ADSPO19-213156-COI_Komick_Enterprises_Exp._08.19.2017.pdf
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- Attached to
- Master Agreement AZ|ADSPO19-213156
- Contract number
- ADSPO19-213156
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance issued by Lockton Affinity, LLC on August 24, 2016, for Komick Enterprises, Inc. The insurance certificate involves the State of Arizona, specifically the State Procurement Office and Contact Point State Park in Lake Havasu City, AZ. The insurer is Atain Specialty Insurance, providing coverage for the named insured.
The insurance policy covers commercial general liability with a policy period from August 19, 2016, to August 19, 2017. The policy includes $2,000,000 in total coverage, with $1,000,000 per occurrence and $1,000,000 in general aggregate limits. The certificate includes the State of Arizona and its departments, agencies, boards, commissions, universities, officers, and employees as additional insureds, with a waiver of subrogation endorsement. The policy covers 22.1 acres at Contact Point State Park and provides protection for activities performed by or on behalf of the contractor.
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Text version
08/24/2016
Lockton Affinity, LLC
800-301-8814 913-652-7599Lockton Affinity, LLC
P. O. Box 879610 Kansas City, MO 64187-9610
Komick Enterprises, Inc.
815 Manhattan Ave. #D
Manhattan Beach, CA 90266
A X CIP290475 08/19/2016 08/19/2017
X
2,000,000
Included
1,000,000
1,000,000
100,000
Jennifer D. Wenger
1193138
State Procurement Office
100 North 15th Ave.
Suite 201
Phoenix, AZ 85007
Contact Point State Park, Lake Havasu City, AZ
22.1 acres the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor.
X
A waiver of subrogation endorsement, as required by this written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.
Atain Specialty Insurance 17159
20421995 1193138
File details come from the government source that posted it. Updated .