Advanced_Monitoring_Methods_LLC_-_General-Auto-Umbrella-Professional__03.15.24_.pdf

PDF 1 MB Posted

Attached to
Master Agreement AZ|CTR051175
Contract number
CTR051175
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Capitol Specialty Insurance Corporation for Advanced Monitoring Methods LLC, located in Castle Pines, Colorado. The certificate is dated March 28, 2023, and names the Arizona Department of Emergency and Military Affairs as the certificate holder. The insurance policies cover commercial general liability, automobile liability, umbrella liability, and professional liability, with various insurers including Capitol Specialty Insurance Corporation and Artisan and Truckers Casualty Company.

The insurance policies are effective from March 15, 2023, to March 15, 2024, with coverage limits ranging from $500,000 to $4,000,000 depending on the type of liability. The commercial general liability policy includes additional insured provisions for the Arizona Department of Emergency and Military Affairs when required by written contract. The professional liability coverage provides $1,000,000 per claim and $2,000,000 in aggregate. The policy includes waivers of subrogation and primary non-contributory coverage for additional insureds, ensuring comprehensive protection for the named entities during the contract period.

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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

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

3/28/2023

AssuredPartners Design Professionals Insurance Services LLC 19689 7th Ave NE, Ste 183 PMB #369 Poulsbo WA 98370

Julia Ardon 360-626-2956 360-626-2956 julia.ardon@assuredpartners.com

Capitol Specialty Insurance Corporation 10328 24097 Artisan and Truckers Casualty Company 10194

Advanced Monitoring Methods LLC 850 Shady Oak Lane Castle Pines CO 80108

1385913532

A X 4,000,000 X 50,000

5,000

4,000,000

4,000,000 X

EV20180271-06 3/15/2023 3/15/2024

4,000,000

B 500,000

X

X X

955486044 1/14/2023 1/14/2024

A X 1,000,000 X

EX20180311-06 3/15/2023 3/15/2024

1,000,000

A Professional Liab; Claims Made EV20180271-06 3/15/2023 3/15/2024 Per Claim Aggregate

$1,000,000 $2,000,000

Certificate Holder(s) is/are an Additional Insured on the Commercial General Liability, Contractors Pollution Liability and Auto Liability when required by written contract or agreement regarding activities by or on behalf of the Named Insured. The Commercial General Liability insurance is primary insurance and any other insurance maintained by the Additional Insured shall be excess only and non-contributing with this insurance. A waiver of subrogation applies to the Commercial General Liability, Contractors Pollution Liability, Auto Liability and Excess Liability in favor of the Additional Insured

Arizona Department of Emergency and Military Affairs 5636 East McDowell Road Phoenix AZ 85008

USA

File details come from the government source that posted it. Updated .