ACCEPTED GL,AL,WC 06.30.23-06.30.24.pdf

PDF 520 KB Posted

Attached to
Master Agreement AZ|CTR070106
Contract number
CTR070106
Issued by
Arizona

About this file

This document is a Certificate of Insurance issued by Lawrie Insurance Group Inc. for Valley Blades Limited, a metal fabrication company based in Ontario, Canada. The insurance policy is with Northbridge Insurance and covers Valley Blades for commercial general liability, automobile liability, and umbrella insurance. The certificate names the Arizona Department of Transportation (ADOT) and the State of Arizona as additional insureds, with coverage effective from June 30, 2023 to June 30, 2024.

The insurance policy provides total liability coverage of $5,000,000 CND (approximately $3,688,875 USD), which includes a $1,000,000 Commercial General Liability (CGL) policy and a $4,000,000 Umbrella policy. The company specializes in metal fabrication, primarily manufacturing and distributing blades for construction equipment and road/snow plows. The policy includes coverage for claims made, products liability, completed operations, non-owned automobiles, and tenant's legal liability. Workers' compensation is handled through WSIB (Workplace Safety and Insurance Board) in Canada, with additional employers' liability coverage included in the policy.

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3/5/24, 1:31 PM State of Arizona Mail - RE: Valley Blades COI https://mail.google.com/mail/b/AEoRXRRwl3jel-o3BdM_VyFAJApCeICQnVphhNp8himkZfLBc8ys/u/0/?ik=4a4488c44a&view=pt&search=all&permthid… 1/3

COI Certificate of Insurance - ADOT <coicertificateofinsurance@azdot.gov>

RE: Valley Blades COI 1 message

Nicole Lezon <nlezon@lawriegroup.com> Tue, Mar 5, 2024 at 1:17 PM To: COI Certificate of Insurance - ADOT <coicertificateofinsurance@azdot.gov>

Hi Cindy, Not a problem, the $4M Umbrella does sit over the $1M Auto, bringing the total to $5,000,000 CND. The conversion works out to $3,688,875 USD.

Thanks again, From: clewis2@azdot.gov <clewis2@azdot.gov> On Behalf Of COI Certificate of Insurance - ADOT Sent: Tuesday, March 5, 2024 1:44 PM To: Nicole Lezon <nlezon@lawriegroup.com> Subject: Re: Valley Blades COI

Nicole, Does the Umbrella follow the Auto Liability as well? If so, please the conversion of the AL and the Umbrella similiar to what you were able to provide for the CGL.

Thanks, Insurance and Indemnification Unit

ADOT Risk Management

206 S. 17th Ave MD 128A

Phoenix, AZ 85007

P: 602-712-2168 | F: 602-712-6545

Email: COICertificateofInsurance@azdot.gov mailto:clewis2@azdot.gov mailto:clewis2@azdot.gov mailto:nlezon@lawriegroup.com https://www.google.com/maps/search/206+S.+17th+Ave?entry=gmail&source=g mailto:COICertificateofInsurance@azdot.gov mailto:COICertificateofInsurance@azdot.gov

Highlight https://mail.google.com/mail/b/AEoRXRRwl3jel-o3BdM_VyFAJApCeICQnVphhNp8himkZfLBc8ys/u/0/?ik=4a4488c44a&view=pt&search=all&permthid… 2/3

On Fri, Mar 1, 2024 at 12:30 PM Nicole Lezon <nlezon@lawriegroup.com> wrote:

Hi Cindy, As per our conversation;

The policy is in Canadian funds so the total Liability limit is $5,000,000 CND ($1,000,000 CGL & $4,000,000 Umbrella). The conversion works out to $3,688,875 USD The Umbrella policy does follow form and sits over the CGL bring the total Liability limits to $5,000,000 CND Workers Comp works a little differently in Canada and the equivalent is WSIB which is supplied by the government. Valley Blades does have Employers Liability which will cover off any employees exempt from WSIB

Hope that helps clarify and allows Valley Blades COI to be approved.

Thanks again, Nicole Lezon, CAIB

Account Manager - Corporate Division

Tel: 905.525.7259 ext. 1363

Toll Free: 1.800.661.1518 lawriegroup.com

Commercial Insurance | Personal Insurance | Employee Benefits & Life | Group Retirement

CONFIDENTIALITY NOTICE: This email and any attachments are confidential and protected by legal privilege. If you are not the intended recipient, any disclosure, copying, distribution or use of this email and any attachments is prohibited. If you have received this email in error, please notify the sender immediately by replying to this email and delete this copy from your system. Coverage cannot be bound, changed or deleted without confirmation from a licensed broker or by receiving written confirmation from the Lawrie Insurance Group.

mailto:nlezon@lawriegroup.com http://www.lawriegroup.com/ http://www.lawriegroup.com/ http://www.lawriegroup.com/ https://www.linkedin.com/company/lawrie-insurance-group/ https://www.linkedin.com/company/lawrie-insurance-group/ https://twitter.com/LawrieGroup https://twitter.com/LawrieGroup https://www.facebook.com/lawrieinsurancegroup/ https://www.facebook.com/lawrieinsurancegroup/ https://www.instagram.com/lawriegroup/ https://www.instagram.com/lawriegroup/ https://mail.google.com/mail/b/AEoRXRRwl3jel-o3BdM_VyFAJApCeICQnVphhNp8himkZfLBc8ys/u/0/?ik=4a4488c44a&view=pt&search=all&permthid… 3/3

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Named Insured

Legal Name Operating Name

Valley Blades Limited

Ontario Culvert & Metal Products Ltd.

Additional Interests

Loss, if any, will be payable to the insured and: Details

De Lage Landen Financial Services Canada Inc.

Loss Payee Business Personal Property

435 PHILLIP ST WATERLOO ON N2L3X2

Loss Payee with respect to Feader and Sealer (Postage Machine) under lease contract 001-0211387-000.

Bank of Montreal

Loss Payee Business Personal Property

2060 70 AVE NW EDMONTON AB T6P1N6

With respect to building at location 2060 70 AVE NW

EDMONTON AB T6P1N6

Additional Insureds

DetailsThe following are added as additional insured subject to the policy terms and conditions.

The State of Arizona

1801 JEFFERSON PHOENIX AZ 85007

Arizona Department of Transportation, the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees is/are added as an Additional Insured to the Commercial General Liability policy but only with respect to the operations of Valley Blades Ltd.

Northbridge Insurance® page 14 of 260Policy Number: P04150856-2 | Policy Effective: June 30, 2023 | Policy Expiration: June 30, 2024, 12:01 am ® and TM Trademarks of Northbridge Financial Corporation ("Northbridge"). Used under licence from Northbridge.

* Your Northbridge Insurance policy underwritten by Northbridge General Insurance Corporation.

[Form # CC0002E01] nicolel

Property Damage Liability, such payments will not be deemed to be damages for “bodily injury” and “property damage” and will not reduce the limits of insurance.

Our obligation to defend an insured’s indemnitee and to pay for legal fees and necessary litigation expenses as Supplementary Payments ends when:

a. We have used up the applicable limit of insurance in the payment of judgments or settlements; or

b. The conditions set forth above, or the terms of the agreement described in Paragraph f. above, are no longer met.

SECTION II – WHO IS AN INSURED

1. If you are designated on the Declarations as:

a. An individual, you and your spouse are insureds, but only with respect to the conduct of a business of which you are the sole owner.

b. A partnership, limited liability partnership or joint venture, you are an insured. Your members, your partners, and their spouses are also insureds, but only with respect to the conduct of your business.

c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers.

d. An organization other than a partnership, limited liability partnership, joint venture or limited liability company, you are an insured. Your “executive officers” and directors are insureds, but only with respect to their duties as your officers or directors. Your shareholders are also insureds, but only with respect to their liability as shareholders.

If you are an organization other than a partnership, limited liability company or joint venture, any of your subsidiary companies or any company over which you exercise control and actively manage will qualify as an insured only if other valid and collectible insurance does not apply.

e. A trust, you are an insured. Your trustees are also insureds, but only with respect to their duties as trustees.

2. Each of the following is also an insured:

a. Your “volunteer workers” only while performing duties related to the conduct of your business, or your employees, other than either your “executive officers” (if you are an organization other than a partnership, limited liability partnership, joint venture or limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. However, none of these employees or “volunteer workers” are insureds for:

(1) “Bodily injury” or “personal and advertising injury”:

(a) To you, to your partners or members (if you are a partnership, limited liability partnership or joint venture), to your members (if you are a limited liability company), to a co-employee while in the course of his or her employment or performing duties related to the conduct of your business, or to your other “volunteer workers” while performing duties related to the conduct of your business;

(b) To the spouse, child, parent, brother or sister of that co-employee or “volunteer worker” as a consequence of Paragraph (1) (a) above;

(c) For which there is any obligation to share damages with or repay someone else who must pay damages because of the injury described in Paragraphs (1)(a) or (b) above;

(d) Arising out of his or her providing or failing to provide professional health care services; or

(e) To any person who at the time of injury is entitled to benefits under any workers’ compensation or disability benefits law or a similar law.

(2) “Property damage” to property that is:

(a) Owned, occupied or used by,

(b) Rented to, in the care, custody or control of, or over which physical control is being exercised for any purpose by you, any of your employees, “volunteer workers”, any partner or member (if you are a partnership, limited liability partnership or joint venture), or any member (if you are a limited liability company).

b. Any person (other than your employee or “volunteer worker”), or any organization while acting as your real estate manager.

c. Any person or organization having proper temporary custody of your property if you die, but only:

(1) With respect to liability arising out of the maintenance or use of that property; and

(2) Until your legal representative has been appointed.

d. Your legal representative if you die, but only with respect to duties as such. That representative will have all your rights and duties under this Form.

Northbridge Insurance® page 177 of 260Policy Number: P04150856-2 | Policy Effective: June 30, 2023 | Policy Expiration: June 30, 2024, 12:01 am ® and TM Trademarks of Northbridge Financial Corporation ("Northbridge"). Used under licence from Northbridge.

* Your Northbridge Insurance policy underwritten by Northbridge General Insurance Corporation.

[Form # CL0001E01]

e. Your “unit” owners and any tenants, but only with respect to the conduct of the “condominium corporation” for liability arising out of the common property, excluding property designated for exclusive use.

3. Any organization you newly acquire or form, other than a partnership, limited liability partnership or joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar insurance available to that organization. However:

a. Coverage under this provision is afforded only until the 90th day after you acquire or form the organization or the end of the policy period, whichever is earlier;

b. Coverage A and D does not apply to “bodily injury” or “property damage” that occurred before you acquired or formed the organization; and

c. Coverage B does not apply to “personal and advertising injury” arising out of an offence committed before you acquired or formed the organization.

4. Members of any insured company sponsored social or recreational activities, club or association.

5. a. Any person, firm or organization (hereinafter called Additional Insured) for whom you have contracted to provide liability insurance. Coverage under this provision is afforded as per the present Form’s terms, limits and conditions and only with respect to your premises, your properties or “your work”.

b. Any person or organization (hereinafter called Additional Insured) with whom you agree in a written equipment lease or rental agreement to name as an insured is an insured with respect to liability arising out of the maintenance, operation, or use by you of the equipment leased to you by such person or organization, subject to the following additional exclusions:

The insurance provided under 5. a. and b. above does not apply to:

i. “Bodily injury”, “property damage”, or “personal and advertising injury” occurring after you cease to lease the equipment.

ii. “Bodily injury”, “property damage”, or “personal and advertising injury” arising out of the sole negligence of the Additional Insured.

iii. “Property damage” to property that is:

1) Owned, used, or occupied by or rented to the Additional Insured; or

2) In the care, custody, or control of the Additional Insured or over which the Additional Insured is for any purpose exercising physical control.

No person or organization is an insured with respect to the conduct of any current or past partnership, limited liability partnership, joint venture or limited liability company that is not shown as a Named Insured on the Declarations.

SECTION III – LIMITS OF INSURANCE

1. The Limits of Insurance shown on the “schedule” and the rules below fix the most we will pay regardless of the number of:

a. Insureds;

b. Claims made or “actions” brought; or

c. Persons or organizations making claims or bringing “actions”.

2. The General Aggregate Limit is the most we will pay for the sum of:

a. Damages under Coverage A, except damages because of “bodily injury” or “property damage” included in the “products-completed operations hazard”;

b. Damages under Coverage B; and

c. Medical expenses under Coverage C.

3. The Products-Completed Operations Aggregate Limit is the most we will pay under Coverage A for damages because of “bodily injury” and “property damage” included in the “products-completed operations hazard”.

4. Subject to 2. or 3. above, whichever applies, the Each Occurrence Limit is the most we will pay for the sum of:

a. Damages under Coverage A; and

b. Medical expenses under Coverage C because of all “bodily injury” and “property damage” arising out of any one “occurrence”.

5. Subject to 2. above, the Personal and Advertising Injury Limit is the most we will pay under Coverage B for the sum of all damages because of all “personal and advertising injury” sustained by any one person or organization.

6. The Tenants’ Legal Liability Limit is the most we will pay under Coverage D for damages because of “property damage” to any one premises.

7. Subject to 4. above, the Medical Payments Limit is the most we will pay under Coverage C for all medical expenses because of “bodily injury” sustained by any one person.

Northbridge Insurance® page 178 of 260Policy Number: P04150856-2 | Policy Effective: June 30, 2023 | Policy Expiration: June 30, 2024, 12:01 am ® and TM Trademarks of Northbridge Financial Corporation ("Northbridge"). Used under licence from Northbridge.

* Your Northbridge Insurance policy underwritten by Northbridge General Insurance Corporation.

[Form # CL0001E01]

(e) Other Insurance

If, on the happening of any loss or damage to insured property there is in force any other insurance covering the same interest and such other insurance is:

(i) concurrent in terms, provisions and conditions with insurance afforded by this Form, our liability hereunder shall be limited to our rateable proportion of such claim; or

(ii) other than described in (i) above, this Form will apply only as excess insurance over any other valid and collectible insurance that would apply in the absence of this Form.

(f) Insurance Under More Than One Coverage, Form or Endorsement

In the event of loss or damage to property insured under the terms of this Form, we will not, under any circumstances, be liable for more than the actual loss sustained by you, even though more than one Form applies to such loss.

Unless specified otherwise, if a loss insured under any coverage, Coverage Extension or endorsement of this Form also involves a loss under any other coverage or Coverage Extension of this Form, any other Form, its Coverage Extensions or any endorsement, then, the maximum limit of insurance will not exceed the highest applicable limit under any one coverage, Coverage Extension or endorsement.

(g) Claims Against Third Parties

In the event of any loss of or damage to the property insured under the terms of this Form, you must immediately make a claim in writing against the carrier(s), bailee(s) or others involved.

(h) No Benefit To Bailee

It is warranted by you that this Form will in no way be used directly or indirectly to the benefit of any carrier or other bailee for hire.

(i) Loss Payable Clause

Loss, if any, will be adjusted with and payable to you unless another payee is specifically named.

(j) Property of Others

At our option, any loss may be paid to you or adjusted with and paid to your customer or the owner of the property.

(k) Abandonment

There can be no abandonment to us of any property.

(l) Reinstatement

Loss under any item of this Form will not reduce the applicable amount of insurance without payment of additional premium. The premium applicable to the amount of any loss payment will be fully earned up to the Policy expiration date.

This clause does not increase or otherwise amend any aggregate amount(s) specified on the “schedule” or any amounts that we have indicated are the most we will pay during the policy period.

(m) Subrogation

(i) We, upon making any payment or assuming liability for payment under this Form, will be subrogated to all your rights of recovery against others and may bring action to enforce such rights. We shall have the right to control such subrogation. Following loss or damage, you will not take any action or inaction that harms or prejudices your or our rights of recovery against others.

All rights of subrogation with respect to insurance provided by this Form are waived against:

(1) any corporation, firm, individual or other interest;

(2) if the “scheduled risk location” is a condominium building:

a) the “condominium corporation”, its Directors, Property Managers, agents and employees; and

b) the owner of a “unit” and, if residents of the household of the owner of a “unit”, his or her spouse, the relatives of either and any person under the age of 21 in the care of an owner of a “unit” or his or her spouse provided that the “Condominium Corporation” has waived its right of legal action against such persons prior to the loss. However this waiver of subrogation does not apply to loss or damage with respect to Section 7. EXCLUSIONS A. Excluded Perils (l) dishonest or criminal acts exclusion;

for whom insurance is provided by this Form. If the “scheduled risk location” is a condominium building, independent contractors will not be considered agents or employees of the “condominium corporation”, its Directors, Property Managers, or of the “unit” owners.

(ii) Where the net amount recovered, after deducting the costs of recovery, is not sufficient to provide a complete indemnity for the loss or damage suffered, that amount will be divided between us and yourself in the proportion in which the loss or damage has been borne by each party respectively.

Northbridge Insurance® page 67 of 260Policy Number: P04150856-2 | Policy Effective: June 30, 2023 | Policy Expiration: June 30, 2024, 12:01 am ® and TM Trademarks of Northbridge Financial Corporation ("Northbridge"). Used under licence from Northbridge.

* Your Northbridge Insurance policy underwritten by Northbridge General Insurance Corporation.

[Form # CP0001E05]

PRIMARY AND NONCONTRIBUTORY - OTHER INSURANCE CONDITION

Primary And Noncontributory – Other Insurance Condition

This Endorsement is attached to, forms part of and modifies the insurance provided under the Commercial General Liability Form, and is subject to the definitions, exclusions, provisions and conditions of the Commercial General Liability Form.

If the sequencing of any added clause in this Endorsement is in conflict with the sequencing of the respective clause of the Commercial General Liability Form and any endorsements attached thereto, then this Endorsement is changed to the next available sequencing.

SECTION

1. AMENDED OTHER INSURANCE CLAUSE

This Endorsement modifies insurance the Commercial General Liability Form, Section IV – COMMERCIAL GENERAL LIABILITY CONDITIONS Part 4. Other Insurance by adding the following:

d. Primary and Noncontributory Insurance

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

1) The additional insured is a Named Insured under such other insurance; and

2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.

All other terms and conditions remain unchanged.

Northbridge Insurance® page 35 of 260Policy Number: P04150856-2 | Policy Effective: June 30, 2023 | Policy Expiration: June 30, 2024, 12:01 am ® and TM Trademarks of Northbridge Financial Corporation ("Northbridge"). Used under licence from Northbridge.

* Your Northbridge Insurance policy underwritten by Northbridge General Insurance Corporation.

[Form # CC0002E01]

1
Pages from 2023-2024 Commercial Business, Automobile & Garage Automobile Renewal-2
Pages from 2023-2024 Commercial Business, Automobile & Garage Automobile Renewal-3
Pages from 2023-2024 Commercial Business, Automobile & Garage Automobile Renewal

File details come from the government source that posted it. Updated .