ACCEPTED ANY_ALL GL,AL 06.01.25-06.01.26.pdf
PDF 167 KB Posted
- Attached to
- Master Agreement AZ|CTR069470
- Contract number
- CTR069470
- Issued by
- Arizona
About this file
This is a Certificate of Liability Insurance issued by Federated Mutual Insurance Company for Courtesy Chevrolet, Inc., located in Phoenix, Arizona. The policy includes the Arizona Department of Transportation as a designated insured, with coverage effective from 06/01/2025 to 06/01/2026. The insurance document encompasses multiple endorsements for commercial auto coverage, including designated insured provisions, waiver of transfer of rights of recovery, and primary and noncontributory insurance conditions.
The insurance policy provides commercial auto liability coverage with specific limits, including $10,000,000 per occurrence for umbrella liability and $500,000 for auto dealer liability. The policy covers Courtesy Chevrolet's vehicles and extends certain insurance protections to the Arizona Department of Transportation. Key endorsements include a waiver of subrogation and a provision that makes this insurance primary to other available insurance when certain contract conditions are met. The policy number is 6074187, and it follows standard commercial auto coverage forms with modifications specific to the insured parties.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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: 06/01/2025
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: 06/01/2025
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: 06/01/2025
| 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 |
File details come from the government source that posted it. Updated .