ACCEPTED SIR GL,AL,WC 02.06.24-02.06.25.pdf
PDF 402 KB Posted
- Attached to
- Master Agreement AZ|CTR068900
- Contract number
- CTR068900
- Issued by
- Arizona
About this file
This document is a Self-Insured Retention (SIR) Practices letter from Sunbelt Rentals, Inc. to the Arizona Department of Transportation (ADOT) located in Phoenix, Arizona. The letter outlines Sunbelt Rentals' self-insurance practices and confirms the company's authorization to self-insure under applicable regulations while operating in Arizona.
The document details Sunbelt Rentals' self-insurance coverage levels across multiple risk categories: general liability up to $5 thousand/million, automobile liability up to $2 thousand/million, and workers' compensation and employers' liability up to $1 thousand/million, all on a per occurrence basis. The company affirms it maintains adequate retained earnings to meet self-insuring obligations and agrees to provide ADOT with additional insured status. The letter also includes provisions for waiving subrogation rights and establishing the company's self-insurance as primary coverage, with the document dated 2/6/2024 and signed by Corina Byrd, Contract Administration Manager.
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Text version
Date: ___________________________
The State of Arizona Arizona Department of Transportation 1324 N. 22nd Avenue, MD 128A Phoenix, AZ 85009
RE: Self-Insured Retention (SIR) Practices for ___________________________________________
_____________________________________________, hereinafter referred to as "The Company", is a business with operations in Arizona. Based on its financial condition, The Company utilizes a self-insurance (“SIR”) mechanism as an equivalent to third-party provided insurance for portions of its insurable risk. The Company is authorized to self-insure under all applicable regulations.
Under the SIR, The Company self-insures its general liability risks for dollar amounts up to $___ thousand(s) / million (s), on a per occurrence basis.
Under the SIR, The Company self-insures its automobile liability risks for dollar amounts up to $___ thousand(s) / million(s), on a per occurrence basis.
Under the SIR, The Company self-insures its workers’ compensation and employers’ liability risks for dollar amounts up to $___ thousand(s) / million(s), on a per occurrence basis.
Under the SIR, The Company self-insures its _________________________________________________________ risks for dollar amounts up to $___ thousand(s) / million(s), on a per occurrence basis.
The Company maintains adequate levels of retained earnings or revenue to meet self-insuring obligations. Copies of financial records are available, and electronic copies will be provided upon request.
ADOT shall have additional insured status with respect to The Company's self-insured automobile and general liability coverage to the scope and extent of ISO Form CG20101185; and with all coverage required under the applicable permit(s), agreement(s), or contract(s).
The Company agrees to waive its rights of recovery in subrogation as to ADOT and/or the State of Arizona and their officials and employees for all claims, damages, losses, liabilities, or expenses relating to or arising from The Company’s activities under any ADOT permit, agreement, or contract.
The Company's self-insurance shall be primary and any insurance maintained by ADOT shall not contribute to, or be excess of, The Company’s self-insurance.
Sincerely, 2/6/2024
Sunbelt Rentals, Inc.
Sunbelt Rentals, Inc.
Contract Team
Sunbelt Rentals, Inc.
Corina Byrd Contract Administration Manager Sunbelt Rentals, Inc.
ContractTeam@sunbeltrentals.com
F0950 Accepted
File details come from the government source that posted it. Updated .