ACCEPTED ANY_ALL GL,AL,WC 01.01.24-01.01.25.pdf
PDF 562 KB Posted
- Attached to
- Master Agreement AZ|CTR073852
- Contract number
- CTR073852
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by multiple insurance carriers, including National Union Fire Insurance Company, AIG Specialty Insurance Company, and AIU Insurance Company, for Hertz Global Holdings, Inc. The certificate lists The State of Arizona and ADOT as the certificate holder, with Marsh USA LLC serving as the insurance producer. The policy covers various Hertz-related entities, including The Hertz Corporation, Hertz Vehicles, LLC, Hertz Local Edition, and other subsidiary companies across multiple states.
The insurance provides comprehensive coverage including commercial general liability, automobile liability, umbrella liability, and workers' compensation with policy periods from 01/01/2024 to 01/01/2025. Coverage limits vary by policy type, with commercial general liability set at $5,000,000 per occurrence and $5,000,000 aggregate, and automobile liability detailed in the Acord 101 additional remarks schedule. The policy includes provisions for additional insured status, waiver of subrogation, and primary non-contributory coverage as required by written contract. The insurance is designed to cover operations across multiple states, with specific policy numbers and limits for different types of auto-related and business liability risks.
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Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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 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.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
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.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
B 01/01/2024
01/01/2025
10,000,000 of Marsh USA LLC
X
B
6,000,000
WC062790868 (CA)
X
19445
10,000,000
A
X X
C
01/01/2025 X
AIG Specialty Insurance Company
01/01/2024
CN102051407--GAWU-24-25
X
5,000,000
19399
CLE-007200533-01
01/01/2024
X
5,000,000
09/20/2024
01/01/2025
01/01/2025
5,000,000
X
5,000,000 5,000,000
A
01/01/2025
01/01/2024
X
26883
See Acord 101
10,000
01/01/2024
WC062790867 (AOS)
WC062790869 (WI)
X
38178902
1,000,000
Certificate holder is listed as additional insured on all coverages required by written contract and waiver of subrogation in favor of certificate holder when required by written contract. Coverage is primary and non contributory.
8501 Williams Road
Hertz Global Holdings, Inc.
Estero, FL 33928-3325
5,000,000
National Union Fire Insurance Co.
30 South 17th Street
Marsh USA LLC
PHILADELPHIA, PA 19103
GL3372553
AIU Insurance Co
N
Phoenix, AZ 85007
The State of Arizona and ADOT
206 S. 17th Ave
01/01/2024
B
SEE ACORD 101X
10,000,000
01/01/2025
X
G0171 Accepted
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
Marsh USA LLC
Carrier: National Union Fire Insurance Company ��
Limit: $1,000,000�� States Covered: AL, AZ, CA,CO, CT, FL,GA, HI, IL, IN,KY, LA, MA,MD, MI, MN,MO, NC, NJ,NM, NV, NY,OK, OR, PA,TN, TX, UT, VA ��
Policy Number: GL3372554 ��
Policy Term: 1/1/2024-2025�� Carrier: National Union Fire Insurance Company ��
Limit: $2,000,000��
Carrier: National Union Fire Insurance Company ��
Shuttle Bus Auto Liability (AOS)��
States Covered: AR,CO,HI,MI,MN,NH,NM,OR,RI,SD,WI��
States Covered: CA,CO,CT,FL,IL,KY,MI,MO,NC,NY,PA,TX,VA��
Policy Number: AL4805386 ��
Policy Term: 1/1/2024-2025 ��
Policy Term: 1/1/2024-2025��
Cleveland
Certificate of Liability Insurance
Carrier: AIU Insurance Company ��
Includes Garage Liability��
Policy Term: 1/1/2024-2025 ��
Policy Number: AL4805387 ��
Policy Number: AL4805388 ��
Limit: $100,000��
Limit: $1,000,000��
Auto Dealers Auto Liability (AOS)��
Limit: $1,000,000��
Carrier: National Union Fire Insurance Company ��
Policy Term: 1/1/2024-2025��
Contingent General Liability ��
States Covered: AOS��
Policy Number: AL4805390 ��
8501 Williams Road�� Hertz Global Holdings, Inc.��
Estero,FL 33928-3325��
Rental Fleet Auto Liability (AOS)��
CN102051407
States Covered: MA��
Shuttle Bus Auto Liability (MA)��
Highlight
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
Marsh USA LLC
6.�DTG Operations, Inc.�� 5.�Dollar Thrifty Automotive Group, Inc.��
2.�Hertz Vehicles, LLC�� 1.�The Hertz Corporation��
4.�Firely Rent A Car LLC�� 3.�Hertz Local Edition (HLE)��
13.�Thrifty Car Sales, Inc.��
10.�Thrifty Rent-A-Car System, Inc.��
7.�DTG Operations, Inc. d/b/a Dollar Rent A Car��
Cleveland
Certificate of Liability Insurance
11.�Dollar Rent A Car, Inc.��
8.�DTG Operations, Inc. d/b/a Thrifty Car Rental��
Additional Named Insureds:��
12.�DTG Supply, Inc.��
9.�Rental Car Finance Corp.��
8501 Williams Road�� Hertz Global Holdings, Inc.��
Estero,FL 33928-3325��
CN102051407
Highlight
ENDORSEMENT
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
This endorsement, effective 01/01/2024 at 12:01 a.m.
Forms a part of Policy No: 3372553
Issued to: The Hertz Corporation
By: National Union Fire Insurance Company of Pittsburgh, PA.
ADDITIONAL INSURED - PUBLIC ENTITY
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
SCHEDULE
Name of Person(s) or Organization(s):
The State of Arizona and ADOT 206 S. 17th Ave Phoenix, AZ 85007
I. SECTION II - WHO IS AN INSURED is amended to include the following additional provision:
Any person(s) or organization(s) shown in the Schedule to whom you are obligated to include as an additional insured under this policy, but only with respect to liability arising out of your operations or premises owned by or rented to you.
II. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, a. Primary
Insurance, is amended as respects the coverage provided to the person(s) or organization(s) shown in the Schedule to include the following:
However, as regards the person(s) or organization(s)shown in the Schedule, such person or organization's own insurance will not be deemed primary and shall apply as excess and noncontributory insurance.
Ill. SECTION IV - COMMERCIAL GENERAL LIABILITY CONDITIONS, is amended as respects the coverage provided to the person(s) or organization(s) shown in the Schedule to include the following additional condition:
Notice of Cancellation and Policy Changes
We may cancel this policy by mailing or delivering to the first Named Insured and to the persons or organizations shown in the Schedule written notice of cancellation at least:
a. [30] days before the effective date of cancellation if we cancel for nonpayment of premium.
b. [30] days before the effective date of cancellation if we cancel for any other reason.
We will provide written notice of a "material change" at least thirty (30) days prior to the effective date of such "material change".
C334 0523 © Includes copyrighted material of Insurance Services Office, Inc., with its permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
For purposes of this endorsement, "material change" means a reduction in the Limits of Liability or coverages provided by this policy.
All other terms, conditions and endorsements of this policy remain unchanged.
AUTHORIZED REPRESENTATIVE
C334 0523 © Includes copyrighted material of Insurance Services Office, Inc., with its permission.
POLICY NUMBER: 3372553 COMMERCIAL GENERAL LIABILITY
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
ELECTRONIC DATA LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES
POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
RAILROAD PROTECTIVE LIABILITY COVERAGE PART
UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS
SCHEDULE
Name Of Person(s) Or Organization(s):
Where Required by Written Contract or Agreement
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:
We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.
This endorsement, effective 12:01 A.M. forms a part of policy No. issued to by
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
Section IV - Business Auto Conditions, A - Loss Conditions, 5. - Transfer of Rights of Recovery
Against Others to Us, is amended to add:
However, we will waive any right of recover we have against any person or organization with whom you have entered into a contract or agreement because of payments we make under this Coverage Form arising out of an "accident" or " loss" if:
(1) The "accident" or "loss" is due to operations undertaken in accordance with the contract existing between you and such person or organization; and
(2) The contract or agreement was entered into prior to any "accident" or "loss" .
No waiver of the right of recovery will directly or indirectly apply to your employees or employees of the person or organization, and we reserve our rights or lien to be reimbursed from any recovery funds obtained by any injured employee.
AUTHORIZED REPRESENTATIVE
62897 (6/95)
01/01/2024
4805386 The Hertz Corporation
National Union Fire Insurance Company of Pittsburgh, PA.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below.
This endorsement, effective 12:01 AM
Issued to
By forms a part of Policy No.
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.
Schedule
This form is not applicable in Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A 16-1807 or public construction contracts as defined in K.S.A. 16-1901 through 16-1908, except where permitted by statute or other applicable law, such as for use in wrap-up insurance programs.
Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.
This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah.
WC 00 0313
{Ed. 04/84) Countersigned by
Authorized Representative
Where Required by Written Contract or Agreement
01/01/2024 062-79-0867
The Hertz Corporation
AIU Insurance Company
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