ACORD_Form_20250516-114400.pdf

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Master Agreement AZ|CTR066172
Contract number
CTR066172
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Brown & Brown Insurance Services, Inc. on 05/16/2025, covering Gridmatrix, Inc., with the certificate holder being the City of Phoenix Finance Department, Procurement Division. The insurance policies are underwritten by multiple carriers including Hartford Underwriters Insurance Company, Hartford Casualty Insurance Company, and Hiscox Insurance Company Inc.

The insurance coverage includes Commercial General Liability, Umbrella Liability, Workers' Compensation, and Cyber/Professional Liability policies. The policies are effective from 05/26/2025 to 05/26/2026, with various coverage limits. The Commercial General Liability policy has a $1,000,000 each occurrence limit and a $2,000,000 general aggregate limit. The Umbrella Liability provides an additional $5,000,000 in coverage. The Cyber/Professional Liability policy offers $3,000,000 in aggregate and per-claim limits, effective from 08/24/2024 to 08/24/2025. The certificate serves to inform the City of Phoenix about the insurance coverages maintained by Gridmatrix, Inc.

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Text version

05/16/2025

Brown & Brown Insurance Services, Inc.

2290 Lucien Way, Suite 400

Maitland FL 32751

Regna Johnson

(407) 660-8282 (407) 660-2012 regna.johnson@bbrown.com

Gridmatrix, Inc.

2443 Fillmore St. #380-6286

San Francisco CA 94115

Hartford Underwriters Insurance Company 30104 Hartford Casualty Insurance Company 29424 Hiscox Insurance Company Inc.

CL2542412310

A 21SBABB4BCR 05/26/2025 05/26/2026

1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000

Hired/Non-Owned Auto 1,000,000

A 10,000

21SBABB4BCR 05/26/2025 05/26/2026

5,000,000 5,000,000

B 21WECAX5MP7 05/26/2025 05/26/2026

1,000,000 1,000,000 1,000,000

C Cyber/Professional Liability

MPL5228118.24 08/24/2024 08/24/2025

Aggregate $3,000,000 Each Claim $3,000,000

City of Phoenix Finance Department, Procurement Division 251 W Washington Street

Phoenix AZ 85003

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Gridmatrix, Inc.Brown & Brown Insurance Services, Inc.

25 Certificate of Liability Insurance: Notes

D: Excess Cyber/Professional-Policy # AB-6661720-03 Effective 08/24/2024 - 08/24/2025 Aggregate Limit $2,000,000

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

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