ACCEPTED ANY_ALL GL,AL 05.24.24-05.24.25 (1).pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR073185
- Contract number
- CTR073185
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance from State Farm Fire and Casualty Company, issued to Huntsinger Enterprises, LLC, with ADOT (Arizona Department of Transportation) as the certificate holder. The insurance policy covers commercial general liability and automobile liability for Huntsinger Enterprises, with State Farm as the insurer. The policy includes specific endorsements that provide additional insured status and coverage modifications for ADOT, including waiver of subrogation and primary non-contributory insurance provisions.
The insurance policy provides commercial general liability coverage with limits of $1,000,000 per occurrence, $2,000,000 general aggregate, and $5,000 medical expense coverage. The automobile liability policy covers scheduled and non-owned autos with bodily injury and property damage limits. The policy is effective from 10/03/2023 to 10/03/2025, with a liability umbrella policy extending additional coverage. The endorsements specifically outline ADOT's inclusion as an additional insured for ongoing operations and products-completed operations, with primary insurance status and waiver of certain recovery rights.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR073185 Contract Miscellaneous Award Documents.pdf | ||
| CTR073185_Pricing.xlsx | XLSX spreadsheet | |
| ACCCEPTED CTR073185 WC 01.01.24-01.01.25 (1).pdf | ||
| CTR073185_Contract_Amendment_Summary_1.pdf | ||
| CTR073185_Contract_Documents.pdf |
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Text version
G0171 General and Auto Liability Only
Name And Address Of Person Or Organization:
ADOT
1324 N 22nd Ave Phoenix, AZ 85009-3715
The following is added to Paragraph 10.b. of SECTION I AND SECTION II — COMMON POLICY
CONDITIONS:
We waive any right of recovery we may have against the person or organization shown in the Schedule because of payments we make for injury or damage arising out of:
a. Your ongoing operations; or
b. "Your work" done under contract with that person or organization and included in the "products-completed operations hazard".
This waiver applies only to the person or organization shown in the Schedule.
All other policy provisions apply.
1006225 137715.1 11-19-2013
CMP-4787
CMP-4787
CMP-4787 WAIVER OF TRANSFER OF RIGHTS OR RECOVERY AGAINST
OTHERS TO US
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
Policy No. F-93-KT0630-4
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number:
Named Insured:
HUNTSINGER ENTERPRISES LLC
C/O HUCK & SYLVIR
PO BOX 2348
LAKESIDE AZ 85929-2348
, Copyright, State Farm Mutual Automobile Insurance Company, 2008 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
F-93-KT0630-4
Policy No. F-93-KT0630-4 CMP-4536
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
CMP-4536 ADDITIONAL INSURED — OWNERS, LESSEES, OR CONTRACTORS
(Scheduled)
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Policy Number: F-93-KT0630-4 Named Insured:
HUNTSINGER ENTERPRISES LLC
C/O HUCK & SYLVIR
PO BOX 2348
LAKESIDE AZ 85929-2348
Name And Address Of Additional Insured Person Or Organization:
ADOT
1324 N 22nd Ave Phoenix, AZ 85009-3715
1. SECTION II — WHO IS AN INSURED of SECTION II — LIABILITY is amended to in-clude, as an additional insured, any person or organization shown in the Schedule, but only with respect to liability for "bodily in-jury", "property damage", or "personal and advertising injury" caused, in whole or in part, by:
a. Ongoing Operations
(1) Your acts or omissions; or
(2) The acts or omissions of those acting on your behalf;
in the performance of your ongoing opera-tions for that additional insured; or
b. Products-Completed Operations
"Your work" performed for that additional insured and included in the "products-completed operations hazard".
2. Any insurance provided to the additional in-sured shall only apply with respect to a claim made or a "suit" brought for damages for which you are provided coverage.
3. Primary Insurance. The insurance afforded the additional insured shall be primary insur-ance. Any insurance carried by the additional insured shall be noncontributory with respect to coverage provided by you.
All other policy provisions apply.
CMP-4536 155522 05-10-2019
, Copyright, State Farm Mutual Automobile Insurance Company, 2018 Includes copyrighted material of Insurance Services Office, Inc., with its permission.
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