ACCEPTED CTR075519 MEDIA LIAB 06.21.24-06.21.25.pdf

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

2/13/2025

Professional Underwriters of AZ, Inc.

P.O. Box 5419 Scottsdale AZ 85261-5419

Jeff Gerrick 480-483-0440 480-948-7752 jeff@prounderwriters.com

License#: 1800004061 Coalition Insurance Solutions, Inc. 29530

Y2KENGI-01

Y2K Engineering, LLC 1921 S Alma School Rd #204 Mesa AZ 85210

1549715026

A Cyber Liability Y Y C-4NI7-060737-CYBER-2024 6/21/2024 6/21/2025 Per Claim Aggregate

2,000,000 2,000,000

Re: Any/All work performed for or on behalf of the State of Arizona/ADOT. On-Call Consultant for Communications. Contract No. CTR075519 Certificate holder is additional insured as indicated. Coverages afforded are primary and non-contributory basis. Waiver of subrogation included. Media Liability coverage included- $2M limit

The State of Arizona/ADOT 206 S. 17th Ave Phoenix AZ 85007

Cindy Lewis Accepted

Cindy Lewis Highlight

Cindy Lewis Highlight

Policy No.: C-4NI7-060737-CYBER-2024 Effective: 6/21/2024-6/21/2025

Jeff Gerrick Highlight

Jeff Gerrick_1

Policy No.: C-4NI7-060737-CYBER-2024 Effective: 6/21/2024-6/21/2025

ENDT NO.: 09

PRIMARY INSURANCE AND NON-CONTRIBUTORY ENDORSEMENT

Form Number SP 16 039 0618 Effective Date of Endorsement 1/31/2025 Named Insured Y2k Engineering, LLC Filing Policy Number C-4NI7-060737-CYBER-2024 Issued by (Name of Insurance Company)

Coalition Insurance Company

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

COALITION CYBER POLICY

In consideration of the premium charged for this Policy, it is hereby understood and agreed that:

SECTION X, OTHER PROVISIONS, OTHER INSURANCE, is deleted and replaced with the following:

OTHER INSURANCE This Policy is primary to, and will not seek contribution from, any other valid and collectible insurance available to you, including the self-insured retention or deductible portion of that insurance.

However, notwithstanding the foregoing, this Policy will apply excess of any other valid and collectible insurance available to you, including the self-insured retention or deductible portion of that insurance, without contribution by this Policy for any claim expenses, damages, loss, regulatory penalties, PCI fines and assessments, or any other amounts, either directly or indirectly arising out of, resulting from, based upon, or attributable to any:

1. physical injury, sickness, disease, mental anguish, emotional distress, or death of any person;

2. injury or damage to, destruction, impairment, or loss of use of any tangible property, including any computer hardware rendered unusable by a security failure;

3. discharge, dispersal, seepage, migration, release, or escape of pollutants, or any threatened discharge, seepage, migration, release, or escape of pollutants; or

SP 16 039 0618 Page 1 of 2

Cindy Lewis

[Insert Agency Branding]

4. request, demand, order, or statutory or regulatory requirement that you or others detect, report, test for, monitor, clean up, remove, remediate, contain, treat, detoxify, or neutralize, or in any way respond to, or assess the effects of pollutants; including any claim, suit, notice, or proceeding by or on behalf of any governmental authority or quasi-governmental authority, a potentially responsible party or any other person or entity for any amounts whatsoever because of detecting, reporting, testing for, monitoring, cleaning up, removing, remediating, containing, treating, detoxifying, or neutralizing, or in any way responding to, or assessing the effects of pollutants.

All other terms and conditions of this Policy remain unchanged.

This endorsement forms a part of the Policy to which attached, effective on the inception date of the Policy unless otherwise stated herein.

SP 16 039 0618 Page 2 of 2