ACORD_Form_20250516-114400.pdf
PDF 97 KB Posted
- Attached to
- 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
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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