Arizona_Department_of_Administration_Contract_CTR046829_MCP_COI_Feb_2025.pdf
PDF 210 KB Posted
- Attached to
- Master Agreement AZ|CTR046829
- Contract number
- CTR046829
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Mission Critical Partners LLC, issued by Rupp & Fiore Insurance Management, Inc. The certificate covers insurance policies for Mission Critical Partners and names the State of Arizona Department of Administration, State Procurement Office as the certificate holder. The primary insurer is Travelers Insurance Company, with coverage effective from 2/16/2025 to 2/16/2026.
The contract reference is ADSPO19-00008376 for Public Communications Equipment and Services, with contract number CTR046829. The insurance coverage includes Commercial General Liability ($1,000,000), Automobile Liability ($1,000,000), Umbrella Liability ($7,000,000), Professional Liability and Cyber ($5,000,000), Directors & Officers and EPLI ($5,000,000), and additional policies covering Technology Errors & Omissions, Employee Theft, and Employee Theft of Client Property. The State of Arizona and its departments are listed as additional insureds, with a 30-day notice of cancellation provision in effect.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
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)
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
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY 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 LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
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 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.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
2/14/2025
(724) 861-4633 (724) 861-4630
25666
Mission Critical Partners LLC 690 Gray's Woods Blvd Port Matilda, PA 16870
A 1,000,000
ZLP16P77145 2/16/2025 2/16/2026 1,000,000
10,000
1,000,000
2,000,000
2,000,000
1,000,000A
BA6X907794 2/16/2025 2/16/2026
7,000,000A
CUP6X91061A 2/16/2025 2/16/2026
10,000 7,000,000
A Professional Liabilt ZPL71N73954 2/16/2025 & Cyber 5,000,000
A Directors & Officers 0107048442 2/16/2025 2/16/2026 & EPLI 5,000,000
Techology Errors & Ommissions Excess Liability written by Westfield Specialty Insurance Company, Policy Number, XCE-390393X-00, 02/16/2025 - 02/16/2026, $5,000,000 Limit. Employee Theft written by Travelers Insurance, 0107048442 , $1,000,000 with $25,000 Self-Insured Retention AND Employee Theft of Client Property written by Travelers Insurance, $5,000,000 with $35,000 Self Insured Retention.
Ref: ADSPO19-00008376 Public Communications Equipment and Services, Contract number is CTR046829
The State of Arizona, and its departments, agencies, boards, commisions, universities, officers, officials, agents, and employees are additional insureds on a
SEE ATTACHED ACORD 101
Arizona Department of Administration State Procurement Office 100 N 15th Ave, Suite 402 Phoenix, AZ 85007
MISSCRI-01 MBECK
Rupp & Fiore Insurance Management, Inc.
504 Pittsburgh St Mars, PA 16046
Mat Beck mbeck@ruppfiore.com
Travelers Insurance Company
Aggregate
2/16/2026
X X
X
X
X X
X
X
X
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ACORD 101 (2008/01)
AGENCY CUSTOMER ID:
LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
Rupp & Fiore Insurance Management, Inc.
MISSCRI-01
SEE PAGE 1
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
SEE P 1
Mission Critical Partners LLC 690 Gray's Woods Blvd Port Matilda, PA 16870
SEE PAGE 1
MBECK
Description of Operations/Locations/Vehicles:
primary basis as long as a written contract is in place. A waiver of subrogation is written in favor of the State of Arizona, and its departments, agencies, boards, commisions, universities, officers, officials, agents, and employees as long as a written contract is in place. Sexual Abuse and Molestation coverage is not excluded.
30 day NOC is in effect.
File details come from the government source that posted it. Updated .