ACCEPTED ANY_ALL AL 02.01.25-02.01.26.pdf

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Attached to
Master Agreement AZ|CTR073794
Contract number
CTR073794
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance and associated endorsements for The D.M. Caldwell Corp, issued by Progressive Insurance through United Financial Casualty Company. The policy involves the Arizona Department of Transportation (ADOT) as the certificate holder, with coverage effective from February 1, 2025 to February 1, 2026. The insurance policy provides commercial auto liability coverage for the insured company.

The policy covers a fleet of vehicles including a 2014 Nissan Versa, 2022 Ford Transit Connect, and three RAM Promaster vehicles (two 2500 models and one 1500 model). The insurance includes a combined single limit liability of $1,000,000 per accident, with additional coverages such as Uninsured and Underinsured Motorist Bodily Injury at $25,000/$50,000. The policy includes comprehensive and collision coverage with a $2,500 deductible for each vehicle. ADOT is listed as an additional insured, and the policy includes a waiver of subrogation endorsement, indicating a specific business relationship between The D.M. Caldwell Corp and the Arizona Department of Transportation.

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Text version

Form_SCTNID_CTGRY.XX0316ACORD25_ACORD

<docindex><index>ACORD</index></docindex> BDF_PCA

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

PRODUCER CONTACT

NAME:

PHONE

(A/C, No, Ext):

FAX

(A/C, No):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSR

LTR

ADDL

INSD

SUBR

WVDTYPE OF INSURANCE

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

OTHER:

PRO-

JECT LOC

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

HIRED

AUTOS ONLY

SCHEDULED

AUTOS

NON-OWNED

AUTOS ONLY

UMBRELLA LIAB

EXCESS LIAB

OCCUR

CLAIMS-MADE

DED RETENTION $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBEREXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

Y/N

N / A

POLICY NUMBER

POLICY EFF POLICY EXP

(MM/DD/YYYY) (MM/DD/YYYY) LIMITS

EACH OCCURRENCE

DAMAGE TO RENTED

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

PREMISES (Ea occurrence)

COMBINED SINGLE LIMIT

PROPERTY DAMAGE

BODILY INJURY (Per person)

(Ea accident)

BODILY INJURY (Per accident)

AGGREGATE

EACH OCCURRENCE

E.L. EACH ACCIDENT

INSURED

$E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

PER

STATUTE

OTH-

ER

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

CERTIFICATE HOLDER CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

© 1988-2015 ACORD CORPORATION. All rights reserved.

(Per accident)

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).

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.

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

progressivecommercial@email.progressive.com

05/23/2025

1-800-444-4487

The D.M. Caldwell Corp PO Box 90502 Tucson, AZ 85752

Arizona Department of Transportation 1655 w Jackson St

MDP 100P

Pheonix, AZ 85007

Progressive Commercial Lines Customer and Agent Servicing

597949656888273809D052325T225854

Progressive Insurance PO Box 94739, Cleveland, OH 44101

United Financial Casualty Company 11770

A X 992289740Y N 02/01/2025 02/01/2026

1,000,000

A 992289740Y N 02/01/2025 02/01/2026

See ACORD 101 for additional coverage details. $ mailto:progressivecommercial@email.progressive.com Cindy Lewis AL Only

Form_SCTNID_CTGRY.XX0108ACORD101_ACORD

<docindex><index>ACORD</index></docindex> BDF_PCA

Progressive Insurance

992289740

United Financial Casualty Company 11770

The D.M. Caldwell Corp PO Box 90502 Tucson, AZ 85752

02/01/2025

AGENCY CUSTOMER ID:

LOC #:

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY

POLICY NUMBER

CARRIER NAIC CODE

NAMED INSURED

EFFECTIVE DATE:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: 25 FORM TITLE: Certificate of Liability Insurance

1 1

Additional Coverages Insurance coverage(s) Limits…………………………………………………………………………………………………………………………………………………………………………………… Uninsured Motorist Bodily Injury $25,000/$50,000 …………………………………………………………………………………………………………………………………………………………………………………… Underinsured Motorist Bodily Injury $25,000/$50,000

Description of Location/Vehicles/Special Items Scheduled autos only

2014 NISSAN 3N1CN7AP5EL875753VERSA

Comprehensive $2,500 Ded

Collision $2,500 Ded

2022 FORD NM0GE9E20N1543832TRANSIT CONNECT

Comprehensive $2,500 Ded

Collision $2,500 Ded

2020 RAM 3C6TRVAG2LE106237PROMASTER 1500

Comprehensive $2,500 Ded

Collision $2,500 Ded

2021 RAM 3C6LRVDG1ME548018PROMASTER 2500

Comprehensive $2,500 Ded

Collision $2,500 Ded

2021 RAM 3C6LRVDG3ME525842PROMASTER 2500

Comprehensive $2,500 Ded

Collision $2,500 Ded

Additional Information

Certificate holder is listed as an Additional Insured.

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

Form_SCTNID_CTGRY.XX07161198_POLEND

992289740 E FB86020 INS POLEND U POLWHITEFONT THYHVHXZGDJ6US2RST7D6PJHTF0002 RPUID TRACWHITEFONT BDF_PCA

Policy number: 992289740 Underwritten by:

United Financial Casualty Company

Insured:

The D.M. Caldwell Corp

February 5, 2025

Policy Period: Feb 1, 2025 - Feb 1, 2026

Mailing Address United Financial Casualty Company

PO Box 94739

Cleveland, OH 44101

For customer service, 24 hours a day, 7 days a week

1-800-895-2886

Cleveland, OH 44101 P.O. Box 94739 Progressive

PO BOX 90502

The D.M. Caldwell Corp

TUCSON, AZ 85752

Additional insured endorsement

Name of Person or Organization

Arizona Department of Transportation 1655 w Jackson St

MDP 100P

Pheonix, AZ 85007

This endorsement modifies insurance provided under the commercial auto policy and any endorsements thereto affording liability coverage.

The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page and showing liability coverage.

Limit of Liability

Bodily Injury Not applicable

Property Damage Not applicable

Combined Liability $1,000,000 each accident

All other terms, limits and provisions of this policy remain unchanged.

This endorsement applies to Policy Number: 992289740

Issued to (Name of Insured): The D.M. Caldwell Corp

Effective date of endorsement: Policy expiration date: February 4, 2025 February 1, 2026

Form 1198 (07/16)

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