2025-10-1_CTR063442.pdf
PDF 45 KB Posted
- Attached to
- Master Agreement AZ|CTR078829
- Contract number
- CTR078829
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Aon Risk Services Northeast, Inc. on 10/03/2024 for The Arizona Republic, covering multiple insurance policies. The certificate involves several insurers, including National Union Fire Insurance Company of Pittsburgh (NAIC #19445), AIU Insurance Company (NAIC #19399), and AIG Specialty Insurance Company (NAIC #26883). The certificate holder is the AZ Department of Administration, located in Phoenix, Arizona.
The insurance coverage relates to Contract ADSPO18-178338 for Legal, Classified, and Web-Based Recruitment Advertising. The policies provide comprehensive coverage including Commercial General Liability (with $2,000,000 per occurrence and $4,000,000 aggregate limits), Automobile Liability ($1,000,000 combined single limit), Workers' Compensation, and Errors & Omissions Professional Liability. The State of Arizona, its departments, agencies, boards, commissions, universities, and their officers are included as Additional Insureds. The insurance policies are effective from 10/01/2024 to 10/01/2025, with primary and non-contributory provisions and a waiver of subrogation in favor of the certificate holder.
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H ol de r
Id en tif ie r
77777 77707
07070 00777
61616 04557
11107 76617
13701 54572
07472 33746
35373 30072
76045 73653
33130 75150
57463 77556
10772 35006
52355 52207
12733 34661
27760 07761
41142 05771
31077 16054
42335 55610
76727 24203
57720 00777
77770 70007
07007
77777 77707
07070 00735
25677 11545
60007 23040
14602 67133
07122 33735
30631 01070
23337 34217
20010 71322
37352 16311
00702 33362
43162 11107
13332 72531
72110 07032
22734 21731
10070 32236
35316 20000
77756 16335
17655 40777
77770 70007
07007 C er tif ic at e N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
10/03/2024
IMPORTANT: If the certificate holder is an ADDITION AL INSURED, the policy(ies) must have ADDITIONAL IN SURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and c onditions of the policy, certain policies may requi re an endorsement. A statement on this certificate does not confer rights to the certifica te holder in lieu of such endorsement(s).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P OLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONST ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU THORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOL DER.
PRODUCER
Aon Risk Services Northeast, Inc.
New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 19445National Union Fire Ins Co of PittsburghINSURER A:
19399AIU Insurance CompanyINSURER B:
26883AIG Specialty Insurance CompanyINSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.): (800) 363-0105
CONTACT
NAME:
The Arizona Republic 200 E. Van Buren St.
Phoenix AZ 85004 USA
COVERAGES CERTIFICATE NUMBER: 570108763027 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. Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$2,000,000
$2,000,000
$2,000,000
$4,000,000
$4,000,000
A 10/01/2024 10/01/20253609386
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X BODILY INJURY (Per accident)
$1,000,000A 10/01/2024 10/01/2025
AOS
3135710B 10/01/2024 10/01/2025
MA
COMBINED SINGLE LIMIT
(Ea accident)
3135709
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-
ER
PER STATUTEB 10/01/2024 10/01/2025
AOS
WC014111809B 10/01/2024 10/01/2025
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
CA
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$1,000,000
WC014111808
Each Wrongful Act016155622 10/01/2024 10/01/2025 Claims Made $2,000,000Aggregate
E&O - Miscellaneous Professional-Primary
C
SIR applies per policy terms & conditions
$2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (A CORD 101, Additional Remarks Schedule, may be attac hed if more space is required)
RE: Contract ADSPO18-178338 - Legal, Classified and Web Based Recruitment Advertising.
The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability and Auto Liability evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability and Auto Liability policy.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEAZ Dept of Administration Charlotte Righetti, CPPB 100 N 15th Ave, Suite 201 Phoenix AS 85007 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACO RD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
AGENCY CUSTOMER ID:
ADDITIONAL REMARKS SCHEDULE
LOC #:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance
EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSUREDAGENCY
See Certificate Number:
See Certificate Number:
570108763027
570108763027
Aon Risk Services Northeast, Inc.
570000082066
ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.
INSURER
INSURER
INSURER
INSURER
INSURER(S) AFFORDING COVERAGE
Page _ of _
NAIC #
The Arizona Republic
TYPE OF INSURANCE
POLICY NUMBER LIMITS
WORKERS COMPENSATION
B WC014111810 10/01/2024 10/01/2025
WI
N/A
ADDL
INSD
INSR
LTR
SUBR
WVD
POLICY
EFFECTIVE
DATE
(MM/DD/YYYY)
POLICY
EXPIRATION
DATE
(MM/DD/YYYY)
ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACO RD
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