Advanced_Monitoring_Methods_LLC_-_General_-Professional__Exp_03.15.26__Workers__Exp_08.01.26_.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR078399
- Contract number
- CTR078399
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for Advanced Monitoring Methods LLC, based in Castle Pines, Colorado, with coverage provided by Beazley Excess and Surplus Insurance, Inc. and Pinnacol Assurance. The primary certificate holder is the State of Arizona Department of Emergency and Military Affairs, located in Phoenix, Arizona. The insurance policies cover commercial general liability and professional liability, with policy periods from March 15, 2025 to March 15, 2026 and August 1, 2025 to August 1, 2026.
The contract relates to a specific project (M11-0005) involving an upgrade to the environmental monitoring system and intrusion detection system at Camp Navajo, located at 1 Hughes Avenue in Bellemont, Arizona. The insurance provides coverage with general liability limits of $1,000,000 per occurrence and $2,000,000 aggregate, and professional liability limits of $1,000,000 per claim and $2,000,000 aggregate. The policies include additional insured provisions for the State of Arizona, its departments, agencies, boards, commissions, universities, and their respective officers, officials, agents, and employees, with coverage specifically focused on the operations at Camp Navajo.
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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
3/19/2025
AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd, Suite 230 Lafayette CA 94549
Geoff Bollert 360-598-5022 360-598-5022 geoff.bollert@assuredpartners.com
License#: 6003745 Beazley Excess and Surplus Insurance, Inc. 17520 24097
Advanced Monitoring Methods LLC 850 Shady Oak Lane Castle Pines CO 80108
1707343901
A X 1,000,000 X 100,000
25,000
1,000,000
2,000,000 X
D393F7250101 3/15/2025 3/15/2026
2,000,000
A Professional Liab; Claims Made D393F7250101 3/15/2025 3/15/2026 Per Claim Aggregate
$1,000,000 $2,000,000
Project: M11-0005, Upgrade Environmental Monitoring System & Intrusion Detection System@ Camp Navajo, 1 Hughes Avenue, Bellemont, AZ. 86015 The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are Certificate Holders.
State of Arizona Dept Emergency & Military Affairs 5636 E McDowell Rd Phoenix AZ 85008-3455
A X
Pinnacol Assurance 41190
Pinnacol Assurance 7501 E. Lowry Blvd.
Denver, CO 80230-7006
Advanced Monitoring Methods LLC 850 Shady Oak Lane Castle Rock, CO 80108
08/22/2025
4203917 08/01/2025 08/01/2026 1,000,000 1,000,000 1,000,000
2487661
STATE OF ARIZONA DEPARTMENT OF EMERGENCY AND MILITARY
AFFAIRS
5636 E McDowell Rd Bldg M5800 Phoenix, AZ 85008-3455 robert.coleman@azdema.gov Pinnacol Assurance
Unless otherwise stated in the policy provisions, coverage in Colorado only.
IMPORTANT
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
DISCLAIMER
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT (CONT)
CERTIFICATE HOLDER COPY
STATE OF ARIZONA DEPARTMENT OF EMERGENCY
AND MILITARY AFFAIRS
5636 E McDowell Rd Bldg M5800 Phoenix, AZ 85008-3455
Policy Number: EV20180271-07 COMMERCIAL GENERAL LIABILITY
CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations
Any person or organization for whom you are performing ''your work'' when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an Additional Insured on your policy.
All locations where ''your work'' is performed as specified in the contract or written agreement between you and the Additional Insured(s).
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13
C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations
Any person or organization for whom you are performing ''your work'' when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an Additional Insured on your policy.
All locations where ''your work'' is performed as specified in the contract or written agreement between you and the Additional Insured(s).
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 24 04 10 93
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
Any person or organization when you have agreed in writing in a contract or agreement to waive your right of recovery against such person or organization.
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV – COMMERCIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following:
We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard".
This waiver applies only to the person or organization shown in the Schedule above.
Forms a part of Policy No.: EV20180271-07 Issuing Company: Capitol Specialty Insurance Corporation
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
Additional Insureds – Primary and Non-Contributory Coverage – Owners or Contractors – At Written Request
This endorsement modifies insurance provided under the Environmental Policy for the following:
Commercial General Liability Coverage Section
ENV 6048 (12-17) © 2017 CapSpecialty, Inc. All rights reserved. Page 1 of 2
It is hereby understood and agreed that the following changes are incorporated into the Coverage Form(s) / Coverage Section(s) listed above.
If the Commercial General Liability Coverage Form is listed above, defined terms shown in bold may appear in quotations in such coverage form.
A. With respect to the Coverage Forms listed above, the Section titled WHO IS AN INSURED is amended to include the following as Additional Insureds:
Any person or organization that is:
1. An owner of real or personal property on which You are performing operations, but only at the specific written request by that person or organization to You, and only if:
a. That request is made prior to the date Your operations for that person or organization commenced; and
b. A Certificate of Insurance evidencing that request has been issued by Your authorized insurance agent or broker; or
2. A contractor on whose behalf You are performing operations, but only at the specific written request by that person or organization to You, and only if:
a. That request is made prior to the date Your operations for that person or organization commenced; and
b. A Certificate of Insurance evidencing that request has been issued by Your authorized insurance agent or broker.
B. Primary and Non-Contributory Coverage:
If required by contract or agreement, effected prior to the date your operations for those persons or organizations described in Section A. above commenced, such insurance as is afforded by this policy to those Additional Insureds under this policy shall be primary insurance to the extent that coverage is provided by this Policy, and any insurance or self-insurance maintained by such Additional Insureds shall not contribute with the insurance afforded under this Policy.
C. Provided however, that coverage for such Additional Insureds is only with respect to otherwise covered Claims for liability caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on Your behalf;
in the performance of Your ongoing operations for the Additional Insureds.
D. The insurance afforded to the Additional Insureds described above:
1. Only applies to the extent permitted by law;
2. Will not be broader than that which You are required by contract or agreement to provide for such Additional Insured; and
3. Is at all times subject to the terms and conditions of this Policy.
E. With respect to the insurance afforded to these Additional Insureds, the most we will pay on behalf of the Additional Insureds is the amount of insurance: (1) required by contract or agreement; or (2) available under the applicable Limits of Insurance shown in the Declarations; whichever is less.
Forms a part of Policy No.: EV20180271-07 Issuing Company: Capitol Specialty Insurance Corporation
Additional Insureds – Primary and Non-Contributory Coverage – Owners or Contractors – At Written Request continued
ENV 6048 (12-17) © 2017 CapSpecialty, Inc. All rights reserved. Page 2 of 2
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
If this endorsement is issued after the Policy has been issued, it is deemed to have been added to the list of forms and endorsements on the Declarations.
All other terms and conditions of this Policy remain unchanged.
Authorized Representative
CG 20 10 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 2
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location(s) Of Covered Operations
State of Arizona Department of Emergency & Military
Affairs
5636 E. McDowell #5330
Phoenix, AZ 85008
Camp Navajo, 1 Hughes Avenue, Bellemont AZ
86015
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured(s) at the location(s) designated above.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following additional exclusions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equipment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location of the covered operations has been completed; or
2. That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than another contractor or subcontractor engaged in performing operations for a principal as a part of the same project.
Page 2 of 2 © Insurance Services Office, Inc., 2012 CG 20 10 04 13
C. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 20 37 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 37 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1
ADDITIONAL INSURED – OWNERS, LESSEES OR
CONTRACTORS – COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations
State of Arizona Department of Emergency & Military
Affairs
5636 E. McDowell #5330
Phoenix, AZ 85008
Camp Navajo, 1 Hughes Avenue, Bellemont AZ 86015 upgrade enviromental monitoring system and intrusion detection system
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
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