APPROVED GL,AL,WC,PROFESSIONAL 05.12.21-05.12.22.pdf

ACCEPTED

ADOT Risk Management

Insured Full Copy

648757198

05-06-2021

02-23-21

05-06-2022

DOUG BELL

CIVTECH, INC

10605 N HAYDEN RD STE 140

SCOTTSDALE AZ 85260-5595

ARIZONA DEPARTMENT OF

TRANSPORTATION

PROCUREMENT GROUP

1739 W JACKSON ST STE A

MAIL DROP 100P

PHOENIX, AZ USA 850073218

Additional Insured - All Other

$1,000,000

X X X

CI CW A02 10 11

Includes copyrighted material of Insurance Services Office, Inc., with its permission

CI CW A02 10 11 Allstate Insurance Company Page 1 of 1

CERTIFICATE OF INSURANCE

This certificate is issued for informational purposes only. It certifies that the policies listed in this document have been issued to the Named Insured. It does not grant any rights to any party nor can it be used, in any way, to modify coverage provided by such policies. Alteration of this certificate does not change the terms, exclusions or conditions of such policies. Coverage is subject to the provisions of the policies, including any exclusions or conditions, regardless of the provisions of any other contract, such as between the certificate holder and the Named Insured. The limits shown below are the limits provided at the policy inception. Subsequent paid claims may reduce these limits.

Certificate Holder:

Named Insured:

Automobile Liability

Insurer Name: Allstate Insurance Company

Policy Number:

1 --- Any Auto 2 --- Owned Autos Only 3 --- Owned Priv. Pass. Autos Only

4 --- Owned Autos Other Than Priv.

Pass. Autos Only

5 --- Owned Autos Subject to

No Fault

6 --- Owned Autos Subject to a Compulsory UM Law

7 --- Specifically Described Autos 8 --- Hired Autos Only 9 --- Nonowned Autos Only

Policy Effective Date: Policy Expiration Date:

Combined Single Limit (each accident) Limits of Insurance:

BI Per Person BI Per Accident PD Per Accident

Description of Operations/Locations/Vehicles/Endorsements/Special Provisions

Interested Party Type:

THIS CERTIFICATE DOES NOT GRANT ANY COVERAGE OR RIGHTS TO THE CERTIFICATE HOLDER.

IF THIS CERTIFICATE INDICATES THAT THE CERTIFICATE HOL DER IS AN ADDITIONAL INSURED, THE POLICY(IES) M UST

EITHER BE ENDORSED OR CONTAIN SPECIFIC LANGUAGE PROVIDING THE CERTIFICATE HOL DER WITH ADDITIONAL

INS URED STATUS. THE CERTIFICATE HOLDER IS AN ADDITIONAL INSURED ONLY TO THE EXTENT INDICATED IN SUCH

POLICY LANGUAGE OR ENDORSEMENT.

Producer:

Authorized Representative:

Date: Doug Bell

CTR 053898

ACCEPTED

ADOT Risk Management

05-06-2021

CIVTECH, INC

PROCUREMENT GROUP

1739 W JACKSON ST STE A

MAIL DROP 100P

PHOENIX, AZ USA 850073218

ARIZONA DEPARTMENT OF TRANSPORTATION

COMMERCIAL AUTO

AA CW 23 09 14

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Includes copyrighted material of Insurance Services Office, Inc., with its permission

AA CW 23 09 14 Allstate Insurance Company Page 1 of 1

PRIMARY AND NON-CONTRIBUTORY ENDORSEMENT

Coverage provided under this policy is modified by the attachment of this endorsement. If there is any conflict in coverage provisions between this form and any state specific endorsement also attached to this policy, the provision(s) of the state specific form shall apply.

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

Endorsement Effective: Countersigned By:

(Authorized Representative)

SCHEDULE

Name of Person(s) or Organization(s):

If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to the endorsement.

SECTION IV ---- BUSINESS AUTO CONDITIONS,B.General Conditions, 5. Other Insurance is modified by this endorsement, only as it applies to any coverage provided to the person or organization designated in the schedule of this endorsement and only to the extent that such person or organization qualifies as an ‘‘insured’’ under this policy.

If the named insured has entered into an agreement with the person or organization designated in the Schedule of this endorsement, which requires that the insurance available to them under this policy be applied on a primary and non-contributory basis, the following provision applies:

Any coverage provided under this policy to the person or organization designated in the Schedule of this endorsement is primary, and we will not seek contribution from any other Automobile Liability insurance otherwise available to the designated person or organization.

05-06-2021

CIVTECH, INC

ARIZONA DEPARTMENT OF TRANSPORTATION

PROCUREMENT GROUP

1739 W JACKSON ST STE A

MAIL DROP 100P

PHOENIX, AZ USA 850073218

POLICY NUMBER: COMMERCIAL AUTO

CA 20 48 10 13

CA 20 48 10 13 Insurance Services Office, Inc., 2011 Page 1 of 1

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

AUTO DEALERS COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Endorsement Effective Date:

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

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

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II ---- Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I ---- Covered Autos Coverages of the Auto Dealers Coverage Form.

ARIZONA DEPARTMENT OF TRANSPORTATION

N/A

ANY AND ALL JOBS

ANY AND ALL LOCATIONS

POLICY NUMBER COMMERCIAL AUTO

AA CW 40 10 11

AA CW 40 10 11 Allstate Insurance Company Page 1 of 1

WAIVER OF THE

TRANSFER OF RECOVERY AGAINST OTHERS TO US

GARAGE COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

TRUCKERS COVERAGE FORM

Designated Person or Organization:

Contract Number:

Description of Project:

Location of Project:

The following is added to the Transfer of Rights of Recovery Against Others To Us Condition:

We waive any right of recovery we may have against the person or organization designated in the above

Schedule because of payments we make for injury or damage arising out of work you perform under a contract with the above designated person or organization. The waiver applies only to the above designated person or organization and the work you perform must be under the contract, and for the project and location designated in the above Schedule.