APPROVED CTR060474 GL,AL,WC,PROFESSIONAL 04.01.23-04.01.24.pdf

PDF 288 KB Posted

Attached to
Master Agreement AZ|CTR060474
Contract number
CTR060474
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Kimley-Horn and Associates, Inc., issued by multiple insurance carriers including National Union Fire Insurance Company of Pittsburgh, Allied World Assurance Company, New Hampshire Insurance Company, and Lloyd's of London. The certificate is dated 3/28/2023 and names the State of Arizona as the certificate holder, covering a Multimodal Transportation Planning On-Call contract (BPM004111) with reference number CTR060474.

The insurance policy provides comprehensive coverage including Commercial General Liability ($2M per occurrence), Automobile Liability ($2M), Umbrella Liability ($5M), Workers' Compensation, and Professional Liability ($2M per claim/$2M aggregate). The policy is effective from 04/01/2023 to 04/01/2024 and includes additional insured provisions for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The coverage extends to liability arising from contractual obligations, with waiver of subrogation provisions where required by written contract and allowed by law.

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Other files

File Type Posted
ACCEPTED CTR060474 GL,AL,WC,PROF LIAB 04.01.25-04.01.26.pdf PDF
CTR060474 VPR KIMLEY-HORN_INVOICE_27340393_MPD0086-21 H80_3182024 (1).pdf PDF
CTR060474_Contract_Amendment_Summary_Nine__9_.pdf PDF
CTR060474_Contract_Amendment_Summary_Seven__7_.pdf PDF
CTR060474_Contract_Amendment_Summary_Three__3_.pdf PDF
KIMLEY-HORN_INVOICE_28318707_MPD_0021-21_H80_May(CPS STATEWIDE).pdf PDF
KIMLEY-HORN_INVOICE_29486820_MPD0086-21 H80_10142024.pdf PDF
KIMLEY-HORN_INVOICE_30115422_MPD0437-24_H80_DBEO November(Climb & Pass Lane Study).pdf PDF
KIMLEY-HORN_INVOICE_30305607_MPD0555-24_H80 November(SR 264 Corridor Study ).pdf PDF
KIMLEY-HORN_INVOICE_30378580_MPD0554-24_H94.3 November(PV Shared-Use Path ) (1).pdf PDF
KIMLEY-HORN_INVOICE_30834178_MPD0555-24_H80 January(SR 264 Corridor Study ).pdf PDF
VPR CTR060474 1.pdf PDF
VPR CTR060474 3 (1).pdf PDF
VPR CTR060474 7.pdf PDF
VPR CTR060474 PO0000597650.pdf PDF
VPR CTR060474-29101599 MPD0371-23.pdf PDF
VPR Invoice 27082257 MPD0086-21 PO0000597650.pdf PDF
VPR Kimley-Horn Invoice 27223109 MPD0371-23.pdf PDF
CTR060474-Usage Report - Services (2).xlsx XLSX spreadsheet
CTR060474_Contract_Amendment_Summary_Twelve__12_.pdf PDF
CTR060474_Usage Report - Task Order-Q4_2024.pdf PDF
CTR060474 VPR Completed Kimley-Horn MPD0021-21 PO613378 inv#27483447 billing 020124 - 022924.pdf PDF
KIMLEY-HORN_INVOICE_28318649_MPD0086-21 H80_6272024.pdf PDF
KIMLEY-HORN_INVOICE_28828737_MPD0437-24_H80_DBEO July(Climb & Pass Lane Study).pdf PDF
KIMLEY-HORN_INVOICE_29328139_MPD0437-24_H80_DBEO August(Climb & Pass Lane Study) (1).pdf PDF
KIMLEY-HORN_INVOICE_30222754_MPD_0021-21_H80_November(HISTORICAL CPS).pdf PDF
KIMLEY-HORN_INVOICE_30304685_MPD0545-24_H94.3 November(CPS SR287_SR87).pdf PDF
Kimley-Horn and Associates November Inv 30264473-MPD0562-24.pdf PDF
VPR CTR060474 2 (1).pdf PDF
VPR CTR060474 2.pdf PDF
VPR CTR060474 INV27856687.pdf PDF
VPR CTR060474 INV28164916.pdf PDF
VPR CTR060474_29101518_MPD0021-21.pdf PDF
VPR Kimley-Horn Invoice 27223110 MPD0437-24 H80 DBE 0 Jan(Climp and Pass Lane Study).pdf PDF
VPR ctr060474.pdf PDF
CTR060474-Quarterly_Report-Q4_2022 (1).xlsx XLSX spreadsheet
CTR060474_Usage Report - Task Order-Q1_2025.pdf PDF
Q1 2024_Usage_Report_Task_Order_CTR060474.pdf PDF
Q2_Usage Report - Task Order_CTR060474.xlsx XLSX spreadsheet
Q3 2024_Usage_Report_Task_Order_CTR060474.pdf PDF
ACCEPTED CTR060474 GL,AL,WC,PROFESSIONAL LIABILITY 04.01.24-04.01.25.pdf PDF
CTR060474 Supplier Performance.pdf PDF
CTR060474 VPR KIMLEY-HORN_INVOICE_27483449_MPD0437-24_H80_DBEO Feb(Climb & Pass Lane Study).pdf PDF
CTR060474_Contract_Amendment_Summary_Eight__8_.pdf PDF
CTR060474_Contract_Amendment_Summary_Eleven__11_.pdf PDF
CTR060474_Contract_Amendment_Summary_Five__5_.pdf PDF
CTR060474_Contract_Amendment_Summary_Ten__10_.pdf PDF
CTR060474_Contract_Amendment_Summary_Two__2_.pdf PDF
KIMLEY-HORN_INVOICE_28318787_MPD0437-24_H80_DBEO May(Climb & Pass Lane Study) (1).pdf PDF
KIMLEY-HORN_INVOICE_29444971_MPD0371-23_H94.7 August(SHSP & ATSAP).pdf PDF
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Text version

INSR ADDL SUBR

LTR INSR WVD

DATE (MM/DD/YYYY)

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER

POLICY EFF POLICY EXP

TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

COMMERCIAL GENERAL LIABILITY

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

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

AUTHORIZED REPRESENTATIVE

INSURER(S) AFFORDING COVERAGE NAIC #

Y / N

N / A (Mandatory in NH)

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

EACH OCCURRENCE $

DAMAGE TO RENTED

$PREMISES (Ea occurrence)CLAIMS-MADE OCCUR

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER:

PRODUCTS - COMP/OP AGG $

PRO-

OTHER:

LOCJECT

COMBINED SINGLE LIMIT

$(Ea accident)

BODILY INJURY (Per person) $ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

AUTOS ONLY

HIRED PROPERTY DAMAGE $

AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE $

CLAIMS-MADE AGGREGATE $

DED RETENTION $ $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below

POLICY

NON-OWNED

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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 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 any rights to the certificate holder in lieu of such endorsement(s).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)

ACORDTM CERTIFICATE OF LIABILITY INSURANCE

National Union Fire Ins Co of Pittsburg

Allied World Assurance Co (U.S.) Inc.

New Hampshire Insurance Company

Lloyd's of London

3/28/2023

Edgewood Partners Ins. Center 3780 Mansell Rd. Suite 370 Alpharetta, GA 30022

Jerry Noyola 770-220-7699 greylingcerts@greyling.com

Kimley-Horn and Associates, Inc.

421 Fayetteville Street, Suite 600 Raleigh, NC 27601

19445 19489 23841 085202

23-24

A X X

X Contractual Liab

X X

GL5268169 04/01/2023 04/01/2024 2,000,000

1,000,000 25,000 2,000,000 4,000,000 4,000,000

A A X

X X

CA4489663 (AOS)

CA2970071 (MA)

04/01/2023 04/01/2023

04/01/2024 04/01/2024

2,000,000

B X X

X

X 10,000

03127930 04/01/2023 04/01/2024 5,000,000 5,000,000

C C

N

WC015893685 (AOS)

WC015893686 (CA)

04/01/2023 04/01/2023

04/01/2024 04/01/2024

X 1,000,000

1,000,000 1,000,000

D Professional Liab B0146LDUSA2304949 04/01/2023 04/01/2024 Per Claim $2,000,000 Aggregate $2,000,000

Re: CTR060474 Multimodal Transportation Planning On-Call, BPM004111; Michael Grandy. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are named as Additional Insureds with respects to General & Automobile Liability where required by written contract. Waiver of Subrogation in favor of Additional Insured(s) where required by written contract & allowed by law. Should any of the above described policies be cancelled by the issuing insurer before the (See Attached Descriptions)

The State of Arizona 1324 N. 22nd Avenue Phoenix, AZ 85009-0000

#S5416136/M5396840

KIMLASSClient#: 238109

JNO02

a8812 Accepted

SAGITTA 25.3 (2016/03)

DESCRIPTIONS (Continued from Page 1) expiration date thereof, 30 days' written notice (except 10 days for nonpayment of premium) will be provided to the Certificate Holder.

#S5416136/M5396840

CA4489663 (AOS)

04/01/2023

Kimley-Horn and Associates, Inc.

CA4489663 (AOS) Kimley-Horn and Associates, Inc.

04/01/2023

POLICY NUMBER:

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

COMMERCIAL GENERAL LIABILITY

CG 20 10 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Insurance Services Office, Inc., 2018CG 20 10 12 19 Page 1 of 2

A. Section II 6 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.

ANY PERSON OR ORGANIZATION WHOM YOU

BECOME OBLIGATED TO INCLUDE AS AN

PER THE CONTRACT OR AGREEMENT.

ADDITIONAL INSURED AS A RESULT OF ANY

CONTRACT OR AGREEMENT YOU

HAVE ENTERED INTO.

GL5268169

Insurance Services Office, Inc., 2018Page 2 of 2 CG 20 10 12 19

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;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations

COMMERCIAL GENERAL LIABILITY

CG 20 37 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

ANY PERSON OR ORGANIZATION

WHOM YOU BECOME OBLIGATED

TO INCLUDE AS AN ADDITIONAL INSURED

AS A RESULT OF ANY CONTRACT OR

AGREEMENT YOU HAVE ENTERED INTO.

PER THE CONTRACT OR AGREEMENT.

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;

whichever is less.

This endorsement shall not increase the applicable limits of insurance.

CG 20 37 12 19 Page ofInsurance Services Office, Inc., 2018 1 1

PRIMARY AND NONCONTRIBUTORY -

COMMERCIAL GENERAL LIABILITY

CG 20 01 12 19

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 01 12 19 Insurance Services Office, Inc., 2018 Page 1 of 1

OTHER INSURANCE CONDITION

The following is added to the Other Insurance Condition and supersedes any provision to the contrary:

Primary And Noncontributory Insurance

This insurance is primary to and will not seek contribution from any other insurance available to an additional insured under your policy provided that:

(1) The additional insured is a Named Insured under such other insurance; and

(2) You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

Insurance Services Office, Inc., 2018 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

COMMERCIAL GENERAL LIABILITY

CG 24 04 12 19

This endorsement modifies insurance provided under the following:

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

CG 24 04 12 19

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:

We waive any right of recovery against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.

COMMERCIAL GENERAL LIABILITY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS

PURSUANT TO APPLICABLE WRITTEN CONTRACT OR AGREEMENT YOU ENTER INTO.

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

This endorsement changes the policy to which it is attached effective on inception date of the policy unless a different date is indicated below.

This endorsement, effective 12:01 AM forms a part of Policy No.

Issued to

By

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.

This agreement shall not operate directly or indirectly to benefit any one not named in the Schedule.

Schedule

WC 00 03 13 Countersigned by (Ed. 04/84)

Authorized Representative

This form is not applicable in Kansas for private construction contracts as defined in K.S.A. 16-1801 through K.S.A 16-1807 or public construction contracts as defined in K.S.A. 16-1901 through 16-1908, except where permitted by statute or other applicable law, such as for use in wrap-up insurance programs.

Any person or organization for which the employer has agreed by written contract, executed prior to loss, may execute a waiver of subrogation. However, for purposes of work performed by the employer in Missouri, this waiver of subrogation does not apply to any construction group of classifications as designated by the waiver of right to recover from others (subrogation) rule in our manual.

This form is not applicable in California, Kentucky, New Hampshire, New Jersey, Texas, or Utah.

ANY PERSON OR ORGANIZATION TO WHOM YOU BECOME

OBLIGATED TO WAIVE YOUR RIGHTS OF RECOVERY

AGAINST, UNDER ANY WRITTEN CONTRACT OR AGREEMENT

YOU ENTER INTO PRIOR TO THE OCCURRENCE OF LOSS.

04/01/2019 WC 015-89-3750

OVE ARUP & PARTNERS, P.C.

NEW HAMPSHIRE INSURANCE COMPANY

WC015893685 (AOS)04/01/2023

Kimley-Horn and Associates, Inc.

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