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.
View the file
Other files
Show all 19
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
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 .