Arizona_Department_of_Administration__1802_West_Jackson_Street__100__Phoenix__AZ__85007__1_.pdf
PDF 34 KB Posted
- Attached to
- Master Agreement AZ|CTR068378
- Contract number
- CTR068378
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for American Guard Services, Inc., issued by El Dorado Insurance Agency, Inc. on 12/19/2023. The certificate is for a contract with the Arizona Department of Administration's State Procurement Office, specifically for Contract Award No. CTR068378 covering Armed and Unarmed Security Services, Security on Sovereign Lands, and Law Enforcement Patrols on State Trust Land. The insurance is provided through multiple insurers, including Lexington Insurance Company, National Union Fire Insurance Company, Navigators Insurance Company, Sunz Insurance Company, and Hartford Fire Insurance Company.
The insurance coverage includes Commercial General Liability with a $1,000,000 per occurrence limit, Automobile Liability, Umbrella/Excess Liability with a $10,000,000 aggregate limit, Workers' Compensation, and 1st & 3rd Party Crime insurance. The policies are effective from 11/19/2023 to 11/19/2024, with Workers' Compensation coverage running from 1/1/2024 to 1/1/2025. The certificate provides various insurance protections, including errors and omissions coverage, to support American Guard Services' contract for security and law enforcement services on Arizona state trust lands.
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Text version
12/19/2023
El Dorado Insurance Agency, Inc.
El Dorado Sec Srvs Ins Agy 3673 Westcenter Drive Houston TX 77042
Jennifer LeRoy (713)521-9251 (713)521-0125 jleroy@eldoradoinsurance.com
American Guard Services, Inc.
1125 W. 190th Street Los Angeles CA 90248
Lexington Insurance Company 19437 National Union Fire Ins Co Pittsburgh PA19445 Navigators Insurance Company 36056 Sunz Insurance Company 34762 Hartford Fire Insurance Co. 19682
AGS Certs (12/23)
A
X
X X Errors & Omissions
X
080878076 11/19/2023 11/19/2024
1,000,000
100,000
1,000,000
2,000,000
2,000,000
B X
019321961 11/19/2023 11/19/2024
1,000,000
C X
X
HO23EXCZ0CNBHIC (5M X 2) 11/19/2023 11/19/2024
10,000,000
10,000,000
D WC100-00161-024 1/1/2024 1/1/2025
X
1,000,000
1,000,000
1,000,000
E 1st & 3rd Party Crime 13BDDIT8512 11/24/2023 11/24/2024 Aggregate 2,000,000
Contract Award No. CTR068378 -Armed and Unarmed Security Services, Security on Sovereign Lands, and Law Enforcement Patrols on State Trust Land.
Arizona Department of Administration State Procurement Office 1802 West Jackson Street #100 Phoenix, AZ 85007
R.L. Ring, Jr./JL03
The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECT
PRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
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.
INSD
ADDL
WVD
SUBR
N / A
(Ea accident)
(Per accident)
OTHER:
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201401)
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