ADOT_Maint_COI_2024-2025.pdf
PDF 8 MB Posted
- Attached to
- Master Agreement AZ|CTR056668
- Contract number
- CTR056668
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance and Business Auto Insurance policy endorsement issued to Pavement Marking, LLC, with Lockton Companies, LLC serving as the insurance producer. The policy is issued by The Cincinnati Insurance Company and covers the Arizona Department of Transportation, located in Phoenix, AZ. The insurance certificates include Commercial General Liability, Automobile Liability, Umbrella Liability, and Workers' Compensation coverage, with policy effective dates from 10/1/2024 to 10/1/2025.
The insurance provides comprehensive coverage for Pavement Marking, LLC's business operations, with liability limits ranging from $1,000,000 to $5,000,000 depending on the type of coverage. The policy includes provisions for additional insured status, blanket waiver of subrogation, and coverage for hired and owned vehicles. Specific endorsements modify coverage terms, including expanded definitions of insured operations, coverage for employees using hired vehicles, and provisions for rental reimbursement and physical damage. The policy appears to be structured to meet specific contractual requirements for state transportation work, with flexible terms to accommodate various operational scenarios and potential risks associated with road marking and transportation-related services.
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Text version
Policy #: EPP0632318 caused, in whole or in part, by caused, in whole or in part, by
a. Arising out of arising out of arising out of arising out of caused, in whole or in part, b arising out of
Policy #: EPP0632318
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CinciPlus®
BUSINESS AUTO XC+®
(EXPANDED COVERAGE PLUS)
ENDORSEMENT
BUSINESS AUTO COVERAGE FORM
A. Blanket Waiver of Subrogation
SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 5. Transfer of Rights of Recovery Against Others to Us
B. Noncontributory Insurance
SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance c.
c. a.
C. Additional Insured by Contract
SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who is an Insured
D. Employee Hired Auto
1. Changes in Liability Coverage
SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who is an Insured
2. Changes in General Conditions
SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 5. Other Insurance b.
E. Audio, Visual and Data Electronic Equipment
SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limit of Insurance
4.
2.a.
F. Who is an Insured - Amended
SECTION II - LIABILITY COVERAGE, A. Coverage, 1. Who is an Insured
3.
G. Liability Coverage Extensions - Supplementary Payments - Higher Limits
SECTION II - LIABILITY COVERAGE, A. Coverage, 2. Coverage Extensions, a. Supplementary Payments
(2)
(4)
H. Amended Fellow Employee Exclusion
SECTION II - LIABILITY COVERAGE, B. Exclusions, 5. Fellow Employee
5. Fellow Employee
I. Hired Auto - Physical Damage
SECTION III - PHYSICAL DAMAGE COVERAGE
4.
J. Rental Reimbursement
SECTION III - PHYSICAL DAMAGE COVERAGE
1.
2.
3.
4.
5.
SECTION
III - PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions
A. Transportation Expense - Higher Limits
SECTION III - PHYSICAL DAMAGE COVERAGE, A. Coverage, 4. Coverage Extensions
Extension a. Transportation Expenses
B. Airbag Coverage
SECTION III - PHYSICAL DAMAGE COVERAGE, B. Exclusions, 3.a.
C. Loan or Lease Gap Coverage
1. SECTION III - PHYSICAL DAMAGE COVERAGE, C. Limit of Insurance a.
(1)
(2) b.
2. SECTION V - DEFINITIONS
Loan or Lease Gap Coverage
N. Glass Repair - Waiver of Deductible
SECTION III - PHYSICAL DAMAGE COVERAGE, D. Deductible
O. Duties in the Event of an Accident, Claim, Suit or Loss - Amended
SECTION IV - BUSINESS AUTO CONDITIONS, A. Loss Conditions, 2. Duties in the Event of Accident, Claim, Suit or Loss, a.
P. Unintentional Failure to Disclose Hazards
SECTION IV - BUSINESS AUTO CONDITIONS, B. General Conditions, 2. Concealment, Misrepresentation or Fraud
Q. Mental Anguish Resulting from Bodily Injury
SECTION V - DEFINITIONS, C. "Bodily injury"
R. Coverage for Certain Operations in Connection with Railroads
1. SECTION V - DEFINITIONS, H. 1.c.
c.
2. SECTION V - DEFINITIONS, H. 2.a.
Policy #: EWC0632319
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