7-1-24_COI_GL_AL_WC.pdf
PDF 75 KB Posted
- Attached to
- Master Agreement AZ|CTR068175
- Contract number
- CTR068175
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance issued on 11/09/2023 for Cintas Corporation and its Subsidiaries, with multiple insurers including Liberty Insurance Corporation, Liberty Mutual Fire Ins Co, LM Insurance Corporation, and Westchester Fire Insurance Company. The certificate is issued for a contract (Project/Contract No. CTR068175) with the State of Arizona, specifically the Department of Administration located in Phoenix, AZ.
The insurance certificate covers multiple types of liability including Commercial General Liability, Automobile Liability, Umbrella Liability, and Workers' Compensation. Key coverage limits include $2,000,000 for general aggregate, $5,000,000 for automobile liability, and $5,000,000 for umbrella liability. The policy periods are effective from 07/01/2023 to 07/01/2024, with various policy numbers covering different types of insurance. The certificate demonstrates Cintas Corporation's insurance compliance for a specific state contract, providing comprehensive liability protection across multiple insurance categories.
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Text version
H o ld e r
Id e n ti fi e r
77777 77707
07070 00777
63616 06555
33307 73725
77703 65557
07662 00774
16353 00072
66144 61543
11130 74262
67572 56776
00776 04151
74432 13007
74241 15326
54130 07340
05571 22747
10077 64217
37027 45500
77727 25202
57731 10777
77770 70007
07007
66666 66606
06060 00626
06466 20444
62006 22000
40600 62002
06202 02624
02400 00060
00004 24026
22020 62222
06242 04000
20622 22060
42040 02206
22200 60422
60222 06222
00606 22402
22062 00006
04022 24200
66646 06224
06644 40666
66660 60006
06006 C e rt if ic a te
N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
11/09/2023
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).
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.
PRODUCER
Aon Risk Services Northeast, Inc.
c/o Aon Client Services 4 Overlook Point Lincolnshire IL 60069 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 42404Liberty Insurance CorporationINSURER A:
23035Liberty Mutual Fire Ins CoINSURER B:
33600LM Insurance CorporationINSURER C:
10030Westchester Fire Insurance CompanyINSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.):
(800) 363-0105
CONTACT
NAME:
Cintas Corporation and its Subsidiaries 6800 Cintas Blvd PO Box 625737 Cincinnati OH 45262 USA
COVERAGES CERTIFICATE NUMBER: 570102662951 REVISION NUMBER:
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. Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$2,000,000
$1,000,000
$5,000
$1,000,000
$2,000,000
$2,000,000
Contractual Liability
B 07/01/2023 07/01/2024TB2651004227093
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
X
BODILY INJURY (Per accident)
$5,000,000A 07/01/2023 07/01/2024
AOS
Comp/Coll $0 Ded.
COMBINED SINGLE LIMIT
(Ea accident)
AS7-651-004227-073
EXCESS LIAB
X OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
$5,000,000
$5,000,000
$10,000
07/01/2023
UMBRELLA LIAB
D 07/01/2024G22035277018
RETENTIONX
X
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $2,000,000
X OTH-
ER
PER STATUTEC 07/01/2023 07/01/2024
WC5651004227123C 07/01/2023 07/01/2024
$2,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$2,000,000
WA565D004227103
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Project/Contract No. CTR068175.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEState of Arizona Attn: Department of Administration 100 N. 15th Avenue Phoenix AZ 85007 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
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