2025-05-28 COI GL AL PL.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR074465
- Contract number
- CTR074465
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for All Traffic Data Services LLC, located in Wheat Ridge, Colorado. The certificate is issued by Marsh & McLennan Agency LLC and covers multiple insurance policies through insurers including Phoenix Insurance Company, Travelers Property Casualty Co of America, AXIS Surplus Insurance Company, and Underwriters at Lloyd's London. The primary certificate holder is the State of Arizona, Arizona Department of Transportation (ADOT), located in Phoenix, AZ. The insurance policies provide coverage for commercial general liability, automobile liability, umbrella liability, technology errors & omissions, and architects & engineers professional liability.
The insurance policies are effective from 09/26/2024 to 09/26/2025, with various coverage limits. The commercial general liability policy has a $1,000,000 per occurrence limit and a $2,000,000 general aggregate limit. The automobile liability policy covers any auto with a $1,000,000 combined single limit. The umbrella liability provides an additional $15,000,000 in coverage. The technology errors & omissions policy has a $3,000,000 aggregate/each claim limit, and the architects & engineers professional liability policy has a $4,000,000 aggregate and $2,000,000 each claim limit. The certificate specifically notes coverage for work performed in ADOT right of way, with ADOT and the State of Arizona included as additional insureds. The policies include waivers of subrogation and are primary and non-contributory.
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Other files
| File | Type | Posted |
|---|---|---|
| 2-Method of Approach.pdf | ||
| CTR074465_Contract_Amendment_1.pdf | ||
| CTR074465_Contract_Documents.pdf | ||
| CTR074465_Pricing.pdf | ||
| 2025-10-01 COI WC.pdf | ||
| 2-Qualifications and Experience.pdf | ||
| 01 Post Award Documents.pdf |
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Text version
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
10/16/2024
Marsh & McLennan Agency LLC Marsh & McLennan Ins. Agency LLC PO Box 85638 San Diego CA 92186
Austin White 858-200-9264
Austin.White@marshmma.com
License#: 0H18131 Phoenix Insurance Company 25623 REKORSYSTE Travelers Property Casualty Co of Amer 25674
All Traffic Data Services LLC 9660 W 44th Avenue Wheat Ridge CO 80033
AXIS Surplus Insurance Company 26620 Underwriters at Lloyd's London 55555
107572773
A X 1,000,000 X 1,000,000
10,000
1,000,000
2,000,000 X
Y Y 6309X498791 9/26/2024 9/26/2025
2,000,000
B 1,000,000
X Y Y 8103Y804813 9/26/2024 9/26/2025
B X X 15,000,000CUP4208712 9/26/2024 9/26/2025
15,000,000 X 10,000
C D
Technology Errors & Omissions Architects & Engineers Prof. Liab Retro Date: 1/9/2010
N N N
N P00100117949802
LA1017600
2/12/2024 5/28/2024
2/12/2025 5/28/2025
Aggregate/Each Claim Aggregate Each Claim
$3,000,000 $4,000,000 $2,000,000
RE: Any and all work performed in ADOT right of way
Certificate Holder, Arizona Department of Transportation, and the State of Arizona are included as Additional Insured with respects to General Liability and Auto Liability per the attached endorsements. Waiver of subrogation applies to General Liability and Auto Liability per the attached endorsements. Cancellation provision applies per policy provisions. Primary & Non-contributory wording applies per attached endorsement.
THE STATE OF ARIZONA, ARIZONA DEPARTMENT OF
TRANSPORTATION
206 S. 17th Ave MD128A Phoenix AZ 85007
G0171 General and Auto Liability Only
G0171 Professional Liability Only
INSURED:
POLICY #: POLICY PERIOD: TO:
All Traffic Data Services LLC
09/26/202509/26/20248103Y804813
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09/26/2024 09/26/20256309X498791
BUSINESS AUTO EXTENSION ENDORSEMENT
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© 2015 The Travelers Indemnity Compa ny. All rights reserved .
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