2026-04-01_Matrix_New_World_GAUWPP.pdf

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Attached to
Master Agreement AZ|CTR072300
Contract number
CTR072300
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for Matrix New World Engineering, Land Surveying and Landscape Architecture, PC, issued by multiple insurance carriers including Nautilus Insurance Company, Key Risk Insurance Company, and American Casualty Company of Reading, PA. The certificate is specifically for an environmental combined policy and is issued to the Arizona Department of Environmental Quality (ADEQ), with coverage effective from 4/1/2025 to 4/1/2026.

The insurance policy provides comprehensive coverage including commercial general liability, automobile liability, umbrella liability, workers' compensation, professional liability, and pollution liability. The policy includes limits ranging from $1,000,000 to $10,000,000 across different coverage types, with specific provisions for bodily injury, property damage, personal and advertising injury, and contractors' pollution liability. The policy is associated with Contract #CTR072300 for ASRAC Assessment and Remediation of Hazardous Substances, and includes additional insured status for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

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ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

DATE (MM/DD/YYYY)

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER

POLICY EFF POLICY EXP

TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTED

CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-

POLICY LOC PRODUCTS - COMP/OP AGG $JECT

OTHER: $

COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED BODILY INJURY (Per accident) $

AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE $

AUTOS ONLY AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE $

CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N

N / A (Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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.

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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE

Lockton Companies, LLC 444 W. 47th St., Ste. 900 Kansas City MO 64112-1906

(816) 960-9000 kcasu@lockton.com

MATRIX NEW WORLD ENGINEERING, LAND SURVEYING

AND LANDSCAPE ARCHITECTURE, PC

26 COLUMBIA TURNPIKE

FLORHAM PARK NJ 07932 American Casualty Company of Reading, PA 20427

Federal Insurance Company 20281 Houston Casualty Company 42374 Key Risk Insurance Company 10885 Nautilus Insurance Company 17370

X X

X Pollution Liab X Contractual Liab

2,000,000 300,000 5,000 2,000,000 2,000,000 2,000,000

X

X X

1,000,000

XXXXXXX

XXXXXXX

XXXXXXX

XXXXXXX

X X

10,000,000 10,000,000

XXXXXXX

N

X

1,000,000 1,000,000 1,000,000

PROFESSIONAL

LIABILITY

CYBER

CRIME

LIMIT PER CLAIM/AGG:$2M/2M

LIMIT PER CLAIM/AGG:$5M/5M

LIMIT PER CLAIM/AGG:$2M/2M

B BAP204658510 4/1/2025 4/1/2026

A ECP201734120 4/1/2025 4/1/2026

A ECP201734120 4/1/2025 4/1/2026

C H23NGP22309701 4/1/2025 6/1/2025

D 84002260 5/12/2024 5/12/2025

A FFX201734220 4/1/2025 4/1/2026

E 8018987735 4/1/2025 4/1/2026

5/12/2025

1546940

Y Y

Y Y

N N

Y

4/1/2025

N N

21400539

21400539 XXXXXXX

ARIZONA DEPARTMENT OF ENVIRONMENTAL

QUALITY (ADEQ)

1110 W. WASHINGTON STREET

PHOENIX AZ 85007

--- SEE ATTACHMENT ---

X X Poll Per OCC: $2M

See Attachments

CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required)

ACORD 25 (2016/03)

RE: CONTRACT #CTR072300 - ASRAC ASSESSMENT AND REMEDIATION OF HAZARDOUS SUBSTANCES.

STATE OF ARIZONA, AND ITS DEPARTMENTS, AGENCIES, BOARDS, COMMISSIONS, UNIVERSITIES, OFFICERS, OFFICIALS, AGENTS, AND EMPLOYEES ARE ADDITIONAL INSUREDS AS RESPECTS GENERAL LIABILITY, AUTO LIABILITY AND POLLUTION LIABILITY, IF REQUIRED BY WRITTEN CONTRACT. WAIVER OF SUBROGATION IN FAVOR OF THE ADDITIONAL INSUREDS APPLIES TO GENERAL LIABILITY, AUTO LIABILITY, WORKERS COMPENSATION/EMPLOYERS LIABILITY, AND POLLUTION LIABILITY, WHERE ALLOWED BY STATE LAW AND IF REQUIRED BY WRITTEN CONTRACT. THIRTY (30) DAYS NOTICE OF CANCELLATION BY THE INSURER WILL BE PROVIDED TO THE CERTIFICATE HOLDER, EXCEPT IN THE

EVENT OF NONPAYMENT OF PREMIUM.

Certificate Holder ID: 21400539

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED -- OWNERS, LESSEES OR CONTRACTORS

AUTOMATIC STATUS – ONGOING OPERATIONS – COVERAGE A, B, D.1 & D.4

Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective Date

ECP201734120 4/1/2025 4/1/2026 4/1/2025

This endorsement modifies insurance provided under the following:

ENVIRONMENTAL COMBINED POLICY

I. SECTION III – WHO IS AN INSURED is amended to include as an additional insured:

1. Any person or organization for whom you are performing operations when you and such person or organization have agreed in writing in a contract or agreement, in effect during this policy period, that such person or organization be added as an additional insured on this policy; and

2. Any other person or organization you are explicitly required to add as an additional insured under the contract or agreement described in Paragraph 1. above.

Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement.

Such person(s) or organization(s) is an additional insured only with respect to liability for bodily injury or property damage under SECTION I – COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, Coverage D.1 – Contractors Pollution Legal Liability and Coverage D.4 – Microbial Substance Contractors Pollution Liability, or personal injury or advertising injury under SECTION I - COVERAGE B – PERSONAL AND ADVERTISING INJURY LIABILITY directly caused by:

a. Your acts or omissions; or

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

in the performance of your ongoing operations for the additional insured described in Paragraph 1. or 2. above.

However, the insurance afforded to such additional insured described above:

a. Only applies to the extent permitted by law; and

b. Will not be broader than that which you are required by the contract or agreement to provide for such additional insured, and

c. Will not extend beyond that which is provided to you in this policy.

A person’s or organization’s status as an additional insured under this endorsement ends when your operations for the person or organization described in Paragraph 1. above are completed.

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

This insurance does not apply to:

a. Bodily injury, property damage or personal and advertising injury arising out of the rendering of, or the failure to render, any professional architectural, engineering or surveying services, including:

(1) The preparing, approving, or failing to prepare or approve, maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; or

(2) Supervisory, inspection, architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the occurrence which caused the bodily injury or property damage, or the offense which caused the personal and advertising injury, involved the rendering of, or the failure to render any professional architectural, engineering or surveying services.

b. 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

ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 2

Attachment Code: D652879 Certificate ID: 21400539

(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.

III. With respect to the insurance afforded to these additional insureds, the following is added to SECTION V –

LIMITS OF INSURANCE:

The most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement described in Paragraph I.1.; or

2. Available under the applicable limits of insurance; whichever is less. This endorsement shall not increase the applicable limits of insurance.

IV. With respect to the insurance afforded to these additional insureds, the following is added to SECTION VI–

REPORTING, DEFENSE, SETTLEMENT & COOPERATION:

1. Duties -- Additional Insured An additional insured must see to it that:

a. We are notified in writing as soon as practicable of an occurrence or offense which may result in a claim or suit;

b. We receive written notice of a claim or suit as soon as practicable; and

c. A request for defense and indemnity of the claim or suit will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the contract or agreement requires that this coverage be primary and noncontributory.

V. SECTION VII – CONDITION 10. – Other Insurance is amended by the addition of the following which 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 a person(s) or organization(s) included as an additional insured under this endorsement provided that:

1. The additional insured person(s) or organization(s) is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement, in effect during this policy period, that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured person(s) or organization(s). Such contract or agreement must be executed and in effect prior to the performance of your work which is the subject of such contract or agreement.

However, this provision does not apply if the other insurance available to the person(s) or organization(s) included as an additional insured is Owners and Contractors Protective Liability, Railroad Protective Liability, or similar project specific, primary insurance.

VI. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a SCHEDULE of additional insureds, and which endorsement applies to that designated additional insured.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.

ECP 1246 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 2 of 2

Attachment Code: D652879 Certificate ID: 21400539

Policy Number: ECP201734120

Policy Effective Date: 4/1/2025

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF SUBROGATION

(TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US)

AUTOMATIC STATUS – COVERAGE A, B & D

This endorsement modifies insurance provided under the following:

ENVIRONMENTAL COMBINED POLICY

I. The following is added to Paragraph 17. Subrogation of SECTION VII – CONDITIONS:

We waive any right of recovery against any person(s) or organization(s) because of payments we make under COVERAGE A – BODILY INJURY AND PROPERTY DAMAGE LIABILITY, COVERAGE B – PERSONAL AND ADVERTISING INJURY LIABILITY, and COVERAGE D – CONTRACTORS POLLUTION LIABILITY under this policy.

Such waiver by us applies only if:

1. The insured has agreed in writing in a contract or agreement with such person(s) or organization(s) to waive its right of recovery; and

2. The insured has waived its right of recovery against such person(s) or organization(s) prior to loss.

This waiver does not apply in any jurisdiction where such waiver is held to be illegal or against public policy or in any situation where the person(s) or organization(s) against whom subrogation is to be waived is found to be solely negligent.

This endorsement does not apply to any person(s) or organization(s) designated in a SCHEDULE of person(s) or organization(s) against whom rights of recovery have been waived.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN

UNCHANGED.

ECP 1260 01 21 Includes copyrighted material of Insurance Services Office, Inc., used with its permissions

Attachment Code: D653360 Certificate ID: 21400539

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

AMENDMENT OF CANCELLATION PROVISIONS

ADVICE OF CANCELLATION TO OTHER PARTIES

Policy Number Policy Effective Date Policy Expiration Date Endorsement Effective

Date

ECP201734120 4/1/2025 4/1/2026 4/1/2025

This endorsement modifies insurance provided under the following:

ENVIRONMENTAL COMBINED POLICY

I. The following is added to SECTION VII – CONDITIONS, 2. Cancellation:

c. If we cancel this policy prior to the expiration date for any statutorily permitted reason other than nonpayment of the premium, we will provide Advice of Cancellation via e-mail to those Certificate Holders with whom you have agreed in writing in a contract or agreement to notify of cancellation of this policy. This Advice of Cancellation can only be provided once the following conditions have been satisfied:

1. Following your receipt of a Notice of Cancellation by us, you provide to us, in the format we prescribe, the e-mail address of a contact for each Certificate Holder to be notified; and

2. We are in receipt of this information prior to this policy’s cancellation effective date.

Failure to furnish this information promptly, or providing incomplete or inaccurate information will relieve us of our obligations under this endorsement.

We will provide Advice of Cancellation via e-mail to each such Certificate Holder as soon as practicable following our receipt of such information.

Proof of our emailing the Advice of Cancellation, using the information provided by you, will serve as proof that we have fully satisfied our obligations under this Endorsement.

II. This Endorsement does not affect, in any way, coverage provided under this policy, or the cancellation of this policy or the effective date thereof, nor shall this Endorsement confer any rights to any person(s) or organization(s) not insured under this policy.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.

ECP 1299 08 23 Includes copyrighted material of Insurance Services Office, Inc., used with its permission. Page 1 of 1

Attachment Code: D653614 Certificate ID: 21400539

FOLLOW FORM EXCESS LIABILITY COVERAGE FORM

SCHEDULE OF CONTROLLING UNDERLYING INSURANCE

Policy Number: FFX2017342-20

UNDERLYING LIMITS OF INSURANCE POLICY CARRIER &

POLICY TYPE PERIOD POLICY NUMBER

Commercial Automobile $ 1,000,000 Liability - Combined Single 04/01/2025 Key Risk Insurance Co

Limit to BAP20465851 04/01/2026

Employers Liability $ 1,000,000 BI by Disease - Each 04/01/2025 American Casualty Coverage B Employee Limit to Company of Reading, PA

04/01/2026 80148987721 $ 1,000,000 BI by Accident - Each Accident

Limit $ 1,000,000 BI by Disease - Policy

Aggregate Limit Employers Liability $ 1,000,000 BI by Disease - Each 04/01/2025 Nautilus Insurance

Coverage B Employee Limit to Company 04/01/2026 8018987735

$ 1,000,000 BI by Accident - Each Accident Limit

$ 1,000,000 BI by Disease - Policy Aggregate Limit

General Liability $ 2,000,000 Personal & Advertising Injury 04/01/2025 Nautilus Insurance Limit to Company

04/01/2026 ECP2017341-20

$ 1,000,000 Employee Benefit Liability

Each Employee Limit $ 2,000,000 Each Occurrence Limit

$ 2,000,000 General Aggregate Limit (Other than Products/Completed Operations) $ 1,000,000 Employee Benefit Liability

Aggregate Limit $ 2,000,000 Products/Completed

Operations Aggregate Limit Pollution/Professional $ 2,000,000 Professional Liability Limit 04/01/2025 Nautilus Insurance to Company

04/01/2026 ECP2017341-20

$ 2,000,000 Contractors Pollution Liability Limit

The coverages and limits shown above are provided by the policy(ies) of controlling underlying insurance.

FFX 8002 07 18 Page 1 of 1

Attachment Code: D653013 Certificate ID: 21400539

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