
CTR074220
Issued by
Arizona

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This document is a comprehensive insurance certificate and related endorsements for Eastern Research Group, Inc. (ERG) and PG Environmental LLC, issued by Federal Insurance Company and Underwriters at Lloyd's. The primary certificate holder is the Arizona Department of Environmental Quality, located in Phoenix, AZ. The insurance coverage spans multiple policy types including Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, Workers' Compensation, Errors & Omissions, and Pollution Liability, with policy periods running from January 1, 2024 to January 1, 2025.

The insurance policies provide various coverage limits, with general liability set at $1,000,000 per occurrence and $2,000,000 aggregate, automobile liability at $1,000,000, and an umbrella/excess liability of $10,000,000. The policies include additional insured provisions for the State of Arizona, its departments, agencies, and employees, specifically referencing contract #CTR074220. A notable feature is the waiver of subrogation for General Liability, Auto Liability, and Workers Compensation as required by the written contract. The Errors & Omissions and Pollution Liability coverage includes $5,000,000 per claim and in aggregate, demonstrating comprehensive protection for environmental and professional services.

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1-BPM006379 Attachment 7 - Letter of Insurability.pdf PDF
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ERG BPM006379 Attachment 13 Pricing Sheet.docx DOCX document
ERG_Auto_Endorsement.pdf PDF
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1-BPM006379 Attachment 9 - Proposed Subcontractors.docx DOCX document
BAFO ERG Attachment 13 Pricing Sheet.pdf PDF
CTR074220_Pricing.pdf PDF
ERG_WC_AZ_Waiver.pdf PDF
1-BPM006379 Attachment 1 - Offer and Acceptance Form.docx DOCX document
1-BPM006379 Attachment 10 - Experience and Capacity Response.docx DOCX document
1-BPM006379 Attachment 11 - Experience References.docx DOCX document
1-BPM006379 Attachment 14 - OFFER CHECKLIST.docx DOCX document
1-BPM006379 Attachment 2 - Boycott of Israel Disclosure.docx DOCX document
1-BPM006379 Attachment 4 - Confidential Information Designation.docx DOCX document
1-BPM006379 Attachment 6 - Key Personnel.docx DOCX document
1-BPM006379 Attachment 8 - Organization Profile.docx DOCX document
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BPM006379_Attachment_5_-_Conformance_Statements_and_Exceptions.xlsx XLSX spreadsheet
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ERG_WC_Blanket_Waiver.pdf PDF
1-BPM006379 Attachment 12 - Method of Approach.docx DOCX document
1-BPM006379 Attachment 3 - Forced Labor of Ethnic Uyghurs Ban.docx DOCX document
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BPM006379 Award Letter - ERG.pdf PDF
CTR074220__Contract_Amendment_1_-_Contract_Extension_to_10-31-26.pdf PDF
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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)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

10/28/2024

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 32727

Eastern Research Group Inc PG Environmental LLC 561 Virginia Rd.

STE 300, BLDG 4

Concord MA 01742

2095928714

A X 1,000,000 X 1,000,000

10,000

1,000,000

2,000,000 X X

Y Y 36032885 1/1/2024 1/1/2025

2,000,000

A 1,000,000

X

X X

Y Y 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 XY 71754105 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 regard to General Liability and Auto Liability as required per their contract with the insured for contract #CTR074220. Waiver of subrogation applies with regard to General Liability, Auto Liability, and workers compensation as required per written contract with the insured.

Arizona Department of Environmental Quality 1110 W Washington St.

Phoenix AZ 85007

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