2025-03-18_COI.pdf
PDF 43 KB Posted
- Attached to
- Master Agreement AZ|CTR071652
- Contract number
- CTR071652
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance dated 05/06/2024 for Contemporary Services Corporation, issued by Alliant Insurance Services, Inc. The certificate involves two primary insurers: Champlain Specialty Insurance Company and Zurich American Insurance Company. The insurance coverage is specifically for the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, with the Arizona Exposition and State Board listed as the certificate holder.
The insurance policy covers the period from 03/18/2024 to 03/18/2025, with a specific additional period of coverage for the State of Arizona from 06/17/2024 to 06/17/2025 under Contract No. CTR071652. The policy includes General Liability with a $1,000,000 per occurrence limit and a $3,000,000 aggregate limit, Automobile Liability with a $1,000,000 combined single limit, and Workers' Compensation with statutory limits and $1,000,000 for each accident, disease, and policy limit. The certificate indicates that the State of Arizona will be named as additional insureds, subject to the contractor's indemnification obligations and contract terms.
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| BAFO_Pricing_Document_CSC_5-1-24.xlsx | XLSX spreadsheet | |
| Contract_Documents.pdf |
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Text version
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
05/06/2024
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).
PRODUCER
Alliant Insurance Services, Inc.
353 N. Clark Street Chicago, IL 60654
CONTACT NAME: Anthony Lee
PHONE
312-595-8628
FAX (A/C, No)
E-MAIL ADDRESS: Anthony.Lee@alliant.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A: Champlain Specialty Insurance Company 16834
INSURED
Contemporary Services Corporation 17101 Superior Street Northridge, CA 91325
INSURER B: Zurich American Ins. Co. 16535
INSURER C:
INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 306929 REVISION NUMBER:
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.
INSR
LTR
TYPE OF INSURANCE ADDL
INSR
SUBR
WVD
POLICY NUMBER POLICY EFF
(MM/DD/YYY)
POLICY EXP
(MM/DD/YYY)
LIMITS
A GENERAL LIABILITY
x COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE x OCCUR x SIR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY x PROJECT LOC x CSSE-CGL- 0001717-02
03/18/2024 03/18/2025 EACH OCCURRENCE $1,000,000
DAMAGE TO RENTED
PREMISES (each occurrence)
$300,000
MED EXP (Any one person)
PERSONAL & ADV
INJURY
$1,000,000
GENERAL
AGGREGATE
$3,000,000
PRODUCTS -
COMP/OP AGG
$3,000,000
B AUTOMOBILE LIABILITY
x ANY AUTO
ALL OWNED AUTOS SCHEDULED AUTOS
x HIRED AUTOS x NON-OWNED AUTOS x Comp Ded: $2,500/$5K
H Tr x Coll Ded: $2,500/$5K
H Tr x BAP937666820 03/18/2024 03/18/2025 COMBINED SINGLE LIMIT (Each accident)
$1,000,000
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB OCCUR
EXCESS LIAB CLAIMS-MADE
DED RETENTION $
EACH OCCURRENCE $
AGGREGATE $
B WORKERS COMPENSATION AND EMPLOYERS'
LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED? (Mandatory in
NH).
Y/N
If yes, describe under DESCRIPTION OF OPERATIONS below.
N
N/A
WC930778721
WC930783021(WI)
03/18/2024 03/18/2025 x WC
STATUTORY
LIMIT
OTHER
E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE - EA
EMPLOYEE
$1,000,000
E.L. DISEASE -
POLICY LIMIT
$1,000,000
Other
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required) For the period of June 17, 2024 to June 17, 2025, the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees shall be named as additional insureds subject and limited to Contractor’s Indemnification Obligations and other terms and conditions of the Agreement, Contract No. CTR071652
CERTIFICATE HOLDER CANCELLATION
Arizona Exposition and State Board 1826 W. McDowell Road
Phoenix, AZ 85004
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
John Harney
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD © 1988-2010 ACORD CORPORATION. All rights reserved.
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