2026-01-13_COI_Star_Milling.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR076428
- Contract number
- CTR076428
- Issued by
- Arizona
About this file
This document is a General Liability Enhancement Endorsement for an insurance policy issued by The Liberty Company Insurance Brokers to Star Milling Company. The policy involves multiple insurers including United States Fire Insurance Company, Great American Insurance Company, and North Pointe Insurance Company. The certificate holder is the Arizona Game and Fish Department, and the policy provides coverage for the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
The insurance policy provides comprehensive commercial general liability coverage with policy limits of $1,000,000 per occurrence and $2,000,000 aggregate, effective from 01/13/2025 to 01/13/2026. The policy includes additional insured provisions for various entities, a 30-day cancellation notice (10 days for non-payment of premium), and a waiver of subrogation per written contract. The endorsement modifies and enhances the existing insurance coverage, providing expanded protections such as additional coverage for borrowed equipment, newly acquired organizations, and vendors, while also addressing specific liability scenarios like non-owned watercraft and aircraft, contractual liability, and governmental entity considerations.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR076428_Contract_Documents_Star_Milling.pdf | ||
| Contract_Summary.pdf | ||
| BPM006792_Star_Milling_Supplier_Bids.pdf | ||
| CTR076428_PRICING.xlsx | XLSX spreadsheet |
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Text version
03/31/2025
The Liberty Company Insurance Brokers Lic #0D79653 5955 De Soto Ave, Ste 250 Woodland Hills CA 91367
Rudy Quintana
(909) 498-9152 rudy.quintana@libertycompany.com
Star Milling Company P.O. Box 1987
Perris CA 92572
United States Fire Ins Co 21113 Great American Insurance Company 16691 North Pointe Insurance Company 27740
25-26 Master
A Y Y 5069127717 01/13/2025 01/13/2026
1,000,000 300,000 15,000 1,000,000 2,000,000 2,000,000
A Y Y 5069127717 01/13/2025 01/13/2026
1,000,000
B
NIL
TUE426159203 01/13/2025 01/13/2026
1,000,000 1,000,000
C Y 202001648 01/01/2025 01/01/2026 1,000,000 1,000,000 1,000,000
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are listed as additional insured. Waiver of subrogation applies per written contract.
30 day cancellation notice except 10 days for non payment of premium.
Arizona Game and Fish Dept.
Attn: Purchasing 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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