3-Attachment_7_Letter_of_Insurability_-_AMI_BPM006719__2.19.2025.pdf
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- Attached to
- Master Agreement AZ|CTR077085
- Contract number
- CTR077085
- Issued by
- Arizona
About this file
This document is a Letter of Insurability issued by Arthur J. Gallagher to the Arizona Department of Administration's State Procurement Office, detailing insurance coverage for AMI Expeditionary Healthcare, LLC & AMI Expeditionary Healthcare (USA) LLC, located in Reston, Virginia. The letter confirms current in-force insurance policies for the company, addressed to the Arizona state procurement agency.
The insurance coverage includes multiple policy types with specific terms and limits: General Liability with a $2,000,000 aggregate and $1,000,000 per occurrence (through Markel - Evanston Insurance Company); Business Automobile Liability with a $1,000,000 combined single limit (through Republic-Vanguard Insurance Company); Workers Compensation with statutory coverage (through Liberty Mutual); Professional Liability and General Liability with $1,000,000 per loss and $5,000,000 annual aggregate (through Ascot); and Property coverage with a $15,000 per occurrence limit (through RSUI - Covington Specialty Insurance Company). The policies are effective from various start dates in 2024 to 2025, and will provide Additional Insured status and a Waiver of Subrogation, with insurance being primary and noncontributory to coverage placed by the State of Arizona.
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1 © 2025 Arthur J. Gallagher & Co.
Arizona Department of Administration State Procurement Office 1802 W. Jackson, #100 Phoenix, AZ 85007 02/19/2025
Re: Letter of Insurability – Attachment – Supplement Insurance
This Letter of Insurability serves as confirmation of the current in-force insurance coverage Arthur J. Gallagher places and administers for AMI Expeditionary Healthcare, LLC:
Named Insured: AMI Expeditionary Healthcare LLC & AMI Expeditionary Healthcare (USA) LLC Address: 12030 Sunrise Valley Drive, Suite 400, Reston, Virginia 20192
Coverage: General Liability Policy Term: 3/31/2024 – 3/31/2025 Carrier: Markel – Evanston Insurance Company Policy Number: 3AA769432 Limits of Insurance: General Aggregate: $2,000,000 Each Occurrence: $1,000,000 Damages to Rented Premises: $100,000 Medical Expense Limit: $5,000
Coverage: Business Automobile Liability Policy Term: 7/31/2024 – 7/31/2025 Carrier: Republic-Vanguard Insurance Company Policy Number: CNO6290889-00 Limits of Insurance: Combined Single Limit $1,000,000
Coverage: Workers Compensation and Employers Liability Policy Term: 4/20/2024 – 4/20/2025 Carrier: Liberty Mutual Policy Number: WC5-33S-B23T70-014 Limits of Insurance: Workers Compensation: Statutory Employers Liability:
Each Accident: $1,000,000 Disease – Each Employee: $1,000,000 Disease – Policy Limit: $1,000,000
Coverage: Professional Liability and General Liability Policy Term: 3/31/2024 – 3/31/2025 Carrier: Ascot Policy Number: UA24RN461W4X Limits of Insurance: Professional Liability - Each Loss: $1,000,000
Professional Liability - Annual Aggregate: $5,000,000 General Liability - Each Loss: $3,000,000 General Liability - Annual Aggregate: $5,000,000 Affirmative SAM coverage Sub-limit: $1,000,000
Coverage: Property Policy Term: 3/31/2024 – 3/31/2025 Carrier: RSUI - Covington Specialty Insurance Company Policy Number: VBA973610 00 Limits of Insurance: Building, BPP, BI: Per Occurrence: $15,000
2 © 2025 Arthur J. Gallagher & Co.
The above policies will provide Additional Insured status for General Liability and Automobile Liability and a Waiver of Subrogation for General Liability, Automobile Liability, and Workers’ Compensation. This insurance will be primary and noncontributory to coverage placed by the State of Arizona.
Please let me know if you have any questions or require additional information.
Best Regards, Brandon Hensley
Brandon Hensley, ARM Arthur J. Gallagher Brandon_Hensley@ajg.com
File details come from the government source that posted it. Updated .