ACCEPTED ANY_ALL GL,AL,WC 09.30.23-09.30-24.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR068900
- Contract number
- CTR068900
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate and associated endorsements for Sunbelt Rentals, Inc., primarily covering commercial general liability, automobile liability, and workers' compensation policies. The insurance is issued by multiple carriers including ACE American Insurance Company, Travelers Property Casualty Company of America, Charter Oak Fire Insurance Company, and Travelers Indemnity Company. The certificate holder is The State of Arizona or ADOT (Arizona Department of Transportation), with coverage effective from 09/30/2023 to 09/30/2024.
The policies provide extensive coverage for Sunbelt Rentals' rental contracts, with notable features including additional insured status for the State of Arizona, primary and non-contributory coverage, and waiver of subrogation provisions. The commercial general liability policy includes a $5,000,000 self-insured retention and limits of $2,000,000 for each occurrence and general aggregate. Automobile liability coverage extends to owned, scheduled, hired, and non-owned vehicles. Workers' compensation coverage is provided with statutory limits. The endorsements specify that coverage is primary and applies only to the extent of the named insured's negligence, as agreed in written contracts, with specific protections for rental vehicle operations across multiple states.
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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
803-578-6050
2,000,000
09/30/2024
X
UB-3N320629 (AZ,MA,WI)
ATL-005696908-01
1,000,000
UB-3N334032 (AOS)
X
25674
ATLANTA, GA 30326
N
09/30/2023
X
Self Insured for Phy Dmg
B
25658
09/30/2024
Rented Vehicles
ContractTeam@sunbeltrentals.com
2,000,000
OGLG24876561
2,000,000
X
25615 Travelers Property Casualty Company Of America
1,000,000
X
X contract or written agreement. Waiver of Subrogation is included on the policies but only to the extent attributable to the Named Insured's negligence, as agreed to by written contract or written agreement.
09/30/2023
01/18/2024
09/30/2023
Re: All Rental Contracts
The State of Arizona or ADOT are listed as Additional Insured with respect to General Liability and Auto Liability, but only to the extent attributable to the Named Insured's sole negligence, as agreed to by written
X
09/30/2023
Phoenix, AZ 85009
The State of Arizona or ADOT
Travelers Indemnity Company
B contract or written agreement. Named Insured's CGL and Automobile policies are Primary and Non-Contributory, but only to the extent attributable to the Named Insured's negligence, as agreed to by written
Owned Vehicles
D
Charter Oak Fire Insurance Company
CN102671311-SB--23-24
$5,000,000 - Self Insured Retention
SELF-INSURED
2,000,000 09/30/2024
X
C
TC2J-CAP-9531B41A
2,000,000
22667
2,000,000
AI/GT
1,000,000
X
TWO ALLIANCE CENTER
MARSH USA, LLC.
3560 LENOX ROAD, SUITE 2400
Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321
1799 INNOVATION POINT
SUNBELT RENTALS, INC.
FORT MILL, SC 29715
1324 N. 22nd Ave.
09/30/2023
09/30/2024
Sunbelt Rental's Contract Team
TC2J-CAP-9531B421
09/30/2024
A
800-508-4762
ACE American Insurance Company
F0950 Accepted
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