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

E-MAIL

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

File details come from the government source that posted it. Updated .