2025-09-01_COI_Markit.pdf
PDF 23 KB Posted
- Attached to
- Master Agreement AZ|CTR074701
- Contract number
- CTR074701
- Issued by
- Arizona
About this file
This is a Certificate of Liability Insurance dated October 28, 2024, issued by Flood and Peterson on behalf of Markit! Forestry Management, LLC, a Colorado Springs-based company. The certificate holder is the Arizona Game and Fish Department located in Phoenix, Arizona. The insurance coverage is provided through multiple carriers: Falls Lake National Insurance Company, Arch Insurance Company, Pinnacol Assurance, and Travelers Property Casualty Company of America. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are named as additional insureds as required by written contract for liability caused by the named insured.
The certificate confirms active insurance policies effective through September 1, 2025, with coverage including Commercial General Liability with limits of $1,000,000 per occurrence and $2,000,000 general aggregate; Automobile Liability with combined single limits of $1,000,000; Umbrella Liability with limits of $4,000,000 per occurrence and aggregate; Workers' Compensation covering Arizona, Idaho, and Nevada with limits of $1,000,000 per accident and per disease per employee; and additional employers' liability coverage of $1,000,000. All policies remain in effect through their respective expiration dates, with notice of cancellation to be provided according to policy provisions.
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Text version
10/28/2024
Flood and Peterson PO Box 578
Greeley CO 80632
Danaka Davis
(970) 356-0123 (970) 330-1867
DDavis@floodpeterson.com
Markit! Forestry Management, LLC 2424 Garden of the Gods Road Suite 290 Colorado Springs CO 80919
Falls Lake National Insurance Company 31925 Arch Insurance Company 11150 Pinnacol Assurance. 524210 Travelers Property Casualty Company of America 25674
24/25 AOS
A Y TMB000161702 09/01/2024 09/01/2025
1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000
A TMB000161702 09/01/2024 09/01/2025
1,000,000
B PXFXS0074701 09/01/2024 09/01/2025
4,000,000 4,000,000
C Y 4181526 04/01/2024 04/01/2025 1,000,000 1,000,000 1,000,000
D Workers Compensation
(AZ, ID, NV) 6JUB-0W72115-7-24 09/20/2024 09/20/2025
EACH ACCIDENT 1,000,000
DISEASE -EA EMPLOYE 1,000,000
POLICY LIMIT 1,000,000
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insured as required by written contract for liability caused by the named insured with regard to General Liability, subject to policy terms, exclusions, and conditions. This Certificate is issued as a matter of information only, confers no rights upon the certificate holder, and does not alter the insurance coverage afforded by the policies described herein.
Arizona Game and Fish Dept.
5000 W Carefree Hwy
Phoenix AZ 85086
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
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