ACCEPTED CTR060474 GL,AL,WC,PROFESSIONAL LIABILITY 04.01.24-04.01.25.pdf

PDF 864 KB Posted

Attached to
Master Agreement AZ|CTR060474
Contract number
CTR060474
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for Kimley-Horn and Associates, Inc., issued by multiple insurers including National Union Fire Insurance Company of Pittsburgh, Allied World Assurance Co (U.S.) Inc., New Hampshire Insurance Company, and Lloyd's of London. The certificate is for a contract with the State of Arizona, specifically referencing a Multimodal Transportation Planning On-Call contract (BPM004111) with Michael Grandy as a key contact. The insurance provides coverage from April 1, 2024 to April 1, 2025 and names the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds.

The contract covers multiple insurance types including Commercial General Liability (with $2,000,000 per occurrence and $4,000,000 aggregate limits), Automobile Liability, Umbrella Liability ($5,000,000 limit), Workers' Compensation, and Professional Liability ($2,000,000 per claim and aggregate). The policy includes endorsements for additional insured status, waiver of subrogation, and primary and noncontributory insurance provisions. The specific project is a multimodal transportation planning on-call service, with insurance designed to protect the State of Arizona's interests across various potential liability scenarios related to the contracted work.

View the file

Other files

File Type Posted
APPROVED CTR060474 GL,AL,WC,PROFESSIONAL 04.01.23-04.01.24.pdf PDF
CTR060474 VPR Completed Kimley-Horn MPD0021-21 PO613378 inv#27483447 billing 020124 - 022924.pdf PDF
KIMLEY-HORN_INVOICE_28318649_MPD0086-21 H80_6272024.pdf PDF
KIMLEY-HORN_INVOICE_28828737_MPD0437-24_H80_DBEO July(Climb & Pass Lane Study).pdf PDF
KIMLEY-HORN_INVOICE_29328139_MPD0437-24_H80_DBEO August(Climb & Pass Lane Study) (1).pdf PDF
KIMLEY-HORN_INVOICE_30222754_MPD_0021-21_H80_November(HISTORICAL CPS).pdf PDF
KIMLEY-HORN_INVOICE_30304685_MPD0545-24_H94.3 November(CPS SR287_SR87).pdf PDF
Kimley-Horn and Associates November Inv 30264473-MPD0562-24.pdf PDF
VPR CTR060474 2 (1).pdf PDF
VPR CTR060474 2.pdf PDF
VPR CTR060474 INV27856687.pdf PDF
VPR CTR060474 INV28164916.pdf PDF
VPR CTR060474_29101518_MPD0021-21.pdf PDF
VPR Kimley-Horn Invoice 27223110 MPD0437-24 H80 DBE 0 Jan(Climp and Pass Lane Study).pdf PDF
VPR ctr060474.pdf PDF
CTR060474-Quarterly_Report-Q4_2022 (1).xlsx XLSX spreadsheet
CTR060474_Usage Report - Task Order-Q1_2025.pdf PDF
Q1 2024_Usage_Report_Task_Order_CTR060474.pdf PDF
Q2_Usage Report - Task Order_CTR060474.xlsx XLSX spreadsheet
Q3 2024_Usage_Report_Task_Order_CTR060474.pdf PDF
ACCEPTED CTR060474 GL,AL,WC,PROF LIAB 04.01.25-04.01.26.pdf PDF
CTR060474 VPR KIMLEY-HORN_INVOICE_27340393_MPD0086-21 H80_3182024 (1).pdf PDF
CTR060474_Contract_Amendment_Summary_Nine__9_.pdf PDF
CTR060474_Contract_Amendment_Summary_Seven__7_.pdf PDF
CTR060474_Contract_Amendment_Summary_Three__3_.pdf PDF
KIMLEY-HORN_INVOICE_28318707_MPD_0021-21_H80_May(CPS STATEWIDE).pdf PDF
KIMLEY-HORN_INVOICE_29486820_MPD0086-21 H80_10142024.pdf PDF
KIMLEY-HORN_INVOICE_30115422_MPD0437-24_H80_DBEO November(Climb & Pass Lane Study).pdf PDF
KIMLEY-HORN_INVOICE_30305607_MPD0555-24_H80 November(SR 264 Corridor Study ).pdf PDF
KIMLEY-HORN_INVOICE_30378580_MPD0554-24_H94.3 November(PV Shared-Use Path ) (1).pdf PDF
KIMLEY-HORN_INVOICE_30834178_MPD0555-24_H80 January(SR 264 Corridor Study ).pdf PDF
VPR CTR060474 1.pdf PDF
VPR CTR060474 3 (1).pdf PDF
VPR CTR060474 7.pdf PDF
VPR CTR060474 PO0000597650.pdf PDF
VPR CTR060474-29101599 MPD0371-23.pdf PDF
VPR Invoice 27082257 MPD0086-21 PO0000597650.pdf PDF
VPR Kimley-Horn Invoice 27223109 MPD0371-23.pdf PDF
CTR060474-Usage Report - Services (2).xlsx XLSX spreadsheet
CTR060474_Contract_Amendment_Summary_Twelve__12_.pdf PDF
CTR060474_Usage Report - Task Order-Q4_2024.pdf PDF
CTR060474 Supplier Performance.pdf PDF
CTR060474 VPR KIMLEY-HORN_INVOICE_27483449_MPD0437-24_H80_DBEO Feb(Climb & Pass Lane Study).pdf PDF
CTR060474_Contract_Amendment_Summary_Eight__8_.pdf PDF
CTR060474_Contract_Amendment_Summary_Eleven__11_.pdf PDF
CTR060474_Contract_Amendment_Summary_Five__5_.pdf PDF
CTR060474_Contract_Amendment_Summary_Ten__10_.pdf PDF
CTR060474_Contract_Amendment_Summary_Two__2_.pdf PDF
KIMLEY-HORN_INVOICE_28318787_MPD0437-24_H80_DBEO May(Climb & Pass Lane Study) (1).pdf PDF
KIMLEY-HORN_INVOICE_29444971_MPD0371-23_H94.7 August(SHSP & ATSAP).pdf PDF
Show 40 more

50 files listed here. See the rest on GovTribe.

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

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)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

4/12/2024

Edgewood Partners Ins. Center/Greyling 3780 Mansell Rd. Suite 370 Alpharetta GA 30022

Jerry Noyola 7702207699 greylingcerts@greyling.com

National Union Fire Ins Co of Pittsburg 19445 KIMLASS Allied World Assurance Co (U.S.) Inc. 19489

Kimley-Horn and Associates, Inc.

421 Fayetteville Street, Suite 600 Raleigh, NC 27601

New Hampshire Insurance Company 23841 Lloyd's of London 85202

1177672081

A X 2,000,000 X 1,000,000

X Contractual Liab 25,000

2,000,000

4,000,000 X X

GL5268169 4/1/2024 4/1/2025

4,000,000

A A

2,000,000

X

X X

CA4489663 (AOS)

CA2970071 (MA)

4/1/2024 4/1/2024

4/1/2025 4/1/2025

B X X 5,000,000 X

03127930 4/1/2024 4/1/2025

5,000,000 X 10,000

C C

X

N

WC015893685 (AOS)

WC015893686 (CA)

4/1/2024 4/1/2024

4/1/2025 4/1/2025

2,000,000

2,000,000

2,000,000 D Professional Liability B0146LDUSA2404949 4/1/2024 4/1/2025 Per Claim

Aggregate $2,000,000 $2,000,000

Re: CTR060474 Multimodal Transportation Planning On-Call, BPM004111; Michael Grandy. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. Should any of the above described policies be cancelled by the issuing insurer before the expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holder.

The State of Arizona 1324 N. 22nd Avenue Phoenix AZ 85009

THIS CERTIFICATE SUPERSEDES PREVIOUSLY ISSUED CERTIFICATE

F0950 Accepted

04/01/2024

CA4489663

CA4489663

POLICY NUMBER:

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

COMMERCIAL GENERAL LIABILITY

CG 20 10 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

526-81-69

ANY PERSON OR ORGANIZATION WHOM YOU

BECOME OBLIGATED TO INCLUDE AS AN

ADDITIONAL INSURED AS A RESULT OF ANY

CONTRACT OR AGREEMENT YOU HAVE ENTERED

INTO.

PER THE CONTRACT OR AGREEMENT.

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

Insurance Services Office, Inc., 2018CG 20 10 12 19 Page of1 2

GL5268169

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.

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

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

Insurance Services Office, Inc., 2018 CG 20 10 12 19Page of2 2

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations

COMMERCIAL GENERAL LIABILITY

CG 20 37 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

POLICY NUMBER: 526-81-69

ANY PERSON OR ORGANIZATION WHOM YOU

BECOME OBLIGATED TO INCLUDE AS AN

ADDITIONAL INSURED AS A RESULT OF ANY

CONTRACT OR AGREEMENT YOU HAVE ENTERED

INTO.

PER THE CONTRACT OR AGREEMENT.

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" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".

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 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

2. Available under the applicable limits of insurance;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

CG 20 37 12 19 Page ofInsurance Services Office, Inc., 2018 1 1

PRIMARY AND NONCONTRIBUTORY -

COMMERCIAL GENERAL LIABILITY

CG 20 01 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 01 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1

OTHER INSURANCE CONDITION

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.

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

526-81-69GL5268169

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

COMMERCIAL GENERAL LIABILITY

CG 24 04 12 19

This endorsement modifies insurance provided under the following:

SCHEDULE

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

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

526-81-69

PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO.

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

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.

CG 24 04 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1

���������������)�$$����%�*+,-*./ $����� ����$0�!��"1�(

2��&����

3"

4���%���������������%���&� �"�����$�����"���!��'!�$������5&�"��%����'"���� �!��"(4�#�!!�����$����

�&���������������� �������������6���������������7����&!�(�������������� !�����!"������8��������"�&

��$���#��9&�����#��������������������:&����"�&���'�����������������$���&�(

����������������!!���� �����������!"����������!"��'���$����"����������������7����&!�(

AAABCB

D?EF=GHIJE=>KL

M�>NAOPQOR

�?F<DGIS=>�=TG=H=EFUFIV=

����W$���W��W���W� !���'!�W��WX�����W$��W ��%���W������&�����W���������W��W��$����W��WX(7(.(W*YZ*[-*W����&��WX(7(.W

*YZ*[-\W��W &'!��W������&�����W���������W��W��$����W��WX(7(.(W*YZ*]-*W����&��W*YZ*]-[)W�8�� �W#����W ��������W'"W

����&��W��W�����W� !���'!�W!�#)W�&��W��W$��W&��W��W#�� Z& W���&�����W �������(

.�"W �����W��W������6�����W$��W#����W���W�� !�"��W���W������W'"W#������W��������)W�8��&���W ����W��W!���)W��"W�8��&��W

�W#��%��W�$W�&'��������(Ŵ �#�%��)W$��W &� ����W�$W#��9W ��$�����W'"W���W�� !�"��W��W/����&��)W����W#��%��W�$W

�&'��������W����W���W� !"W��W��"W������&�����W���& W�$W�!����$��������W��W����������W'"W���W#��%��W�$W�����W��W����%��W

$���W������W_�&'��������̀W�&!�W��W�&�W���&�!(

����W$���W��W���W� !���'!�W��Wa�!�$�����)WX���&�9")W1�#Ŵ�� �����)W1�#Wb����")W��8��)W��Wc���( defWghijkeWkiWkildemndomkeWokWpqkrWfksWthukrhWWWWWW ktvmldohwWokWpdmxhWfksiWimlqojWkyWihukxhifWWWWWWWWW dldmejozWsewhiWdefWpimooheWukeoiduoWkiWdlihhrheoWWW fksWheohiWmeokWgimkiWokWoqhWkuusiiheuhWkyWvkjj{

|}~|�~�|�� puWWW|����������

�mrvhf�qkieWdewWdjjkumdohjzWmeu{ ehpWqdrgjqmihWmejsideuhWukrgdef

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