ACCEPTED SIR.pdf

This document is a Self-Insured Retention (SIR) Practices form from the Arizona Department of Transportation (ADOT) Risk Management, dated 8/11/23, pertaining to Midway Chevrolet Company 1, LLC, which operates in Arizona. The document outlines the company's self-insurance practices and confirms its authorization to self-insure under applicable regulations.

The company self-insures various liability risks on a per occurrence basis, including: general liability risks up to $2 thousand, automobile liability risks up to $2 thousand, workers' compensation and employers' liability risks up to $1 thousand, and occupational accident risks up to $5 thousand. The document stipulates that the company maintains adequate financial resources to meet these self-insuring obligations and agrees to waive rights of recovery in subrogation for ADOT and the State of Arizona. Additionally, the company's self-insurance is designated as primary, and any ADOT insurance will not contribute to or exceed the company's self-insurance coverage.