ACCEPTED ANY_ALL AL 02.01.25-02.01.26.pdf
PDF 189 KB Posted
- 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):
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 .