2025-04-23_COI.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR068972
- Contract number
- CTR068972
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Strong Tower Insurance Group Inc on 05/01/2024 for The Stock Shop Inc., Arizona Feeds Country Stores LLC, Stock Shop AJ LLC, and Kevin & Andrea Bloomquist. The insurance policies are underwritten by The Cincinnati Casualty Company and Travelers Property Casualty of America, with coverage periods from 04/23/2024 to 04/23/2025. The certificate names the State of Arizona Department of Corrections, Rehabilitation & Reentry as the certificate holder, with additional insured status for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
The contract (CTR068972) is for Canine Feed and Supplies, with multiple insurance coverages including Commercial General Liability ($1,000,000 per occurrence), Automobile Liability ($1,000,000 combined single limit), and Umbrella Liability ($5,000,000 aggregate). The policy includes provisions for Additional Insured status, Primary Non-Contributory wording, and Waiver of Subrogation for the State of Arizona. The insurance provides comprehensive coverage across multiple liability categories, ensuring protection for the insured entities during the specified contract period for the canine feed and supplies contract.
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Text version
05/01/2024
Strong Tower Insurance Group Inc
3325 E Baseline Rd Gilbert AZ 85234-2633
Lesley Snyder
(480) 926-9011 (877) 464-6442 lsnyder@glendaleinsurance.com
The Stock Shop Inc., Arizona Feeds Country Stores LLC, Stock Shop AJ LLC and Kevin & Andrea Bloomquist 6615 W Thunderbird Rd Glendale AZ 85306
The Cincinnati Casualty Company 28665 Travelers Property Casualty of America 25674
24 25 GL AUT UMB
A EPP 0388736 04/23/2024 04/23/2025
1,000,000 500,000 1,000 1,000,000 2,000,000 2,000,000
A EBA 0388736 04/23/2024 04/23/2025
1,000,000
B
CUP-1S66206A 04/23/2024 04/23/2025
5,000,000 5,000,000
Contract number: CTR068972 Description: Canine Feed and Supplies
Additional Insured, Primary Non-Contributory wording/endorsement, and Waiver of Subrogation status for The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees when required by a written contract per attached endorsement(s).
State of Arizona Department of Corrections, Rehabilitation & Reentry 701 E Jefferson St
MC 55302
Phoenix AZ 85034
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
LSnyder Typewriter Policy # EBA 0388736
LesleySnyder Typewritten Text Lesley Snyder
04-23-2024
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees
CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Sec-tion IV – Conditions:
We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above be-cause of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organi-zation(s) shown in the Schedule above.
LSnyder Typewriter
EPP 0388736
LSnyder Typewriter The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees
LSnyder Typewriter
LSnyder
Policy #: EPP 0388736
State of Arizona Department of Corrections, Rehabilitation & Reentry 701 E Jefferson St
MC 55302
Phoenix, AZ 85034
Policy #EPP 0388736 AND EBA 0388736
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