2025-02-17_COI_AZ_Brush_Management.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR074696
- Contract number
- CTR074696
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by BITCO Insurance Companies for Arizona Brush Management LLC, located in Flagstaff, Arizona. The certificate is produced by Hancock-Leavitt Insurance and lists Arizona Game and Fish Department as the certificate holder. The insurance policies provide coverage from February 17, 2024 to February 17, 2025, with BITCO Insurance Companies serving as the primary insurer.
The policy covers various insurance types including commercial general liability, automobile liability, umbrella liability, workers' compensation, and physical damage coverage. The specific business activity noted is "BPM006328-Tree Thinning, Tree Removal and Woody Vegetation Removal." The policy includes multiple coverage limits, with general aggregate limits of $2,000,000, each occurrence limits of $1,000,000, and additional insured status granted to Arizona Game and Fish Department and the State of Arizona. A waiver of subrogation is also included, providing comprehensive protection for the insured's vegetation management operations.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR074696_Contractor_Bid_Arizona_Brush_Mgmt.pdf | ||
| CTR074696_YR2_Contract_Renewal.pdf | ||
| CTR074696_Contract_Docs_Arizona_Brush_Management_LLC.pdf | ||
| CTR074696_PRICING__AZ_Brush.xlsx | XLSX spreadsheet | |
| ACORD_Form_20251020-113901.pdf | ||
| Contract_Summary_Document.pdf |
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Text version
11/14/2024
Hancock-Leavitt Insurance PO Box 830
Taylor AZ 85939
Monti Hancock (928)536-4237 (866)821-4287 monti-hancock@leavitt.com
Arizona Brush Management LLC Colombini, Robert Paul 3227 S. Gila Dr Flagstaff AZ 86005
BITCO Insurance Companies 020095
CL23122706859
A
X
X
X
X Y CLP 3 740 064 2/17/2024 2/17/2025
1,000,000
50,000
10,000
1,000,000
2,000,000
2,000,000
Loggers Broadform 1,000,000
A
X X X
X Y CAP 3 740 065 2/17/2024 2/17/2025
1,000,000
A
X
X
X 10,000
CUP 3 750 639 11/4/2024 2/17/2025 2,000,000
2,000,000
A WC 3 740 063 2/17/2024 2/17/2025
X X
1,000,000
1,000,000
1,000,000
A Physical Damage CAP 3 740 065 2/17/2024 2/17/2025 Comp/Collision Deductible $1,000
A Inland Marine CLP 3 740 064 2/17/2024 2/17/2025 Limits & Deductible See Below
BPM006328-Tree Thinning, Tree Removal and Woody Vegetation Removal.
All coverages and limits are subject to the terms, conditions, insuring agreement, and exclusions provided in the policy. Waiver of Subrogation applies. Additional Insured: Arizona Game and Fish Department & The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
Arizona Game and Fish Department 5000 W. Carefree Highway Phoenix, AZ 85086
Monti Hancock/CAJUAR
Y
The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECT
PRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
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.
INSD
ADDL
WVD
SUBR
N / A
(Ea accident)
(Per accident)
OTHER:
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 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:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201401)
| ACORD Form 20241114-143223.pdf |
| 20230414 |
File details come from the government source that posted it. Updated .