23-24_MTM_Endorsement_-_General_Liability_-_PGL_237_08_17_-_Additional_Insured_-_Primary_and_Non-Contributory.pdf
PDF 242 KB Posted
- Attached to
- Master Agreement AZ|CTR055722
- Contract number
- CTR055722
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement from Old Republic Insurance Company, dated 09/30/23 - 09/30/24, specifically an Additional Insured - Scheduled Person or Organization endorsement for Medical Transportation Management, Inc. (MTM). The endorsement modifies the Commercial General Liability Coverage Part/Form and applies to "All Person(s) or Organization(s) as required by Contract or Agreement."
The endorsement provides additional insured status on a primary and non-contributory basis, covering liability for bodily injury, property damage, or personal and advertising injury arising from ongoing operations or premises-related activities. The insurance coverage is limited to the amount required by contract or the policy's declared limits, whichever is less. The policy includes specific conditions such as the insurance being excess if the additional insured is solely liable, and the coverage is subject to the policy's terms, conditions, and exclusions. The policy period runs from September 30, 2023, to September 30, 2024.
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Other files
| File | Type | Posted |
|---|---|---|
| Amendment_1.docx | DOCX document | |
| Amendment_5_-_FINAL.pdf | ||
| 01_CTR055722_Transportation_Broker_Executed_Contract.pdf | ||
| SPO_Form_106A_SA_Cooperative_Purchase_Authorization_ADSB_-_DCS_signed.pdf | ||
| Boycott_of_Israel_Disclosure.pdf | ||
| Amendment_7.docx | DOCX document | |
| CoopPurchaseAgreement_ADJC_Transportation_Services_under_DCS_contract_12.20.22_-_DCS_signed_01-09-23_-_signed.pdf | ||
| 23-24_MTM_COI_-_FIPO__GL__AL__XS__WC_.pdf | ||
| Amendment_9.pdf | ||
| Facility_Locations_Staffing_Chart.pdf | ||
| Amendment_5_-_Fully_Executed.pdf | ||
| Exhibit_F.xlsx | XLSX spreadsheet | |
| Amendment_8.pdf | ||
| Amendment_4.docx | DOCX document | |
| Amendment_6.docx | DOCX document | |
| Broker_Subcontractor_Information.docx | DOCX document | |
| Amendment_2.pdf | ||
| COI_9.30.25.pdf | ||
| SA_CoOp_ADSB___ADCS_Non-Medical_Transportation_Approved_02-09-24.pdf | ||
| 23-24_MTM_COI_-_FIPO__Sexual_Misconduct_.pdf | ||
| Amendment_3.docx | DOCX document |
Show all 21
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Text version
PGL 237 08 17 Page 1 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
IL 10 (12/06) OLD REPUBLIC INSURANCE COMPANY
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - SCHEDULED PERSON OR ORGANIZATION –
PRIMARY AND NON-CONTRIBUTORY BASIS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART/FORM
SCHEDULE
Name of Person or Organization:
A. SECTION II – WHO IS AN INSURED is amended to include as an Additional Insured, the person or organization (referred to throughout this endorsement as Additional Insured) shown in the above Schedule but only with respect to liability for “bodily injury”, “property damage” or “personal and advertising injury” arising out of, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations; or
2. In connection with your premises owned by or rented to you.
The insurance provided under this policy to the Additional Insured is primary insurance and we will not seek contribution from any other insurance available to the Additional Insured 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.
MWZY 315840 23 Medical Transportation Management, Inc. and MTM 09/30/23 - 09/30/24
All Person(s) or Organization(s) as required by Contract or Agreement
PGL 237 08 17 Page 2 of 2
Includes copyrighted material of Insurance Services Office, Inc., with its permission.
However:
1. If the Additional Insured is solely liable for the loss, this insurance shall be excess and shall contribute to the loss as set forth in the policy;
2. The insurance afforded to such Additional Insured only applies to the extent permitted by law; and
3. 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 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
2. Available under the applicable Limits of Insurance shown in the Declarations;
Whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
The coverage provided by this endorsement shall be subject to all the terms, conditions and exclusions of the policy and all endorsements attached thereto.
MWZY 315840 23 Medical Transportation Management, Inc. and MTM 09/30/23 - 09/30/24
File details come from the government source that posted it. Updated .