2026-01-22 ACCEPTED GL,AL,WC,PROF LIAB.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR077436
- Contract number
- CTR077436
- Issued by
- Arizona
About this file
This document is a compilation of insurance certificates and policy endorsements for Desert Archaeology, Inc., primarily involving coverage from multiple insurance providers including Lloyds of London, General Insurance Company of America, Kinsale Insurance Company, and Accident Insurance Company. The policies cover multiple lines of insurance including commercial general liability, automobile liability, professional liability, and workers' compensation. The primary certificate holder is the Arizona Department of Transportation Infrastructure Delivery and Operations, located in Phoenix, Arizona. The policies are effective from January 22, 2025 to January 22, 2026.
The insurance policies provide comprehensive coverage with significant liability limits, including $2,000,000 for general aggregate, $1,000,000 for each occurrence, and $2,000,000 for professional and pollution liability. The policies include additional insured provisions for the State of Arizona, its departments, agencies, boards, commissions, and universities. The coverage extends to a specific project located at 4767 N. Parkway Dr. in Tucson, Arizona, with policy number 010-PM-252 H848002R. The policies include waivers of subrogation and are designed to be primary and non-contributory, ensuring comprehensive protection for Desert Archaeology, Inc. and its contracted work with the Arizona Department of Transportation.
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Text version
07/11/2025
Cell Brokerage, LLC 9770 W Flamingo Rd., Ste 160
Las Vegas NV 89147
Claire Davey
(844) 440-4222 certreq@cellbrokerage.com
Desert Archaeology, Inc.
3975 N TUCSON BLVD
Tucson AZ 85716
Lloyds of London A1122J General Ins Co of America 24732L Kinsale Insurance Company 38920
ACCIDENT INSURANCE COMPANY 11573J
CL2513101892
A Y Y PSN0040234159 01/22/2025 01/22/2026
2,000,000 1,000,000 10,000 2,000,000 4,000,000 4,000,000
Employee Benefits 2,000,000
B Y Y AZG68508182 01/22/2025 01/22/2026
1,000,000
Medical payments 5,000
C 10,000
0100349208 01/22/2025 01/22/2026 2,000,000 2,000,000
D Y Y WCV030070601 01/22/2025 01/22/2026
1,000,000 1,000,000 1,000,000
A Professional Liability Pollution Liability PSN0040234159 01/22/2025 01/22/2026
Professional Occ / Agg $2,000,000 Pollution Occ / Agg $2,000,000
Project No: 010-PM-252 H848002R 4767 N. Parkway Dr. in Tucson, Arizona, The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are additional insureds with waivers of subrogation with primary and non-contributory status as regards General and Auto Liability arising out of the use and/or occupancy of the property subject to this Lease as well as liability arising out of the activities performed by or on behalf of the Lessee, involving automobiles owned, leased, hired or borrowed by the Lessee. Waiver of subrogation also applies to Workers Compensation in same respects. Umbrella is follow form.
Arizona Department of Transportation Infrastructure Delivery and Ops Division205 South 17th Avenue Mail Drop #612E Phoenix AZ 85007
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
Cindy Lewis Accepted
Unique Market Reference No. B087524C9N5047, B087524C9N5053, B087524C9N5051 ©1999-2025 CFC Underwriting Ltd, All Rights Reserved
ADDITIONAL INSURED CLAUSE (SPECIFIED THIRD PARTY)
ATTACHING TO POLICY
NUMBER:
PSN0040234159
THE INSURED: Desert Archaeology Inc WITH EFFECT FROM: 22 Jan 2025
It is understood and agreed that the following amendments are made to this Policy:
1. The following DEFINITION is added:
“Additional insured” means:
The State of Arizona, its departments, agencies, boards, commissions, universities
2. In respect of the “Additional insureds” CONDITION, additional insureds are included as a third party.
3. The following CONDITION is added:
Notice of cancelation to additional insureds
If we give you notice of cancelation in accordance with the “Cancelation” CONDITION, we will endeavor to provide the same notice of cancelation to the additional insureds; however, not doing so will not place any additional liability upon us.
SUBJECT OTHERWISE TO THE TERMS AND CONDITIONS OF THE
POLICY
Cindy Lewis Highlight
CFC Underwriting Limited is Authorized and Regulated by the Financial Conduct Authority ©1999-2024 CFC Underwriting Ltd, All Rights Reserved Professions v4.1 notification). However, this notification must be made no later than the end of any applicable extended reporting period;
b. in respect of INSURING CLAUSES 2 (SECTION D only), 3 and 5, report the theft or incident as soon as is reasonably practicable to the appropriate law enforcement authorities and provide us with a copy of this report on our request; and
c. not admit liability for or settle or make or promise any payment or incur any costs and expenses without our prior written agreement (which will not be unreasonably withheld).
In respect of INSURING CLAUSES 1 and 4 (SECTION F only), if you notify an incident that we agree is reasonably expected to give rise to a claim, we will accept any claim that arises out of the incident as being notified under this Policy.
We require you to provide full details of the incident, including but not limited to:
a. the time, place and nature of the incident;
b. the manner in which you first became aware of this incident;
c. the reasons why you believe that this incident could give rise to a claim under this
Policy;
d. the identity of the potential claimant; and
e. an indication as to the size of the claim that could result from this incident.
In respect of INSURING CLAUSES 2 and 3, if you discover a cyber event you may only incur costs without our prior written consent within the first 72 hours following the discovery and any third party costs incurred must be with a company forming part of the approved claims panel providers. All other costs may only be incurred with the prior written consent of the claims managers (which will not be unreasonably withheld).
2. Additional insureds
We will indemnify any third party as an additional insured under this Policy, but only in respect of sums which they become legally obliged to pay (including liability for claimants' costs and expenses) as a result of a claim arising solely out of an act committed by you, provided that:
a. you contracted in writing to indemnify the third party for the claim prior to it first being made against them; and
b. had the claim been made against you, then you would be entitled to indemnity under this Policy.
Before we indemnify any additional insured they must:
a. prove to us that the claim arose solely out of an act committed by you; and
b. fully comply with CONDITION 1 as if they were you.
Claire Davey
©1999-2024 CFC Underwriting Ltd, All Rights Reserved Professions v4.1
Where we indemnify a third party as an additional insured under this Policy, this Policy will be primary and non-contributory to the third party's own insurance, but only if you and the third party have entered into a contract that contains a provision requiring this.
Where a third party is treated as an additional insured as a result of this Condition, any claim made by that third party against you will be treated by us as if they were a third party and not as an insured.
3. Agreement to pay claims (duty to defend)
We have the right and duty to take control of and conduct in your name the investigation, settlement or defense of any claim. We will not have any duty to pay costs and expenses for any part of a claim that is not covered by this Policy.
You may ask the claims managers to consider appointing your own lawyer to defend the claim on your behalf and the claims managers may grant your request if they consider your lawyer is suitably qualified by experience, taking into account the subject matter of the claim, and the cost to provide a defense.
We will endeavor to settle any claim through negotiation, mediation or some other form of alternative dispute resolution and will pay on your behalf the amount we agree with the claimant. If we cannot settle using these means, we will pay the amount which you are found liable to pay either in court or through arbitration proceedings, subject to the limit of liability.
We will not settle any claim without your consent. If you refuse to provide your consent to a settlement recommended by us and elect to continue legal proceedings in connection with the claim, any further costs and expenses incurred will be paid by you. As a consequence of your refusal, our liability for the claim will not be more than the amount for which the claim could have been settled had you consented, plus any costs and expenses incurred prior to the date of your refusal.
4. Application warranty
You agree that all statements made by you in the application form, including any renewal application form, and any supplemental materials you have supplied in support of the application for insurance, are your agreements and representations to us and the Policy is issued in reliance upon that information. The misrepresentation or non-disclosure of any matter by you or your agent will render this Policy null and void and relieve us from all liability under this Policy.
5. Calculation of business interruption losses
Following an interruption to your business activities covered under INSURING CLAUSES 2
(SECTION F only) or 6, you must provide us with your calculation of the loss including:
a. how the loss has been calculated and what assumptions have been made; and
CFC Underwriting Ltd is Authorised and Regulated by the Financial Conduct Authority
©2018 CFC Underwriting Ltd, All Rights Reserved
WAIVER OF SUBROGATION CLAUSE
ATTACHING TO POLICY
NUMBER: PSN0040234159
THE INSURED: Desert Archaeology Inc
WITH EFFECT FROM: 22 Jan 2025
It is understood and agreed that, notwithstanding the “Our rights of recovery” CONDITION, we agree to waive our rights of subrogation against a responsible third party client of yours, but only if you and your client have entered into a contract that contains a provision requiring us to do this
Third party means:
The Arizona Department of Transportation
SUBJECT OTHERWISE TO THE TERMS AND CONDITIONS OF THE POLICY
Authorised Signatory
CFC Underwriting Ltd
AZG68508182
©1999-2024 CFC Underwriting Ltd, All Rights Reserved Professions v4.1
a. towards any recovery expenses incurred by us;
b. then to us up to the amount of our payment under this Policy, including costs and expenses;
c. then to you as recovery of your deductible.
19. Prior subsidiaries
Should an entity cease to be a subsidiary after the inception date, cover in respect of the entity will continue as if it was still a subsidiary during the period of the policy, but only in respect of an act, error, omission or event occurring prior to the date that it ceased to be a subsidiary.
20. Process for paying privacy breach notification costs
Any privacy breach notification transmitted by you or on your behalf must be done with our prior written consent. We will ensure that notification is compliant with any legal or regulatory requirements and contractual obligations. No offer must be made for financial incentives, gifts, coupons, credits or services unless with our prior written consent which will only be provided if the offer is commensurate with the risk of harm.
We will not be liable for any portion of the costs you incur under INSURING CLAUSE 2
(SECTION C only) that exceed the costs that you would have incurred had you gained our prior written consent. In the absence of our prior written consent we will only be liable to pay you the equivalent cost of a notification made using the most cost effective means permissible under the governing law.
21. Sanctions suspension
It is a condition under this Policy that the provision of cover, the payment of any claim and the provision of any benefit will be suspended, to the extent that the provision of the cover, payment of the claim or provision of the benefit would expose us to any sanction, prohibition or restriction under the United Nations resolutions or the trade or economic sanctions, laws or regulations of Australia, Canada, the European Union, United Kingdom or United States of
America. The suspension will continue until such time we would no longer be exposed to the sanction, prohibition or restriction.
22. Waiver of subrogation
Notwithstanding CONDITION 18, we agree to waive our rights of recovery against any third party if, prior to the claim or incident which you reasonably expected to give rise to a claim, you entered into a contract that contains a provision requiring you to do this.
23. Choice of law, jurisdiction and service of suit
In the event of a dispute between you and us regarding this Policy, the dispute will be governed by the laws of the State of the United States of America shown as the choice of law
AZG68508182
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