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.

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Other files

File Type Posted
CTR060470-2 VPR High Street Consulting MPD0137-22 Inv 8026 2124-22924.pdf PDF
CTR060470_Contract_Amendment_Summary_Five__5_.pdf PDF
CTR060470_Pricing_effective_05-24-2024.docx DOCX document
CTR060470_SPO_Form_205_Forced_Labor_of_Ethnic_Uyghurs_Ban.pdf PDF
VPR CTR060470 (1).pdf PDF
VPR CTR060470 Final.pdf PDF
VPR CTR060470 HighStreet INV8069 MPD0232-23.pdf PDF
VPR CTR060470 Inv8267.pdf PDF
VPR CTR060470 PO0000599140.pdf PDF
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Usage Report - CTR060470 Services Q3 2025.xlsx XLSX spreadsheet
APPROVED CTR60470 GL, AL, WC 09.01.22 - 09.01.23.pdf PDF
CTR060470_Contract_Amendment_Summary_Seven__7_.pdf PDF
VPR CTR060470 HighStreet Inv8103 MPD0137-22.pdf PDF
invoice 7911 MPD0232-23 VPR CTR060470.pdf PDF
CTR060470_Contract_Amendment_Summary_Eight__8_.pdf PDF
Usage Report - CTR060470 Services Q1 2024.xlsx XLSX spreadsheet
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Usage Report - CTR060470 Services Q4 2024.xlsx XLSX spreadsheet
20220901 COI.pdf PDF
ACCEPTED ANY_ALL GL,AL,WC,PROFESSIONAL LIAB 09.01.24-09.01.25.pdf PDF
CTR060470 Post Award Documents.docx DOCX document
CTR060470 VPR.pdf PDF
CTR060470_Contract_Amendment_Summary_Six__6_.pdf PDF
CTR060470_Contract_Amendment_Summary_Three___3_.pdf PDF
CTR060470_Contract_Amendment_Summary_Two__2_.pdf PDF
CTR060470_VPR.pdf PDF
VPR CTR060470 HighStreet INV8170.pdf PDF
VPR CTR060470 PO0000534784.pdf PDF
Usage Report - CTR060470 Services Q1 2023 (1).xlsx XLSX spreadsheet
Usage Report - CTR060470 Services Q1 2025.xlsx XLSX spreadsheet
Usage Report - CTR060470 Services Q2 2023.xlsx XLSX spreadsheet
Usage Report - Services Q2 2022 (1).xlsx XLSX spreadsheet
Usage Report - Services Q3 2022 (4).xlsx XLSX spreadsheet
ACCEPTED ANY_ALL GL,AL,WC,PROFESSIONAL 09.01.23-09.01.24.pdf PDF
CTR 060470 VPRHigh Street Consulting MPD0232-23 Inv 8027 billing period 2124-22924.pdf PDF
CTR060470_Contract_Amendment_Summary_Four__4_.pdf PDF
CTR060470_Contract_Amendment_Summary_One__1_.pdf PDF
VPR CTR060470.pdf PDF
Usage Report - CTR060470 Services Q2 2024.xlsx XLSX spreadsheet
Usage Report - CTR060470 Services Q2 2025.xlsx XLSX spreadsheet
Usage Report - CTR060470 Services Q4 2022 (1).xlsx XLSX spreadsheet
Usage Report - CTR060470 Services Q4 2023 (2).xlsx XLSX spreadsheet
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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 .