ADOA_Obodo_Energy_Partners__LLC_2526_GL_AL_EXC_WC_wAI_P_12-10-2025_900971744.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR079825
- Contract number
- CTR079825
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate and associated endorsements for Obodo Energy Partners, LLC, covering various insurance policies issued by multiple insurers including Colony Insurance Company, Employers Preferred Insurance Co., and Old Guard Insurance Company. The certificate is issued for a contract with the Arizona Department of Transportation's General Services Division, specifically related to Solicitation No. BPM007194 for Solar Energy Systems. The State of Arizona is listed as an additional insured, with coverage extending to the state's departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
The insurance policies include Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, and Workers' Compensation, with policy periods ranging from September 2025 to December 2025. The policies provide various coverage limits, with general liability set at $1,000,000 per occurrence and $2,000,000 aggregate, automobile liability at $1,000,000, and excess liability at $3,000,000. The policies include provisions for additional insured status, waiver of subrogation, and primary and non-contributory coverage as required by the contract. The endorsements specifically relate to solar energy systems, with coverage designed to protect the state and its entities during the performance of the contracted services.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| BPM007194 - Contract Documents.pdf | ||
| Contract_Summary_Document_-_Solar_Energy_Systems.pdf | ||
| BPM007194_Pricing_Obodo_Energy_BAFO__1_.xlsx | XLSX spreadsheet | |
| Exhibit_A_-_Secondary_Contractor_Selection_for_a_Project.docx | DOCX document | |
| BPM007194 - O&A - Obodo FE.pdf |
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Text version
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
12/10/2025
INSURICA Insurance Services LLC 4686 E. Van Buren St., #310 Phoenix AZ 85008
Certificates 602-273-1625 602-273-0212 certs@INSURICA.com
Colony Insurance Company 39993 OBODENE01C Employers Preferred Insurance Co. 10346
Obodo Energy Partners, LLC 4451 E. Campbell Avenue Phoenix AZ 85018
Old Guard Insurance Company 17558
900971744
A X 1,000,000 X 100,000
5,000
1,000,000
2,000,000 X X
Y Y PACES4287734 9/18/2025 9/18/2026
2,000,000
C 1,000,000
X X X
Y Y 457378R 12/11/2025 12/11/2026
A X X 3,000,000 X
Y EXC4288254 9/18/2025Y 9/18/2026
3,000,000
Auto Liab Sublimit 1,000,000 B X
N
Y EIG571602301 10/2/2025 10/2/2026
1,000,000
1,000,000
1,000,000
Certificate Holder is defined as additional insured with respects to the general, auto and excess liability if required or agreed to in a written contract subject to all provisions and limitations of the policy. General and auto liability coverage is primary and non-contributory if required or agreed to in a written contract subject to all provisions and limitation of the policy. A Waiver of subrogation in favor of Certificate Holder applies to the general, auto and excess liability and employers liability/workers compensation liability if required or agreed to in a written contract subject to all provisions and limitation of the policy. Per attached forms:
EPACE001 04/15; CA7078 05/18; CA0449 11/16; CA0444 10/13; XPCOVFORM 08/15; XP165 08/15; WC000313 04/84.
RE: Solicitation No. BPM007194, Solar Energy Systems. Additional Insured: The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. Waiver of subrogation applies in favor of the additional insured.
Arizona Department of Transportation General Services Division 1400 W Washington St, #B200 Phoenix AZ 85007
Policy No: PACES4287734 Obodo Energy Partners, LLC
Policy No: PACES4287734
Policy No: PACES4287734
Includes copyrighted material of CA 70 78 05 18 Insurance Services Office, Inc. with its permission. Page 1 of 4
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
BUSINESS AUTO EXPANDED ENDORSEMENT
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
SCHEDULE
The coverage provided by this endorsement is summarized below and is intended to provide a general coverage description only. For the details affecting each coverage, please refer to the terms and conditions in this endorsement.
A. Who Is An Insured broadened:
Additional Insured by Contract, Agreement or Permit Legally Incorporated Subsidiaries Newly Acquired Organizations
B. Supplementary Payments Bail Bonds - $5000 Loss of Earnings - $500
C. Fellow Employee Exclusion Amendment D. Coverage Extensions
Transportation Expenses Personal Effects (Excess Basis)
E. Additional Coverages Expenses paid for returning a stolen covered auto Fire Department Service Charge
F. Airbag Coverage - Accidental Discharge G. Knowledge and Notice of an Accident, Claim or Suit H. Unintentional Failure To Disclose Hazards I. Worldwide Coverage J. Definitions
Bodily Injury Redefined
In addition to the policy amendments contained in A. through J. listed above, the endorsements listed below will automatically be attached to your policy to complete the coverage provided by the Business Auto Expanded Endorsement.
Audio, Visual and Data Electronic Equipment Coverage Added Limits - CA 99 60 Auto Loan/ Lease Gap Coverage - CA 20 71 Business Interruption Coverage – CA 99 05 Drive Other Car Coverage - Broadened Coverage For Named Individuals - (Executive Officers and Spouse/members of that person’s household) - CA 99 10 Employee Hired Autos - CA 20 54 Employees As Insureds - CA 99 33 Hired Auto Physical Damage (Refer to Auto Declarations page) Rental Reimbursement Coverage - CA 99 23 Waiver of Transfer of Rights of Recovery (Waiver of Subrogation) - CA 04 44
A. WHO IS AN INSURED BROADENED
SECTION II - COVERED AUTOS
LIABILITY COVERAGE, Item A. Coverage,
1. Who is An Insured is amended to include the following additional paragraphs:
d. Any legally incorporated subsidiary of
Policy No. 457378R
Insurance Services Office, Inc. with its permission. Page 2 of 4 yours in which you own more than 50% of the voting stock on the effective date of this endorsement.
However, "insured" does not include any subsidiary that is an "insured" under any other liability policy or would be an "insured" under such a policy but for its termination or the exhaustion of its limit of insurance. Coverage under this provision is afforded only for the first 180 days after you acquire or form the organization or until the end of the policy period, whichever comes first.
e. Any organization you newly acquire or form, other than a partnership or joint venture, and over which you maintain ownership or a majority interest.
However, coverage under this provision:
(1) Does not apply if the organization you acquire or form is an "insured" under another auto liability policy or would be "insured" under such a policy but for its termination or the exhaustion of its limits of insurance;
(2) Does not apply to "bodily injury" or "property damage" that occurred before you acquired or formed the organization; and
(3) Is afforded only for the first 180 days after you acquire or form the organization or until the end of the policy period, whichever comes first.
f. Any person or organization with whom you agreed in writing in a contract, agreement or permit, to provide insurance such as is afforded under this policy.
This provision only applies if the written contract or agreement has been executed or permit has been issued, prior to the "bodily injury" or "property damage".
B. SUPPLEMENTAL PAYMENTS
SECTION II - COVERED AUTOS
LIABILITY COVERAGE Item A. Coverage,
2. Coverage Extensions, a.
Supplementary Payments,
(2) and (4) are deleted and replaced with the following:
(2) Up to $5,000 for cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds.
(4) All reasonable expenses incurred by the
"insured" at our request, including actual loss of earnings up to $500 per day because of time off from work.
C. FELLOW EMPLOYEE EXCLUSION
AMENDMENT
SECTION II - COVERED AUTOS LIABILITY
COVERAGE, item B. Exclusions, 5. Fellow Employee does not apply if the "bodily injury" results from the use of a covered "auto" you own or hire.
D. COVERAGE EXTENSIONS
SECTION Ill - PHYSICAL DAMAGE COVERAGE, Item A. Coverage, 4.
Coverage Extensions, a.
Transportation Expenses is replaced with the following:
a. Transportation Expenses
We will pay up to $100 per day to a maximum of $1,800 for transportation expense incurred by you cause of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss".
The following is added to Item 4.
Coverage Extensions:
c. Personal Effects
We will pay up to $500 for the "loss" of your personal effects that are contained in a covered "auto" due to the total theft of the covered "auto." We will pay only for those personal effects that are contained in covered "autos" for which you carry either Comprehensive or Specified Causes Of Loss Coverage.
Our payment for "loss" of or damage to personal effects will apply only on an excess basis over other collectible insurance.
E. ADDITIONAL COVERAGES
SECTION Ill - PHYSICAL DAMAGE COVERAGE, A. Coverage, is
Insurance Services Office, Inc. with its permission. Page 3 of 4 amended to include the following additional coverage items:
5. We will pay the expense of returning a stolen covered "auto" to you.
6. Fire Department Service Charge
When a fire department is called to save or protect a covered "auto", its equipment, its contents or occupants from a Covered Cause Of Loss, we will pay up to $1,000 for your liability for Fire Department Service Charges:
(a) Assumed by contract or agreement prior to loss; or
(b) Required by local ordinance.
No deductible app l i es to this additional coverage.
F. AIRBAG COVERAGE - ACCIDENTAL
DISCHARGE
SECTION Ill - PHYSICAL DAMAGE COVERAGE, Item B. Exclusions, subparagraph 3.a. is deleted and replaced with the following:
(a) Wear and tear, freezing, mechanical or electrical breakdown.
Mechanical breakdown does not apply to the accidental discharge of an airbag.
G. KNOWLEDGE AND NOTICE OF AN
ACCIDENT, CLAIM OR SUIT
SECTION IV - BUSINESS AUTO
CONDITIONS, Item A. Loss Conditions is amended as follows:
Subparagraph a. under Item 2. Duties In The Event Of Accident, Claim, Suit Or Loss, is amended to include the following paragraphs:
This requirement applies when the "accident," claim, "suit" or "loss" is first known to:
(1) You, if you are an individual;
(2) A partner, if you are a partnership; or
(3) An executive officer or insurance manager, if you are a corporation.
Subparagraph b. (2) under 2. Duties In The Event Of Accident, Claim, and Suit Or Loss are amended as follows:
(2) Immediately send us copies of any request, demand, order, notice, summons or legal paper received concerning the c l a i m or “suit."
Your employees may know of documents received concerning a claim or "suit".
This will not mean that you have such ledge, unless receipt of such documents is known to you, any of your executive officers or partners or your insurance manager.
H. UNINTENTIONAL FAILURE TO
DISCLOSE HAZARDS
Under SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions,
2. Concealment, Misrepresentation Or Fraud is amended to include the following additional paragraph:
If you unintentionally fail to disclose any hazards existing at the inception date of your policy, we will not deny coverage under this Coverage Part because of such failure.
I. WORLDWIDE COVERAGE
Under SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 7. Policy Period, Coverage Territory, subparagraph (5) is deleted and replaced with the following:
(4) Anywhere in the world, if:
(a) A covered "auto" of the private passenger type is leased, hired, rented or borrowed without a driver for a period of 45 days or less; and
(b) The "insured's" responsibility to pay damages is determined in a "suit" on the merits, in the United States of America, the territories and possessions of the United States of America, Puerto Rico or Canada or in a settlement we agree to.
(c) If, for such "autos" a "suit" is brought outside the territory described in 7.(1) through 7.(4) above, we will reimburse the
Insurance Services Office, Inc. with its permission. Page 4 of 4 insured for defense expenses incurred with our written consent, but we will make no payment, nor will we reimburse the insured for damages.
J. DEFINITIONS
Under SECTION V - DEFINITIONS, Item C. is replaced by the following:
C. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including mental anguish, men ta l in ju ry or death resulting from any of these. "Bodily injury" includes men ta l angu i sh or other mental injury resulting from "bodily injury".
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY -
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply un-less modified by the endorsement.
A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance - Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance avail-able to an "insured" under your policy pro-vided that:
1. Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contrib-ution from any other insurance available to such "insured".
B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:
This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "in-sured" under your policy provided that:
1. Such "insured" is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contrib-ution from any other insurance available to such "insured".
© Insurance Services Office, Inc., 2016 CA 04 49 11 16
Policy No. 457378R
POLICY NUMBER: 457378R COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured: Obodo Energy Partners LLC Endorsement Effective Date: 12-11-2025
SCHEDULE
Name(s) Of Person(s) Or Organization(s): Automatic status when required by contract
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
Policy No. EXC4288254
Policy No: EXC4288254
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
This endorsement, effective
Policy No.
Endorsement No.Issued to
Premium
By:
Carrier Code
(Ed. 4-84)
Authorized Representative Countersigned at on at 12:01 AM standard time, forms a part of
Of the
WC 00 03 13
© 1983 National Council on Compensation Insurance.
Schedule
With respect to all employees subject to the workers' compensation laws of the state of ARIZONA, any person or organization for whom the Named Insured has agreed by written contract to furnish this waiver.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
10/02/2025
EIG 5716023 01
OBODO ENERGY PARTNERS, LLC
EMPLOYERS PREFERRED INS. CO.
31283
File details come from the government source that posted it. Updated .