APPROVED PROFESSIONAL 04.22.22-04.22.23pdf.pdf
PDF 116 KB Posted
- Attached to
- Master Agreement AZ|CTR054975
- Contract number
- CTR054975
- Issued by
- Arizona
About this file
This document is a Certificate of Insurance issued on 04/22/2022 by LIA Administrators & Insurance Services for Southwestern AG Services, LLC. The certificate is for a professional liability insurance policy issued by Aspen American Insurance Company, with the State of Arizona and specifically the Arizona Department of Transportation (ADOT) listed as the Certificate Holder.
The professional liability insurance policy (Number AA101085-03) provides coverage from 04/22/2022 to 04/22/2023, with limits of $2,000,000 per claim and $2,000,000 for general aggregate. The policy covers "Professional Services as defined in the policy" for Southwestern AG Services, LLC. The certificate indicates that ADOT Risk Management has accepted the insurance documentation, which will remain in effect for the specified one-year period, with potential cancellation subject to the policy's provisions.
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Text version
CERTIFICATE OF INSURANCE
Producer: Issue Date: 04/22/2022
This Certificate is issued as a matter of information only and
LIA ADMINISTRATORS & INSURANCE SERVICES confers no rights upon the Certificate Holder. This Certificate
P.O. Box 1319 does not amend, extend or alter the coverage afforded by the
Santa Barbara, CA 93102-1319 policy below.
Insured: 170596 COMPANY AFFORDING COVERAGE
SOUTHWESTERN AG SERVICES, LLC
PO Box 1857 Aspen American Insurance Company Higley, AZ 85236
Fax Number: 480-507-4731 Authorized Representative
This is to certify that the policy of insurance listed below has been issued to the Insured named above for the policy period indicated.
Notwithstanding any requirement, term of condition of any contract or other document with respect to which this Certificate may be issued or may pertain, the insurance afforded by the policy described herein is subject to all the terms, exclusions and conditions of such policy. Limits shown may have been reduced by paid claims.
DISCLAIMER: This certificate of insurance does not affirmatively or negatively amend, extend, or alter the coverage afforded by the insurance policy.
TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS
Professional Liability AAIOIOOS5-03 04/22/2022 04/22/2023 Each Claim $ 2,000,000 General Aggregate $ 2,000,000
Description of Operations/Locations/Special Items:
Professional Services as defined in the policy
Certificate Holder: Cancellation:
State of Arizona SHOULD ANY OF THE ABOVE DESCRIBED POLICIES Arizona Department of Transportation BE CANCELLED BEFORE THE EXPIRATION DATE c/o ADOT Procurement Office THEREOF, NOTICE WILL BE DELIVERED IN 1739 W Jackson Modular A Maildrop: 100P ACCORDANCE WITH THE POLICY PROVISIONS.
Phoenix AZ 85007
LIA0001 (11/97)
DocuSign Envelope ID: 9A2C9934-32D5-4FA7-AAC0-FB8479267366DocuSign Envelope ID: E8B64F25-75A5-4801-904E-C70EDFA9A560
ACCEPTED
ADOT Risk Management
File details come from the government source that posted it. Updated .