Acord_COI-Arizona.pdf

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ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

4/5/2024

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.

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).

PRODUCER

Aon Risk Insurance Services West, Inc.

San Francisco CA Office 425 Market Street Suite 2800 San Francisco CA 94105 USA

CONTACT

NAME: Debra Laird

PHONE

(A/C, No, Ext):404-648-0128

E-MAIL

ADDRESS: debra.laird@hpe.com

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : Old Republic Insurance Co 24147

INSURED

Hewlett Packard Enterprise Company 1701 E. Mossy Oaks Road Spring, TX 77389

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: LOS-002352643-06 REVISION NUMBER:

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.

INSR

LTR TYPE OF INSURANCE ADDL

INSD

SUBR

WVD POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

A X COMMERCIAL GENERAL LIABILITY

MWZY 314052-23 09/30/2023 09/30/2024 EACH OCCURRENCE $ 3,000,000

CLAIMS-MADE OCCUR DAMAGE TO RENTED

PREMISES (Ea occurrence) $ 3,000,000

MED EXP (Any one person) $ 5,000

PERSONAL & ADV INJURY $ 3,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ Not Applicable

POLICY PROJECT LOC PRODUCTS - COMP/OP AGG $ Not Applicable

OTHER: $

A AUTOMOBILE LIABILITY

MWTB 314050-23 09/30/2023 09/30/2024 COMBINED SINGLE LIMIT

(Ea accident) $ 3,000,000

X ANY AUTO BODILY INJURY (Per person) $

OWNED AUTOS SCHEDULED

AUTOS

BODILY INJURY (Per accident) $

ONLY HIRED NON-OWNED

AUTOS ONLY

PROPERTY DAMAGE

(Per accident)

AUTOS ONLY

UMBRELLA LIAB OCCUR

EACH OCCURRENCE

EXCESS LIAB CLAIMS- AGGREGATE

DED RETENTION $

A WORKERS COMPENSATION N / A MWC 314049 -23

'As respects all states, except' 'CA and Monopolistic states'

09/30/2023 09/30/2024 X PER STATUTE OTHER

AND EMPLOYERS' LIABILITY

ANYPROPRIETOR/PARTNER/EXECUTIV

E OFFICER/MEMBER EXCLUDED?

Y / N E.L. EACH ACCIDENT $ 1,000,000

Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

E.L. DISEASE - EA EMPLOYEE $ 1,000,000

E.L. DISEASE - POLICY LIMIT $ 1,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required) Evidence of Insurance

State of Arizona 1802 West Jackson Street Number 100 Phoenix, AZ is included as additional insured (except workers' compensation) where required by written contract and subject to policy terms and conditions.

Waiver of subrogation is applicable only where required by written contract and subject to policy terms and conditions.

CERTIFICATE HOLDER CANCELLATION

State of Arizona 1802 West Jackson Street Number 100 Phoenix, AZ

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

OF Aon Risk Insurance Services West, Inc.