ACCEPTED_CTR065087_GL__AL__WC__E_O_7.01.23_-_7.01.24.pdf

H o ld e r Id e n ti fi e r

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77707 07070

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64450 07763

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77777

77707 07070

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31100 77756

16335 17655

40777 77770

70007 07007

C e rt if ic a te N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

02/19/2024

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.

PRODUCER

Aon Risk Services Central, Inc.

Chicago IL Office 200 East Randolph Chicago IL 60601 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

(866) 283-7122

INSURED 20079National Fire & Marine Ins CoINSURER A:

INSURER B:

INSURER C:

INSURER D:

INSURER E:

INSURER F:

FAX

(A/C. No.): 800-363-0105

CONTACT

NAME:

R R Donnelley & Sons Company 35 West Wacker Drive, 36th Floor Chicago IL 60601 USA

COVERAGES CERTIFICATE NUMBER: 570103969373 REVISION NUMBER:

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, Limits shown are as requested

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

(MM/DD/YYYY)

SUBR

WVD

INSR

LTR

ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED

PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

GEN'L AGGREGATE LIMIT APPLIES PER:

PRO-

JECT

OTHER:

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

HIRED AUTOS

ONLY

NON-OWNED

AUTOS ONLY

BODILY INJURY ( Per person)

PROPERTY DAMAGE

(Per accident)

BODILY INJURY (Per accident)

COMBINED SINGLE LIMIT

(Ea accident)

EXCESS LIAB

OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE

DED

UMBRELLA LIAB

RETENTION

E.L. DISEASE-EA EMPLOYEE

E.L. DISEASE-POLICY LIMIT

E.L. EACH ACCIDENT

OTH-

ER

PER STATUTE

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER /

EXECUTIVE OFFICER/MEMBER N / A

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

Prof Liab/Agg.42EPP30298008 02/01/2024 02/01/2025E&O - Professional Liability - Primary

A $2,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Coverage includes Network Security and Privacy Liability (Cyber Risks), Technology E&O coverage.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEArizona Department of Transportation Attn: Suzanne Alberts 1739 W. Jackson St., Suite 100P Phoenix AZ 85007-3276 USA

ACORD 25 (2016/03)

©1988-2015 ACORD CORPORATION. All rights reserved

The ACORD name and logo are registered marks of ACO

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

e6906 Accepted

X

2,000,000

19445

XWC 1647433 (OH)

A

1,000,000

07/01/2024 X

AIU Insurance Co

EXCESS WORKERS COMP (OH)

1,000,000

N/A

Marsh | U.S. Operations

07/01/2024

CHI-009573436-12

07/01/2023

X

2,000,000

02/15/2024

1,000,000

212-948-0770

2,000,000

SIR Value

1,000,000

1,000,000

A

Chicago.CertRequest@marsh.com

07/01/2024

07/01/2023

07/01/2023

19399

AL 4594348

Limit

5,000

WC 015825089 (AOS)

500,000 terms and conditions.

Certificate Holder is/are included as additional insured where required by written contract with respect to General Liability and Auto Liability. General Liability is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured subject to policy terms and conditions. Waiver of subrogation is applicable where required by written contract and subject to policy

AND ITS SUBSIDIARIES

R.R. DONNELLEY & SONS COMPANY

36TH FLOOR (RISK MANAGEMENT)

35 W WACKER DRIVE

CHICAGO, IL 60601

2,000,000

National Union Fire Insurance Company

X

540 W. MADISON

MARSH USA LLC.

CHICAGO, IL 60661

GL 1728936

N/A

N

1324 N. 22nd Ave., Phoenix, AZ 85009

The State of Arizona or ADOT

07/01/2023

C

1,000,000

866-966-4664

X

A

07/01/2024

MARSH USA LLC.

Effective Date: 07/01/2023

-Disease-Each: $1,000,000

Limits:

Policy #: WC 015825090 (CA)

-Disease-Policy: $1,000,000

-Each Accident: $1,000,000

Workers' Compensation Continued:

-Disease-Policy: $1,000,000

Policy #: WC 015825091 (WI)

Experation Date: 07/01/2024

CHICAGO, IL 60601

-Disease-Each: $1,000,000

Limits:

Effective Date: 07/01/2023

Carrier: AIU Insurance Company

-Each Accident: $1,000,000

Carrier: AIU Insurance Company

AND ITS SUBSIDIARIES

R.R. DONNELLEY & SONS COMPANY

35 W WACKER DRIVE

Experation Date: 07/01/2024

36TH FLOOR (RISK MANAGEMENT)