APPROVED CTR054974 GL,AL,PROFESSIONAL 11.26.22-11.26.23.pdf

03/21/2023

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.

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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).

PRODUCER: WENDI S REED

PROFESSIONAL INSURANCE BROKERS, INC. 623 465-5300 623 465-5933

PMB 857, 515 E. CAREFREE HWY

Wendi@pibinc.com

PHOENIX, ARIZONA 85085-8839

CNA-CONTINENTAL CASUALTY COMPANY 20443

HUDSON INSURANCE COMPANY 25054

SOUTHWEST APPRAISAL ASSOCIATES, INC.

P.O. BOX 16156

TUCSON, ARIZONA 85732

COVERAGES: CERTIFICATE NUMBER: 26 REVISION NUMBER:

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.

INSR

LTR LIMITS

A COMMERCIAL GENERAL LIABILITY $1,000,000

CLAIMS MADE x X X 7013036113 11/26/22 11/26/23 $1,000,000

$10,000

$1,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: $2,000,000

LOC $2,000,000

OTHER

A AUTOMOBILE LIABILITY $1,000,000

ANY AUTO SCHEDULED X X 7013036113 11/26/22 11/26/23

AUTOS $

NON $

OWNED $

AUTOS

UMBRELLA LIAB EACH OCCURRENCE $

AGGREGATE $

DED RETENTION $ $

Y/N

N/A $

B EACH CLAIM / AGGREGATE

A X PROFESSIONAL LIABILITY X PRA-3RE-1004818 11/26/22 11/26/23 2,000,000/2,000,000

CONTRACT # CTR054974-2

As per written contract the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, employees are additional insured, on a primary and non-contributory basis, as respects the General and Automobile liability coverages per blanket endorsement form

SB146932G attached. Waiver of subrogation applies to all listed policies per written contract form SB146932G. 30 day notice of cancellation applies.

CERTIFICATE HOLDER CANCELLATION

ARIZONA DEPT OF TRANSPORTATION

1739 W JACKSON ST

STE A MD 100P

ATTN: SHARON TOHTSONI

PHOENIX, AZ 85007

stohtsoni@azdot.gov

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD.

DESCRIPTION OF OPERATIONS /LOCATIONS/VEHICLES (Attach ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED

BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE

DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

WORKERS COMPENSATION AND

EMPLOYERS’ LIABILITY ANY

PROPRIETOR/PARTNER EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under

DESCRIPTION OF OPERATIONS BELOW

PER STATUTE

OTHER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

HIRED

AUTOS

PROPERTY DAMAGE (Per accident)

EXCESS LIAB OCCUR

CLAIMS-MADE

COMBINED SINGLE LIMIT (Ec

Accident)

ALL

OWNED

AUTOS

BODILY INJURY (Per person)

X

BODILY INJURY (Per accident)

X

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

POLICY PROJECT PRODUCTS.COMP/OP AGG

POLICY EXP.

DATE(MM/DD/YY) DATE(MM/DD/YY)

EACH OCCURRENCE

OCCUR DAMAGE TO RENTED PREMISES

(Ec occurrence)

INSURER B:

INSURER C:

INSURER D:

INSURER E:

INSURER F:

TYPE OF INSURANCE

ADDL

INSR

SUBR

WVO

POLICY NUMBER

POLICY EFF.

EMAIL

ADDRESS:

PRODUCER

CUSTOMER ID:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURED: INSURER A:

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CONTACT

NAME:

PHONE

(A/C.No. Ext):

FAX (A/C

No)

ACCEPTED

ADOT Risk Management

Southwest Appraisal Associates, Inc Policy # 7013036113