ACCEPTED CTR075520 GL,AL,MEDIA LIAB 10.20.24-10.20.25.pdf

01/24/25

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.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).

PRODUCER: DELENE F MAHONEY

PROFESSIONAL INSURANCE BROKERS, INC. 623 465-5300 623 465-5933

PMB 857, 515 E. CAREFREE HWY

Delene@pibinc.com

PHOENIX, ARIZONA 85085-8839

VALLEY FORGE INSURANCE COMPANY 20508

CONTINENTAL CASUALTY COMPANY 20443

YOUR PROJECT MARKETING & OUTREACH, LLC AMERICAN CASUALTY CO OF READING, PA 20427

3550 N. CENTRAL AVENUE SUITE 1290 MOUNT VERNON FIRE INSURANCE COMPANY 26522

PHOENIX, ARIZONA 85012

COVERAGES: CERTIFICATE NUMBER: 73 REVISION NUMBER: 1-1/23/25

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.

INSR

LTR LIMITS

A X COMMERCIAL GENERAL LIABILITY $2,000,000

CLAIMS MADE X X X 7038983897 10/20/24 10/20/25 $1,000,000

$10,000

$2,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: $4,000,000

X LOC $4,000,000

OTHER

A AUTOMOBILE LIABILITY $1,000,000

ANY AUTO SCHEDULED X X 7038983897 10/20/24 10/20/25

AUTOS $

NON $

OWNED $

AUTOS

B X UMBRELLA LIAB EACH OCCURRENCE $2,000,000

X X X 7038983933 10/20/24 10/20/25 AGGREGATE $2,000,000

DED RETENTION $ $

C

Y/N X 7038983902 10/20/24 10/20/25

N N/A $1,000,000

$1,000,000

$1,000,000

D EACH CLAIM / AGGREGATE

X PROFESSIONAL LIABILITY X 10/20/24 10/20/25 $2,000,000 / 4,000,000

X MEDIA LIABILITY X 10/20/24 10/20/25 $2,000,000 / 2,000,000

Contract No. CTR075520 - the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT

As per written contract, the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are additional Insured, on a primary and non-contributory basis, as respects the General and Automobile Liability coverages;

Blanket Endorsement form SB146932-G attached. Umbrella follows form. Waiver of subrogation applies to all listed policies as per written contract.

Workers Compensation Blanket waiver form WC000313 attached. 30 day notice of cancellation applies.

CERTIFICATE HOLDER CANCELLATION

The State of Arizona/ADOT

206 S. 17th Ave

Phoenix, AZ 85007

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD.

AUTHORIZED REPRESENTATIVE

PT2001514B

E.L. DISEASE - POLICY LIMIT

PT2001514B

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

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE

DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

X PER STATUTE

OTHER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

EXCESS LIAB OCCUR

CLAIMS-MADE

WORKERS COMPENSATION AND

EMPLOYERS’ LIABILITY ANY

PROPRIETOR/PARTNER EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under

DESCRIPTION OF OPERATIONS BELOW

COMBINED SINGLE LIMIT (Ec

Accident)

ALL

OWNED

AUTOS

BODILY INJURY (Per person)

X

BODILY INJURY (Per accident)

X

HIRED

AUTOS

PROPERTY DAMAGE (Per accident)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

POLICY PROJECT PRODUCTS.COMP/OP AGG

POLICY EXP.

DATE(MM/DD/YY) DATE(MM/DD/YY)

EACH OCCURRENCE

OCCUR DAMAGE TO RENTED PREMISES

(Ec occurrence)

TYPE OF INSURANCE

ADDL

INSR

SUBR

WVO

POLICY NUMBER

POLICY EFF.

INSURER B:

INSURER C:

INSURER D:

INSURER E:

INSURER F:

EMAIL

ADDRESS:

PRODUCER

CUSTOMER ID:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURED: INSURER A:

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CONTACT

NAME:

PHONE

(A/C.No. Ext):

FAX (A/C

No)

Cindy Lewis Accepted