2025.06.01 COI.pdf

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Attached to
Master Agreement AZ|CTR062304
Contract number
CTR062304
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package from Federated Mutual Insurance Company covering Bingham Equipment Company (C Corp), with the State of Arizona and ADOT Risk Management Insurance Unit as additional insureds. The policy includes multiple coverage types such as Commercial General Liability, Commercial Auto, and Workers Compensation, with an effective date of 06/01/2024. The insurance certificates specifically extend coverage for the delivery of parts and repair of off-road heavy duty equipment per a written contract at locations leased, owned, or controlled by the certificate holder.

The contract (CTR062304) is limited to specific operational scope, applying only to the delivery of parts and repair of off-road heavy duty equipment. The policy provides various liability protections with significant coverage limits, including $1,000,000 per occurrence for commercial general liability, automobile liability, and workers compensation. Key endorsements include automatic waivers of subrogation and transfer of rights of recovery, which provide additional protections for both Bingham Equipment Company and the State of Arizona. The insurance specifically covers operations at locations leased, owned, or controlled by the State of Arizona, with the policy extending to the state's departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

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e6906 Accepted

POLICY NUMBER: 9030132 COMMERCIAL AUTO

CA 20 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Auto Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: Bingham Equipment Company (C Corp)

Endorsement Effective: 06/01/2024

SCHEDULE

Name of Person(s) Or Organization(s):

State of Arizona and or Adot Risk Management Insurance Unit

1655 W Jackson St

Phoenix, AZ 85007-3217

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BLANKET WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE PART

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

In the event of any payment for a loss under this Business Auto Coverage Part arising out of your ongoing operations, we agree to waive our rights under the TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO

US condition against any person or organization, its subsidiaries, directors, agents or employees, for which you have agreed by written contract, prior to the occurrence of any loss, to waive such rights, except when the payment results from the sole negligence of that person or organization, its subsidiaries, directors, agents or employees.

Includes copyrighted material of Insurance Services Office, Inc. with its permission.

CA-F-128 (03-03) Policy Number: 9030132 Transaction Effective Date: 06/01/2024

COMMERCIAL GENERAL LIABILITY

CG 20 01 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -

OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

The following is added to the Other Insurance Condition and supersedes any provision to the contrary:

Primary And Noncontributory Insurance

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

(1) The additional insured is a Named Insured under such other insurance; and

(2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.

© Insurance Services Office, Inc., 2018 Page 1 of 1

CG 20 01 12 19 Policy Number: 9030132 Transaction Effective Date: 06/01/2024

POLICY NUMBER: 9030132 COMMERCIAL GENERAL LIABILITY

CG 20 10 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations

State of Arizona and or ADOT Risk Management Insurance Unit 1655 W Jackson St Phoenix, AZ 85007-3217

See IL-F-40-00006

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your behalf;

in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:

This insurance does not apply to "bodily injury" or "property damage" occurring after:

1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or

2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

© Insurance Services Office, Inc., 2018 Page 1 of 2

CG 20 10 12 19 Policy Number: 9030132 Transaction Effective Date: 06/01/2024

C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

Insured:

Bingham Equipment Company (C Corp) 1655 S Country Club Dr Mesa, AZ 85210-6001

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

Page 2 of 2 © Insurance Services Office, Inc., 2018

CG 20 10 12 19 Policy Number: 9030132 Transaction Effective Date: 06/01/2024

IL-F-40-00006 Extension Endorsement

Contract Number: CTR062304. Any Coverage Provided by This Endorsement

Applies Only to the Delivery of Parts and

Repair of Off-Road Heavy Duty Equipment Per Written Contract at Locations

Leased, Owned or Controlled by the

Certholder. Additional Insureds Also Include: State of Arizona, and its

Departments, Agencies, Boards, Commissions, Universities, Officers, Officials, Agents, and Employees.

IL-F-40-00006 (06-10) Policy Number: 9030132 Transaction Effective Date: 06/01/2024

COMMERCIAL GENERAL LIABILITY

CG 24 53 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) -

AUTOMATIC

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

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV - Conditions:

We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss.

© Insurance Services Office, Inc., 2018 Page 1 of 1

CG 24 53 12 19 Policy Number: 9030132 Transaction Effective Date: 06/01/2024

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

This endorsement, effective on 06/01/2024 at 12:01 A.M. standard time, forms a part of

Policy No. 9239815

Issued to Bingham Equipment Company (C Corp)

Issued by Federated Mutual Insurance Company

Endorsement No. 16

Authorized Representative

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

State of Arizona and or ADOT Risk Management Insurance Unit

1655 W Jackson St

Phoenix, AZ 85007-3217

Additional Reference:

Any Coverage Provided by This Endorsement

Applies Only to the Delivery of Parts and Repair of Off-Road Heavy Duty Equipment Per

Written Contract at Locations

Leased, Owned or Controlled by the Certholder.

If work is performed in Missouri, this waiver does not apply to any construction group of classifications as designated by the Waiver of Our Right to Recover from Others rule in our manual.

Copyright 1983 National Council on Compensation Insurance.

WC 00 03 13 (04-84) Issue Date:

Commercial Package Policy 9030132
Business Auto
CA 20 48 Designated Insured for Covered Autos Liability Coverage
CA-F-128 Blanket Waiver Of Transfer Of Rights Of Recovery
General Liability
CG 20 01 Primary And Noncontributory-Other Insurance Condition Endorsement
CG 20 10 Additional Insured-Owners Lessees Or Contractors-Scheduled
IL-F-40-00006 Extension Endorsement
CG 24 53 Waiver of Transfer of Rights of Recovery Against Other to Us
Workers Compensation Policy 9239815
WC 00 03 13 Waiver Of Our Right To Recover From Others

File details come from the government source that posted it. Updated .