2026-3-19_COI_CTR077220_CGL_WC_PL_AUTO__1_.pdf

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Attached to
Master Agreement AZ|CTR077220
Contract number
CTR077220
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued on behalf of Steadfast Construction LLC dba Steadfast Renovations LLC (335 Merit Court, Henderson, NV 89014) to the State of Arizona, Department of Economic Security, serving as the certificate holder. The insurance was produced by Stampede Insurance Services, Inc. and is dated July 10, 2025, corresponding to Contract ID CTR077220. The certificate documents multiple insurance policies underwritten by Scottsdale Insurance Company, National General Insurance Company, Clear Spring Property & Casualty, and Certain Underwriters at Lloyd's, London.

The insurance coverage includes Commercial General Liability with limits of $1,000,000 per occurrence and $2,000,000 general aggregate; Automobile Liability with a $1,000,000 combined single limit per occurrence; Excess/Umbrella Liability with $2,000,000 per occurrence and aggregate limits; Workers Compensation with statutory limits and Employers' Liability limits of $1,000,000 per accident and per disease; and Professional Liability/Errors & Omissions with $2,000,000 per occurrence and aggregate limits. All policies include waivers of subrogation and name the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds. Policy effective dates range from March 19, 2025 to July 10, 2026, with coverage extending through June 17, 2026 for professional liability.

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CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

07/10/2025

PRODUCER

Stampede Insurance Services, Inc.

40 N. Altadena Drive, Ste. 205

Pasadena, CA 91107

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY

AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE

AFFORDED BY THE POLICIES BELOW.

INSURERS AFFORDING COVERAGE NAIC #

INSURED

Steadfast Construction LLC dba Steadfast Renovations LLC

335 Merit Court

Henderson, NV 89014

INSURER A: Scottsdale Insurance Company 41297

INSURER B: National General Insurance Company 23728

INSURER C: Scottsdale Insurance Company 41297

INSURER D: Clear Spring Property & Casualty 15563

INSURER E: Certain Underwriters at Lloyd's, London 15792

COVERAGES

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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

TYPE OF INSURANCE POLICY NUMBER

POLICY EFFECTIVE

DATE (MM/DD/YY)

POLICY EXPIRATION

DATE (MM/DD/YY)

LIMITS

A

GENERAL LIABILITY

COMMERICAL GENERAL LIABILITY

CLAIMS MADE OCCUR

Waiver of Subrogation

GEN’L AGGREGATE LIMIT APPLIES PER:

POLICY PROJECT LOC

RBS0332329 03/19/2025 03/19/2026

EACH OCCURENCE $1,000,000

DAMAGE TO RENTED

PREMISES (Ea occurrence) $100,000

MED EXP (Any one person) $5,000

PERSONAL & ADV INJURY $1,000,000

GENERAL AGGREGATE $2,000,000

PRODUCTS - COMP/OP AGG $2,000,000

B

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED AUTOS

SCHEDULED AUTOS

HIRED AUTOS

NON-OWNED AUTOS

2029890735 07/10/2025 07/10/2026 COMBINED SINGLE LIMIT

(Each Occurrence) $1,000,000

BODILY INJURY

(Per person) $

BODILY INJURY

(Per accident) $

PROPERTY DAMAGE

(Per accident) $

GARAGE LIABILITY

ANY AUTO

AUTO ONLY - EA ACCIDENT $

OTHER THAN

AUTO ONLY:

EA ACC $

AGG $

C

EXCESS/UMBRELLA LIABILITY

OCCUR CLAIMS MADE

DEDUCTIBLE

RETENTION $

XLS1229020 03/19/2025 03/19/2026

EACH OCCURRENCE $2,000,000

AGGREGATE $2,000,000

D

WORKERS COMPENSATION AND

EMPLOYERS’ LIABILITY

ANY PROPRIETOR/PARTNER/EXECU-

TIVE OFFICER/MEMBER EXCLUDED?

If yes, describe under SPECIAL PROVISIONS below

CWC00597203 03/19/2025 03/19/2026

WC STATU-

TORY LIMITS

OTH-

ER

E.L. EACH ACCIDENT $1,000,000

E.L. DISEASE - EA EMPLOYEE $1,000,000

E.L. DISEASE - POLICY LIMIT $1,000,000

E

OTHER

Professional Liability /

Errors & Omissions

ATRPL281425 06/17/2025 06/17/2026 Each Occurrence

Aggregate Limit

$2,000,000

$2,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are listed as an Additional Insured. Sexual

Abuse and Molestation coverage is not excluded with respect to the General Liability coverage.

Contract ID: CTR077220

CERTIFICATE HOLDER CANCELLATION

The State of Arizona and Dept of Economic Security c/o myCOI

P.O. Box 501970 8710 Bash Street

Indianapolis, IN 46256

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO

MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT

FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE

INSURER, ITS AGENTS OR REPRESENTATIVES.

AUTHORIZED REPRESENTATIVE

ACORD 25 (2001/08) © ACORD CORPORATION 1988

INSR

LTR

ADD’L

INSRD

IMPORTANT

If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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).

DISCLAIMER

The Certificate of Insurance on the reverse side of this form does not constitute a contact between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.

ACORD 25 (2001/08)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

06/17/2025

PRODUCER

Stampede Insurance Services, Inc.

40 N. Altadena Drive, Ste. 205

Pasadena, CA 91107

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY

AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS

CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE

AFFORDED BY THE POLICIES BELOW.

INSURERS AFFORDING COVERAGE NAIC #

INSURED

335 Merit Court

Henderson, NV 89014

INSURER A: Scottsdale Insurance Company 41297

INSURER B:

INSURER C: Scottsdale Insurance Company 41297

INSURER D: Clear Spring Property & Casualty 15563

INSURER E: Certain Underwriters at Lloyd's, London 15792

COVERAGES

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. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

TYPE OF INSURANCE POLICY NUMBER

POLICY EFFECTIVE

DATE (MM/DD/YY)

POLICY EXPIRATION

DATE (MM/DD/YY)

LIMITS

A

GENERAL LIABILITY

COMMERICAL GENERAL LIABILITY

CLAIMS MADE OCCUR

Waiver of Subrogation

GEN’L AGGREGATE LIMIT APPLIES PER:

POLICY PROJECT LOC

RBS0332329 03/19/2025 03/19/2026

EACH OCCURENCE $1,000,000

DAMAGE TO RENTED

PREMISES (Ea occurrence) $100,000

MED EXP (Any one person) $5,000

PERSONAL & ADV INJURY $1,000,000

GENERAL AGGREGATE $2,000,000

PRODUCTS - COMP/OP AGG $2,000,000

AUTOMOBILE LIABILITY

ALL OWNED AUTOS

SCHEDULED AUTOS

HIRED AUTOS

NON-OWNED AUTOS

COMBINED SINGLE LIMIT

(Each Occurrence) $

BODILY INJURY

(Per person) $

BODILY INJURY

(Per accident) $

PROPERTY DAMAGE

(Per accident) $

GARAGE LIABILITY

AUTO ONLY - EA ACCIDENT $

OTHER THAN

AUTO ONLY:

EA ACC $

AGG $

C

EXCESS/UMBRELLA LIABILITY

OCCUR CLAIMS MADE

DEDUCTIBLE

RETENTION $

XLS1229020 03/19/2025 03/19/2026

EACH OCCURRENCE $2,000,000

AGGREGATE $2,000,000

D

WORKERS COMPENSATION AND

EMPLOYERS’ LIABILITY

ANY PROPRIETOR/PARTNER/EXECU-

TIVE OFFICER/MEMBER EXCLUDED?

If yes, describe under SPECIAL PROVISIONS below

CWC00597203 03/19/2025 03/19/2026

WC STATU-

TORY LIMITS

OTH-

ER

E.L. EACH ACCIDENT $1,000,000

E.L. DISEASE - EA EMPLOYEE $1,000,000

E.L. DISEASE - POLICY LIMIT $1,000,000

E

OTHER

Professional Liability /

Errors & Omissions

ATRPL281425 06/17/2025 06/17/2026 Each Occurrence

Aggregate Limit

$1,000,000

$2,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES / EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are listed as an Additional Insured. Sexual

Abuse and Molestation coverage is not excluded with respect to the General Liability coverage.

Contract ID: CTR077220

CERTIFICATE HOLDER CANCELLATION

The State of Arizona and Dept of Economic Security c/o myCOI P.O. Box 501970

8710 Bash Street

Indianapolis, IN 46256

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE

EXPIRATION DATE THEREOF, THE INSURER AFFORDING COVERAGE WILL ENDEAVOR TO

MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT

FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE

INSURER, ITS AGENTS OR REPRESENTATIVES.

AUTHORIZED REPRESENTATIVE

ACORD 25 (2001/08) © ACORD CORPORATION 1988

INSR

LTR

ADD’L

INSRD

IMPORTANT

If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

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).

DISCLAIMER

The Certificate of Insurance on the reverse side of this form does not constitute a contact between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.

ACORD 25 (2001/08)

POLICY NUMBER: COMMERCIAL AUTO

CA 04 44 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

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 the endorsement.

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

Named Insured:

Endorsement Effective Date:

SCHEDULE

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

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

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

2029890735

07/10/2025

COMMERCIAL GENERAL LIABILITY

CG 24 04 05 09

CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

This endorsement modifies insurance provided under the following:

SCHEDULE

Name Of Person Or Organization:

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

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 we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.

POLICY NUMBER: RBS0332329

COMMERCIAL CRIME LIABILITY COVERAGE PART

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

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

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective Policy No. Endorsement No.

Insured Premium

Insurance Company Countersigned by___________________________________________

WC 00 03 13

(Ed. 4-84)

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

Steadfast Construction LLC

Clear Spring Property and Casualty Company

INCL.

CWC0059720303/19/2025 01

© 1983 National Council on Compensation Insurance.

CTR077220 COI_Arizona Department of Economic Security
CTR077220 COI_Arizona Department of Economic Security_V3
CTR077220 CA 0444 1013_WOS_ADES
CTR077220 CG 2404 form Waiver_Arizona DES
CTR077220 WC001333 form Waiver_Arizona DES
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

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