2025-11-15_COI_Wilbur-Ellis_Rangen.pdf
PDF 102 KB Posted
- Attached to
- Master Agreement AZ|CTR076429
- Contract number
- CTR076429
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Edgewood Partners Insurance Center for Wilbur-Ellis Nutrition, LLC, with the State of Arizona and its AZ Game & Fish Department as the certificate holder. The insurance is provided by ACE American Insurance Company and ACE Property and Casualty Insurance Co, covering commercial general liability, automobile liability, umbrella liability, and workers' compensation for the named insured.
The insurance policies are effective from 11/15/2024 to 11/15/2025, with various coverage limits including $1,000,000 for commercial general liability, $5,000,000 for automobile and umbrella liability, and $1,000,000 for workers' compensation. The certificate includes the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds where required by written contract. The policies have a self-insured retention (SIR) of $4,000,000 and include a waiver of subrogation, with coverage designated as primary and non-contributory.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR076429_PRICING.xlsx | XLSX spreadsheet | |
| CTR076429_Contract_Documents.pdf | ||
| BPM006792_Wilbur-Ellis_Supplier_Bids.pdf | ||
| Contract_Summary.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
11/1/2024
Edgewood Partners Insurance Center 1 California Street, Suite 400 San Francisco CA 94111
Certificate Unit 404-781-1700 certificate@epicbrokers.com
License#: 0B29370 ACE American Insurance Company 22667 WILBHOL3 ACE Property and Casualty Insurance Co 20699
Wilbur-Ellis Nutrition, LLC.
345 California Street, 27th Floor San Francisco, CA 94104
262432390
A X 1,000,000 X
X SIR $4,000,000
1,000,000
2,000,000 X
XSLG27632592 11/15/2024 11/15/2025
1,000,000
A 5,000,000
X
ISAH08874037 11/15/2024 11/15/2025
B X 5,000,000XOCG27922673010 11/15/2024 11/15/2025
5,000,000
X VARIOUS
A A
XWLRC6893364A
SCFC68933651
11/15/2024 11/15/2024
11/15/2025 11/15/2025
1,000,000
1,000,000
1,000,000
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insureds where required by written contract with the Named Insured. Waiver of subrogation applies, coverage is primary and non-contributory.
State of Arizona AZ Game & Fish Dept.
Procurement 5000 W Carefree Hwy Phoenix AZ 85086
THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE
File details come from the government source that posted it. Updated .