ACCEPTED ANY_ALL GL,AL,WC,PROF LIAB 09.01.25-09.01.26.pdf
PDF 3 MB Posted
- Attached to
- Master Agreement AZ|CTR060470
- Contract number
- CTR060470
- Issued by
- Arizona
About this file
This is a Certificate of Liability Insurance issued on September 5, 2025, by Lockton Affinity, LLC on behalf of High Street Consulting Group, LLC, a consulting firm located in Pittsburgh, Pennsylvania. The certificate documents insurance coverage required by the State of Arizona and the Arizona Department of Transportation (ADOT), with the state named as an additional insured on a blanket basis. The insurance policies are underwritten by Wesco Insurance Company and Technology Insurance Company and include multiple coverage types with effective dates from September 1, 2025, through September 1, 2026.
The certificate details comprehensive insurance requirements including Commercial General Liability with per-occurrence limits of $2,000,000 and aggregate limits of $4,000,000; Automobile Liability with combined single limits of $2,000,000; Umbrella Liability with per-occurrence and aggregate limits of $1,000,000; Workers' Compensation and Employers' Liability coverage with statutory limits and per-employee medical expense coverage of $1,000,000; and Cyber Liability with limits of $1,000,000 per claim and in aggregate. All policies include waiver of subrogation endorsements in favor of the State of Arizona, primary and noncontributory coverage provisions where applicable, and designate the state and its departments as additional insureds. The policies contain standard retentions and deductibles, with policy numbers WBP2085340-00, WWC3806395, and TCL1758063-00 referenced throughout the certificate.
View the file
Other files
Show all 43
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
09/05/2025
Lockton Affinity, LLC
800-301-8814 913-652-7599Lockton Affinity, LLC
P. O. Box 879610 Kansas City, MO 64187-9610
HIGH STREET CONSULTING GROUP, LLC
6937 BLENHEIM CT
Pittsbrgh, PA 15208
A X WBP2085340-00 09/01/2025 09/01/2026
X
X X
4,000,000
4,000,000
2,000,000
2,000,000
50,000
5,000
A WBP2085340-00 09/01/2025 09/01/2026 2,000,000
3138688
The State of Arizona / ADOT
206 S. 17th Ave
Phoenix, AZ 85007
X X
Insurer C: ACE American Ins Co, Professional Liabiliity, Policy #D03258919, Effective: 09/01/2025 - 09/01/2026, Claims Made, Each Claim: $3,000,000 / Aggregate: $3,000,000 / Retention: $10,000 / Retroactive Date: 09/01/2025
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are named as an additional insured with respect to General Liability on a primary and noncontributory and Auto
A 09/01/2025 09/01/2026X WBP2085340-00
X 10,000
1,000,000
1,000,000
A WWC3806395 09/01/2025 09/01/2026
X
X
X
X
Liability basis where required by a written contract or agreement. The checked Policies shall contain a waiver of subrogation endorsement, as required by this written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor where required by a written contract or agreement for any and all work performed for or on behalf of the State of Arizona/ADOT.
X
X X
Cyber Liability Claims Made Policy
1,000,000
1,000,000
1,000,000
Each Claim Aggregate
B X X TCL1758063-00 09/01/2025 09/01/2026 $1,000,000
$1,000,000
Continuity Date: 09/01/2025 Retention $10,000
X
Wesco Insurance Company 25011
Technology Insurance Co. 42376
54796702 3138688
Cindy Lewis Highlight
Cindy Lewis Accepted
POLICY NUMBER: BUSINESSOWNERS
BP 04 97 08 24
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BP 04 97 08 24 © Insurance Services Office, Inc., 2023 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:
BUSINESSOWNERS COVERAGE FORM
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Subparagraph 2. of Paragraph K. Transfer Of Rights Of Recovery Against Others To Us in Section III – Common Policy Conditions is amended by the addition of the following:
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 Policy.
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.
WBP2085340-00
Blanket
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BP990046 0916 Includes copyrighted material of Insurance Services Office, Inc.
with its permission
PRIMARY AND NONCONTRIBUTORY
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS COVERAGE FORM
With respect to the Other Insurance Condition in the Businessowners Coverage Form the following is added and supercedes 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.
POLICY NUMBER: WBP2085340-00
POLICY NUMBER: WWC3806395
| Updated COI State of AZ |
| Form - BOP WOS - BP0497 |
| Untitled |
File details come from the government source that posted it. Updated .