ACCEPTED CTR076760 GL,AL,WC 06.01.25-06.01.26.pdf

PDF 319 KB Posted

Attached to
Master Agreement AZ|CTR076760
Contract number
CTR076760
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package for Deloitte LLP, primarily covering Commercial General Liability, Business Auto, and Workers Compensation insurance. The policy involves multiple insurance carriers including Continental Casualty Company, Valley Forge Insurance Company, and American Casualty Company of Reading, PA. The primary certificate holder and additional insured is the State of Arizona, specifically the Arizona Department of Transportation, along with its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The policy is effective from 06/01/2025 to 06/01/2026.

The insurance coverage includes several key endorsements providing additional insured status, primary and non-contributory coverage, and waivers of subrogation for the State of Arizona. The policy covers general liability with limits of $1,000,000 per occurrence and $2,000,000 aggregate, automobile liability with a $1,000,000 combined single limit, and workers compensation coverage in multiple states including Arizona, California, Ohio, North Dakota, Washington, and Wisconsin. The policy is specifically related to Contract No. CTR076760 and provides comprehensive protection for Deloitte's operations, with the State of Arizona receiving broad protection across multiple insurance coverage types.

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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)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

1,000,000

06/01/2026

GL 6024588868

WC 6024588854 (AZ, OR, WI)

NYC-012279227-05

1,000,000

WC 6024588840 (CA)

X

X

N/A

30 Rockefeller Plaza

Attn: realestate.certrequest@marsh.com

Y

X06/01/2025

06/01/2026

06/01/2025

20508

BUA 6024588871

Stop Gap (OH, ND, WA)

C

2,000,000

1,000,000

20427 N/A

1,000,000

X

D 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

05/28/2025

06/01/2025

1,000,000

06/01/2025

Re: Award of Contract No. CTR076760.

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insured where

X

06/01/2025

1655 W. Jackson St., MD 100P

Phoenix, AZ 85007

State of Arizona

Valley Forge Insurance Company required by written contract with respect to general liability and auto liability. General and Auto Liability are primary and non-contributory over any existing insurance and limited subject to policy terms and conditions.

A

D

American Casualty Company of Reading, PA

CN102871568-STND-GAWU-25-26

10,000

06/01/2026

1,000,000

C

2,000,000

20443

1,000,000

1,000,000

06/01/2026

WC 6024588837 (AOS)

1166 Avenue of the Americas

MARSH USA, LLC.

New York, NY 10036

Deloitte Consulting LLP; Deloitte Tax LLP; Deloitte Services LP;

Deloitte LLP; Deloitte & Touche LLP;

Deloitte Transactions and Business Analytics LLP

Deloitte Financial Advisory Services LLP;

New York, NY 10112

GAP 6042880616 (OH, ND, WA)

06/01/2025

Arizona Department of Transportation

Y

A

Y

06/01/2026

06/01/2026

Continental Casualty Company

Y

Cindy Lewis Accepted

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Business Auto Policy Policy Endorsement

DELOITTE LLP

ADDITIONAL INSURED ENDORSEMENT

This endorsement modifies insurance provided under the BUSINESS AUTO COVERAGE FORM.

SCHEDULE

Name of Additional Insured Person Or Organization

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

1. Paragraph A.1. Who Is An Insured of Section II - COVERED AUTOS LIABILITY COVERAGE is amended to include as an additional insured the person or organization scheduled above.

2.

a.

The insurance provided to the additional insured is limited as follows:

The person or organization is an additional insured only with respect to "bodily injury" or "property damage" arising out of a covered "auto" and caused by your negligent acts or omissions or the negligent acts or omissions of someone, other than the additional insured, for whom you are legally liable; and

b. The person or organization is not an additional insured for the person’s or organization's own acts or omissions, nor those of anyone, other than you, for whom the person or organization is legally liable.

3. Condition 2. Duties In the Event of Accident, Claim, Suit or Loss of Section IV - BUSINESS AUTO CONDITIONS is amended to add the following conditions applicable to the additional insured:

a.

An additional insured under this endorsement will as soon as practicable:

Give us written notice of an "accident" which may result in a claim or "suit" under this insurance, and of any claim or "suit" that does result;

b. Agree to make available any other insurance the additional insured has for a “loss” we cover under this policy;

c. Send us copies of all legal papers received, and otherwise cooperate with us in the investigation, defense, or settlement of the claim or "suit"; and

d. Tender the defense and indemnity of any claim or "suit" to any other insurer or self-insurer whose policy or program applies to a “loss” we cover under this policy. But if a contract requires this insurance to be primary and non-contributory, this provision d. does not apply to insurance on which the additional insured is a Named Insured.

We have no duty to defend or indemnify an additional insured under this endorsement until we receive from the additional insured written notice of a "suit."

All other terms and conditions of the policy remain unchanged

This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy.

BUA 6024588871

Endorsement No: 70; Page: 1 of 1 Policy Page: 231 of 256

Underwriting Company: Continental Casualty Company, 151 N Franklin St, Chicago, IL 60606

Form No: CNA86085XX (06-2016) Endorsement Effective Date:

Policy No:

Policy Effective Date: 06/01/2025Endorsement Expiration Date:

© Copyright CNA All Rights Reserved.

ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY

It is understood and agreed that this endorsement amends the BUSINESS AUTO COVERAGE FORM as follows:

SCHEDULE

Name of Additional Insured Person Or Organization

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

1. In conformance with paragraph A.1.c. of Who Is An Insured of Section II - LIABILITY COVERAGE, the person or organization scheduled above is an insured under this policy.

2. The insurance afforded to the additional insured under this policy will apply on a primary and non-contributory basis if you have committed it to be so in a written contract or written agreement executed prior to the date of the “accident” for which the additional insured seeks coverage under this policy.

All other terms and conditions of the policy remain unchanged

This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy.

BUA 6024588871

Endorsement No: 53; Page: 1 of 1 Policy Page: 208 of 256

Underwriting Company: Continental Casualty Company, 151 N Franklin St, Chicago, IL 60606

Form No: CNA71527XX (10-2012) Endorsement Effective Date:

Policy No:

© Copyright CNA All Rights Reserved.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured: DELOITTE LLP

Endorsement Effective Date: 06/01/2025

SCHEDULE

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

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

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

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

BUA 6024588871

Endorsement No: 18; Page: 1 of 1 Policy Page: 88 of 256

Underwriting Company: Continental Casualty Company, 151 N Franklin St, Chicago, IL 60606

Form No: CA 04 44 10 13 Endorsement Effective Date:

Policy No:

© Copyright Insurance Services Office, Inc., 2011

Workers Compensation And Employers Liability Insurance

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

The premium charge for the endorsement is reflected in the Schedule of Operations.

All other terms and conditions of the policy remain unchanged.

This endorsement, which forms a part of and is for attachment to the policy issued by the designated Insurers, takes effect on the Policy Effective Date of said policy at the hour stated in said policy, unless another effective date (the Endorsement Effective Date) is shown below, and expires concurrently with said policy unless another expiration date is shown below.

WC 6 24588854

Endorsement No: 16; Page: 1 of 1 Policy Page: 59 of 76

Underwriting Company: Valley Forge Insurance Company, 151 N Franklin St, Chicago, IL 60606

Form No: WC 00 03 13 (04-1984) Endorsement Effective Date:

Policy No:

Copyright 1983 National Council on Compensation Insurance.

Endorsements.pdf
Deloitte 2025 AL - AI - Arizona
INSURED
CNA, AUTO
CNA86085XX (06-2016): ADDITIONAL INSURED ENDORSEMENT
Page 1
Deloitte 2025 AL - PNC - Arizona
INSURED
CNA, AUTO
CNA71527XX (10-2012): ADDITIONAL INSURED - PRIMARY AND NON-CONTRIBUTORY
Page 1
Deloitte 2025 AL - WOS - Arizona
INSURED
CNA, AUTO
CA 04 44 10 13: WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US (WAIVER OF SUBROGATION
Page 1
Deloitte 2025 GL - AI - Arizona
Deloitte 2025 GL - WOS - Arizona
Deloitte 2025 WC Retro - WOS - Arizona
INSURED
CNA, WC
WC 00 03 13: WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
Page 1

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