ACCEPTED SIR COMP OPS, XCU 11.07.24-11.07.25.pdf

PDF 109 KB Posted

Attached to
Master Agreement AZ|CTR069670
Contract number
CTR069670
Issued by
Arizona

About this file

This document is a Self-Insured Liability letter from Helena Aqri Enterprises LLC, doing business as Helena Chemical Inc., addressed to the State of Arizona and/or ADOT (Arizona Department of Transportation). The letter is an official communication to ADOT's Risk Management department, documenting the company's self-insurance status for its business operations in Arizona.

The document outlines Helena Aqri Enterprises' self-insurance coverage for various liability risks, including a $5M self-insured limit for products liability. The company maintains adequate financial records to support its self-insurance obligations and agrees to provide electronic copies upon request. The letter confirms that ADOT will have additional insured status for automobile and general liability coverage, with the company waiving rights of recovery for claims, damages, and expenses related to ADOT permits, agreements, or contracts. The self-insured letter is valid for one year from the creation date and must be submitted annually.

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G0171 Accepted

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