ACCEPTED CTR69469 GL, AL,WC 11.01.23 - 11.01.24 (1).pdf

PDF 5 MB Posted

Attached to
Master Agreement AZ|CTR069469
Contract number
CTR069469
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Reseco Insurance Advisors, LLC for McGrath Companies, Inc. DBA Canyon State Bus Sales, with The Travelers Indemnity Company of Connecticut and Travelers Property Casualty Company of America as primary insurers. The certificate is for the benefit of the State of Arizona or Arizona Department of Transportation, covering the period from November 1, 2023 to November 1, 2024.

The insurance provides comprehensive coverage including Commercial General Liability with a $1,000,000 per occurrence limit and a $3,000,000 general aggregate limit, Automobile Liability with a $1,000,000 combined single limit, and Umbrella/Excess Liability with a $10,000,000 limit. Workers' Compensation is also included with statutory coverage. The policy includes additional insured provisions for the certificate holder, specifically the State of Arizona/ADOT, on a primary and non-contributory basis. The coverage applies to any and all work performed for or on behalf of the State of Arizona/ADOT, with a waiver of subrogation in favor of the certificate holder.

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Text version

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

2/2/2024

Reseco Insurance Advisors, LLC 7901 N. 16th Street, Suite 100 Phoenix AZ 85020

602-753-4250 602-419-2242 certificates@resecoadvisors.com

Travelers Indemnity Company of CT 25682 CANYONS-01 Travelers Property Casualty Co of Amer 25674

McGrath Companies, Inc. DBA Canyon State Bus Sales 5600 W Claremont St Glendale AZ 85301

AmTrust North America 15954

1704856917

A X 1,000,000 X 300,000

5,000

1,000,000

3,000,000 X

AD-2X477670 11/1/2023 11/1/2024

2,000,000

A 1,000,000

X Sym 10

AD-2X477670 11/1/2023 11/1/2024

B X X 10,000,000CUP-2X602332 11/1/2023 11/1/2024

10,000,000 X 0

C X

N

KWC1300597 11/1/2023 11/1/2024

1,000,000

1,000,000

1,000,000

Auto Liability Symbol 10: Contingent Liability Coverage for any “Leased Auto” that is leased for 6 months or longer.

Certificate holder is hereby included as Additional Insured with respects to the General Liability, and Excess/Umbrella Liability on a primary and non-contributory basis if required by written contract subject to all provisions and limitations of the policy. Waiver of Subrogation in favor of Certificate Holder applies to the General Liability, and Employers Liability/Workers Compensation if required by written contract subject to all provisions and limitations of the policy.

RE: Must state that the insurance applies to any and all work performed for or on behalf of the State of Arizona/ADOT

The State of Arizona or Arizona Department of Transportation 1324 N. 22nd Ave MD 128A Phoenix AZ 85009 e6906 Accepted

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