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

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

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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