24-25_COI_-_Arizona_-_Arizona_Department_of_Veterans__Services_Administration_Division.pdf

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

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 EXPTYPE 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 RENTEDCLAIMS-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 AGGJECT

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 LIMITDESCRIPTION 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.ACORD 25 (2016/03)

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

The ACORD name and logo are registered marks of ACORD

10/29/2024

(480) 730-4920 (480) 730-4929

25224

Metro Fire Equipment Inc dba Metro Fire+Security 63 S Hamilton Place Gilbert, AZ 85233-5515

38733 11555 24856 10200

A 1,000,000

GLP2030458 15 11/1/2024 11/1/2025 100,000

5,000

1,000,000 2,000,000 2,000,000

1,000,000B

24K AY 12359 11/1/2024 11/1/2025

10,000,000A

FFX2030459 15 11/1/2024 11/1/2025 10,000,000

C

WC1009246 11/1/2024 11/1/2025 1,000,000

1,000,000 1,000,000

D Professional Liabili EO000007890 18 11/1/2024 Each claim/Aggregate 5,000,000 E Crime (Includes Burg UC24094396.24 11/1/2024 11/1/2025 Each Occurrence 1,000,000

State contract # CTR063848

Arizona Department of Veterans' Services, Administration Division 3839 N. 3rd Street, Suite 209 Phoenix, AZ 85012

METRFIR-02 WMYERS

The Mahoney Group - Mesa 1835 South Extension Road Mesa, AZ 85210

Great Divide Insurance Co.

Alaska National Insurance Company Pacific Compensation Insurance Co Admiral Insurance Co.

Hiscox Insurance Company Inc.

X

11/1/2025

X X

X

X

X X

X

FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE

FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

ACORD 101 (2008/01)

AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE

© 2008 ACORD CORPORATION. All rights reserved.

The Mahoney Group - Mesa

METRFIR-02

SEE PAGE 1

SEE PAGE 1

ACORD 25 Certificate of Liability Insurance

SEE P 1

Metro Fire Equipment Inc dba Metro Fire+Security 63 S Hamilton Place Gilbert, AZ 85233-5515

SEE PAGE 1

WMYERS

Professional Liability Policy Retroactive Date - 11/10/2017 Professional Liability Policy Retroactive date amending limits to $5,000,000 limits - 3/5/19

Contractors Pollution Liability Coverage:

Effective: 11/01/2024 Expiration: 11/01/2025 Carrier: Evanston Ins. Co.

Policy #: ECPENV05123 Limits:

$3,000,000 Annual Aggregate $3,000,000 Each Pollution Condition Limit $1,000 Deductible Pollution Condition Mold/Fungus/Legionnaires included Owners and Contractors Protective Liability

Equipment Floater Equipment Floater Effective: 11/10/2024 Expiration: 11/01/2025 Carrier: Alaska National Insurance Company Policy # 24K IA 12359 Rented and Leased Equipment:

Limit $250,000