ACCEPTED CTR062322 GL, AL,WC 01.01.24 - 01.01.25 .pdf
PDF 8 MB Posted
- Attached to
- Master Agreement AZ|CTR062322
- Contract number
- CTR062322
- Issued by
- Arizona
About this file
This document is a comprehensive Certificate of Liability Insurance issued by Sentry Select Insurance Company for Global Machinery Investors LTD, with The State of Arizona or ADOT (Arizona Department of Transportation) named as the certificate holder. The insurance covers multiple liability types including Commercial General Liability, Commercial Auto, Workers Compensation, Cyber Liability, and Data Breach Response, with policy effective dates from 01/01/2024 to 01/01/2025.
The contract specifically relates to a solicitation (number 4560) for Landscape & Utility Vehicles, Trailers & Equipment. The insurance policies provide various coverage limits, with notable provisions including additional insured status for the State of Arizona across different liability types, primary and non-contributory coverage, and waivers of subrogation. The policies extend comprehensive protection for activities performed by or on behalf of the contractor, with policy aggregate limits ranging from $1,000,000 to $9,000,000 depending on the specific type of coverage. The insurance is designed to protect both Global Machinery Investors LTD and the State of Arizona across multiple operational risk scenarios.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR062322_Contract_Amendment_Summary_Three__3_.pdf | ||
| CTR062322_Contract_Documents.pdf | ||
| 2024-01-01 COI.pdf | ||
| 2023-08-01 COI.pdf | ||
| CTR062322_Contract_Amendment_Summary_One__1_.pdf | ||
| CTR062322_Pricing.xls | XLS spreadsheet | |
| CTR062322_Contract_Amendment_Summary_Two__2_.pdf |
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Text version
e6906 Accepted
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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
9/20/2024
AssuredPartners Colorado 4582 S. Ulster St., Suite 600 Denver CO 80237
877-418-4604 SupportWest1@assuredpartners.com
Technology Insurance Company, Inc. 42376
GLOBMAC-01
Global Machinery Holdings, Ltd 705 W. 62nd Ave.
Denver CO 80216
900051456
A XY TWC4296578 8/1/2024 8/1/2025
1,000,000
1,000,000
1,000,000
A Waiver of Subrogation applies in favor of The State of Arizona or ADOT with respects to Workers Compensation only if required by direct written contract with the named insured.
The State of Arizona or ADOT 1324 N. 22nd Ave.
Phoenix, AZ 85009
COMMERCIAL GENERAL LIABILITY
CG 20 01 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
LIQUOR LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
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.
© Insurance Services Office, Inc., 2018 Page 1 of 1CG 20 01 12 19 11/10/20232555431
Sentry Select Insurance Company 00001 0000000000 23314 0 N1 7b24c40e-11fd-4c3a-900c-551242a8b2537b24c40e-11fd-4c3a-900c-551242a8b253
CG2001_12-19 Primary And Noncontributory - Other Insurance Condition
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