ACCEPTED ANY_ALL GL,AL 06.01.24-06.01.25.pdf

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Attached to
Master Agreement AZ|CTR059315
Contract number
CTR059315
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance and related endorsements for a commercial auto insurance policy issued by Federated Mutual Insurance Company to Courtesy Chevrolet, Inc. in Phoenix, Arizona. The policy specifically involves the Arizona Department of Transportation (ADOT) as a designated insured party, with coverage effective from 06/01/2024 to 06/01/2025. The insurance is structured under an Auto Dealers Coverage Form and includes commercial auto liability provisions.

The policy provides comprehensive auto liability coverage with a $10,000,000 umbrella liability limit and includes specific endorsements for designated insured status and waiver of subrogation for the Arizona Department of Transportation. The policy covers Covered Autos Liability and includes provisions for primary and noncontributory insurance conditions. Key coverage elements include auto dealer liability, workers compensation, and a primary insurance status that will not seek contribution from other insurance sources when certain contractual conditions are met. The policy number is 6074187, with an effective date of 06/01/2024, and is specifically tailored to provide protection for Courtesy Chevrolet's automotive operations and its relationship with the Arizona Department of Transportation.

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Text version

Cindy Lewis Accepted

POLICY NUMBER: 6074187 COMMERCIAL AUTO

CA 20 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Auto Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: Courtesy Chevrolet, Inc

Endorsement Effective: 06/01/2024

SCHEDULE

Name of Person(s) Or Organization(s):

Arizona Department of Transportation 1739 W Jackson St Ste B-Md # 100p Phoenix, AZ 85007-3218

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II - Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I - Covered Autos Coverages of the Auto Dealers Coverage Form.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

POLICY NUMBER: 6074187 COMMERCIAL AUTO

CA 04 44 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: Courtesy Chevrolet, Inc

Endorsement Effective Date: 06/01/2024

SCHEDULE

Name(s) Of Person(s) Or Organization(s):

Arizona Department of Transportation

1739 W Jackson St Ste B-Md # 100p

Phoenix, AZ 85007-3218

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

COMMERCIAL AUTO

CA 04 49 11 16

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -

OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

© Insurance Services Office, Inc., 2016 Page 1 of 1 CA 04 49 11 16 Policy Number: 6074187 Transaction Effective Date: 06/01/2024

Commercial Package Policy 6074187
Auto Dealer
CA 04 44 Waiver of Transfer of Rights of Recovery Against Others to Us
CA 04 49 Primary and Noncontributory - Other Insurance Condition
CA 20 48 Designated Insured for Covered Autos Liability Coverage
State of Arizona.PDF
Job 1: State of Arizona

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