ACCEPTED_ANY_ALL_GL_AL_WC_01.14.24-12.02.24.pdf

PDF 151 KB Posted Jun 1, 2024

Attached to: Master Agreement AZ|CTR072085
Contract number: CTR072085
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 8, 2025

This document is a Certificate of Liability Insurance issued by Evanston Insurance Company through KCAL Insurance Agency, with Apex Universal Inc & Traffic Supply as the insured. The certificate is for the State of Arizona/ADOT (Arizona Department of Transportation), located at 206 S. 17th Ave, Phoenix, AZ 85007. The policy includes additional insureds and endorsements that modify the general liability coverage, with Evanston Insurance Company and the State Compensation Insurance Fund listed as insurers.

The insurance policy provides commercial general liability coverage with policy limits of $1,000,000 per occurrence, $2,000,000 general aggregate, and $2,000,000 for products-completed operations. The policy period runs from 12/02/2023 to 12/02/2024, with additional endorsements providing primary and non-contributory coverage, waiver of subrogation, and specific provisions for additional insureds. The policy covers automobile liability, workers' compensation, and general liability for Apex Universal Inc, which appears to be a supplier or contractor for the Arizona Department of Transportation, with coverage extending to work performed under written contracts.

View the file

Other files

File	Type	Posted
CTR072085_Contract_Amendment_Summary_One__1_.pdf	PDF	Jun 1, 2024
2024_Usage_Report_-_Products_and_Services_CTR072085.xlsx	XLSX spreadsheet	Jun 1, 2024
CTR072085_Contract_Amendment_Summary_Two__2_.pdf	PDF	Jun 1, 2024
CTR072085_Usage_Report_-_QTR4_2024.xlsx	XLSX spreadsheet	Jun 1, 2024
ACCEPTED_ANY_AL_GL_AL_WC_01.14.25-12.02.25.pdf	PDF	Jun 1, 2024
CTR072085_Contract_Documents.pdf	PDF	Jun 1, 2024

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35076

G0171 Accepted

PRODUCTS INTERLINE

All other terms and conditions remain unchanged.

MEGL 1816 02 13 Page 1 of 1

EVANSTON INSURANCE COMPANY

XXXX

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED AS REQUIRED BY WRITTEN CONTRACT

This endorsement modifies insurance provided under the following:

GENERAL LIABILITY (INCLUDING PRODUCTS AND COMPLETED OPERATIONS LIABILITY) INSURANCE POLICY

In consideration of the premium paid, it is understood and agreed that the policy is amended as follows:

The Insured is amended to include any person or organization the Named Insured is required to include as an additional insured on this policy by a written contract or written agreement in effect during this Policy Period and executed prior to the Occurrence of the Bodily Injury or Property Damage, hereinafter referred to as Additional Insured.

Notwithstanding the foregoing, no contract manufacturer of the Named Insured and no ingredient or part supplier of the Named Insured shall be included as an Insured or Additional Insured pursuant to this endorsement.

The insurance provided to the Additional Insured is limited as follows:

1. The person or organization is only an Additional Insured with respect to liability arising solely out of the Products Hazard or Completed Operations Hazard as defined and as specified in the Declarations.

2. In the event that the limits of liability under this policy exceed the limits of insurance required by the written contract or written agreement, the insurance provided by this endorsement shall be limited to the limits of insurance required by the written contract or written agreement. This endorsement shall not increase the Limits of Liability stated in the Declarations.

3. This insurance does not apply to Bodily Injury or Property Damage arising out of the Products Hazard or Completed Operations Hazard as specified in the Declarations unless the Named Insured is required to provide such coverage by the written contract or written agreement but only for the period of time required by the written contract or written agreement and only for Bodily Injury or Property Damage, the entirety of which and the Occurrence causing such Bodily Injury and Property Damage happens during the Policy Period or on or after the Retroactive Date stated in the Declarations, arising out of the Products Hazard or Completed Operations Hazard as specified in the Declarations.

4. Any coverage provided by this endorsement to an Additional Insured shall be excess over any other valid and collectible insurance available to the Additional Insured whether primary, excess, contingent or on any other basis.

5. Where no coverage is afforded under this policy for the Named Insured, no coverage or defense shall be afforded to the Additional Insured.

6. This insurance does not apply to Bodily Injury or Property Damage arising out of the sole negligence of the Additional Insured.

All other provisions of the policy shall remain unchanged.

MEGL 1593 11 12 Page 1 of 1

EVANSTON INSURANCE COMPANY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF SUBROGATION FOR ADDITIONAL INSUREDS

This endorsement modifies insurance provided under the following:

GENERAL LIABILITY (INCLUDING PRODUCTS AND COMPLETED OPERATIONS LIABILITY) INSURANCE POLICY

SPECIFIED PRODUCTS AND COMPLETED OPERATIONS INSURANCE POLICY

In consideration of the premium paid, it is hereby understood and agreed that the provision titled Subrogation is amended by the addition of the following:

Notwithstanding the foregoing, solely with respect to any Claim made against any Additional Insured covered hereunder, in the event of any payment under this policy, the Company waives all rights of subrogation against such Additional Insured provided the Named Insured has waived its rights of recovery against such Additional Insured in writing in a contract or agreement that was executed before the date such Claim was made.

All other provisions of the policy shall remain unchanged.

MEGL 1594 11 12 Page 1 of 1

EVANSTON INSURANCE COMPANY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NON-CONTRIBUTORY FOR ADDITIONAL INSUREDS

This endorsement modifies insurance provided under the following:

GENERAL LIABILITY (INCLUDING PRODUCTS AND COMPLETED OPERATIONS LIABILITY) INSURANCE POLICY

SPECIFIED PRODUCTS AND COMPLETED OPERATIONS INSURANCE POLICY

In consideration of the premium paid, it is hereby understood and agreed that the policy is amended by the addition of the following:

Solely with respect to any Claim made against any Additional Insured covered hereunder, the Company agrees to provide primary insurance to such Additional Insured on a non-contributory basis relative to any other insurance carried by the Additional Insured, provided the Named Insured has agreed to provide primary insurance to such Additional Insured on a non-contributory basis, in writing in a contract or agreement that was executed before the date such Claim was made. If however, such Additional Insured has other insurance available as an Additional Insured, this provision shall not apply and this insurance shall apply on an excess basis relative to such other insurance.

File details come from the government source that posted it. Updated Oct 8, 2025.