ACCEPTED ANY_ALL GL,AL,WC 01.31.25-01.31.26.pdf

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Attached to
Master Agreement AZ|CTR077147
Contract number
CTR077147
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package issued by Federated Mutual Insurance Company to Callahan Enterprises, LLC, with The State of Arizona ADOT (Arizona Department of Transportation) as an additional insured party. The policy includes multiple endorsements covering Commercial General Liability, Commercial Auto, and Workers Compensation insurance, effective from 06/02/2025. The insurance certificates are specifically tailored to provide coverage for fleet repairs and work performed within the state of Arizona.

The policy provides extensive liability coverage with limits including $1,000,000 per occurrence for general liability, automobile liability, and umbrella liability. The coverage is specifically scoped to fleet repairs completed by Callahan Enterprises exclusively for ADOT, with geographic restrictions limited to Arizona. The policy includes several unique endorsements such as a waiver of subrogation, primary and noncontributory insurance conditions, and additional insured status for ADOT. The policy ensures that any work or projects performed are covered under specific terms, with particular attention to limiting the scope of work and geographic jurisdiction.

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Cindy Lewis Accepted

POLICY NUMBER: 1919866 COMMERCIAL GENERAL LIABILITY

CG 20 10 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - SCHEDULED PERSON OR

ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations

The State of Arizona ADOT 206 S 17th Ave Phoenix, AZ 85007-3213

Any coverage provided by this endorsement applies only to fleet repairs, completed by the Named Insured only for the certholder.

Any coverage provided by this endorsement applies only to all work and projects performed in the state of Arizona.

completed by the Named Insured only for the certholder.

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

A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:

1. Your acts or omissions; or

2. The acts or omissions of those acting on your behalf;

in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:

This insurance does not apply to "bodily injury" or "property damage" occurring after:

1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or

2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.

© Insurance Services Office, Inc., 2018 Page 1 of 2

CG 20 10 12 19 Policy Number: 1919866 Transaction Effective Date: 06/02/2025

C. With respect to the insurance afforded to these additional insureds, the following is added to Section III - Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

Insured:

Callahan Enterprises, LLC 8831 E Apache Trl Mesa, AZ 85207-8706

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

Page 2 of 2 © Insurance Services Office, Inc., 2018

CG 20 10 12 19 Policy Number: 1919866 Transaction Effective Date: 06/02/2025

POLICY NUMBER: 1919866 COMMERCIAL GENERAL LIABILITY

CG 24 04 12 19

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:

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):

The State of Arizona ADOT 206 S 17th Ave Phoenix, AZ 85007-3213

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.

DESCRIPTION OF INTEREST:

See IL-F-40-00001

Callahan Enterprises, LLC

8831 E Apache Trl

Mesa, AZ 85207-8706

© Insurance Services Office, Inc., 2018 Page 1 of 1

CG 24 04 12 19 Policy Number: 1919866 Transaction Effective Date: 06/02/2025

COMMERCIAL GENERAL LIABILITY

CG 20 01 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRIMARY AND NONCONTRIBUTORY -

OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

The following is added to the Other Insurance Condition and supersedes any provision to the contrary:

Primary And Noncontributory Insurance

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

(1) The additional 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 the additional insured.

© Insurance Services Office, Inc., 2018 Page 1 of 1

CG 20 01 12 19 Policy Number: 1919866 Transaction Effective Date: 06/02/2025

POLICY NUMBER: 1919866 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: Callahan Enterprises, LLC

Endorsement Effective: 06/02/2025

SCHEDULE

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

The State of Arizona ADOT

206 S 17th Ave

Phoenix, AZ 85007-3213

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: 1919866 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: Callahan Enterprises, LLC

Endorsement Effective Date: 06/02/2025

SCHEDULE

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

The State of Arizona ADOT

206 S 17th Ave

Phoenix, AZ 85007-3213

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

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

This endorsement, effective on 06/02/2025 at 12:01 A.M. standard time, forms a part of

Policy No. 1919869

Issued to Callahan Enterprises, LLC

Issued by Federated Mutual Insurance Company

Endorsement No. 1

Authorized Representative

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 anyone not named in the Schedule.

Schedule

The State of Arizona ADOT

206 S 17th Ave

Phoenix, AZ 85007-3213

Additional Reference:

Any coverage provided by this endorsement applies only to fleet repairs, completed by the Named Insured only for the certholder. Any coverage provided by this endorsement applies only to all work and projects performed in the state of Arizona.

completed by the Named Insured only for the certholder.

If work is performed in Missouri, this waiver does not apply to any construction group of classifications as designated by the Waiver of Our Right to Recover from Others rule in our manual.

Copyright 1983 National Council on Compensation Insurance.

WC 00 03 13 (04-84) Issue Date: 06/02/2025

Commercial Package Policy 1919866
Business Auto
CA 04 44 Waiver of Transfer of Rights of Recovery Against Others to Us
CA 20 48 Designated Insured for Covered Autos Liability Coverage
General Liability
CG 20 01 Primary And Noncontributory-Other Insurance Condition Endorsement
CG 20 10 Additional Insured-Owners Lessees Or Contractors-Scheduled
CG 24 04 Waiver Of Transfer Of Rights Of Recovery Against Others To Us
IL-F-40-00001 Extension Endorsement
Certificate_11_2025-01-31 (1).pdf
Commercial Package Policy 1919866
Business Auto
CA 04 44 Waiver of Transfer of Rights of Recovery Against Others to Us
CA 20 48 Designated Insured for Covered Autos Liability Coverage
General Liability
CG 20 01 Primary And Noncontributory-Other Insurance Condition Endorsement
CG 20 10 Additional Insured-Owners Lessees Or Contractors-Scheduled
CG 24 04 Waiver Of Transfer Of Rights Of Recovery Against Others To Us
IL-F-40-00001 Extension Endorsement
Workers Compensation Policy 1919869
WC 00 03 13 Waiver Of Our Right To Recover From Others

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