Arizona_Department_of_Administration_RJE_Oceanbotics_Inc._Oceanbotics__24-25_GL_PROD_AUT_WC_XS_GL_AI_3-6-2025_252352551.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR074458
- Contract number
- CTR074458
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for RJE Oceanbotics Inc., issued by ERM Insurance Brokers LLC, with coverage provided by multiple insurers including Star Insurance Company, StarStone Specialty Insurance, and Hartford Casualty Insurance Company. The certificate is filed for the Arizona Department of Administration's State Procurement Office, located in Phoenix, Arizona, and covers the period from 10/1/2024 to 10/1/2025.
The insurance policy provides comprehensive commercial general liability coverage with policy limits including $1,000,000 per occurrence, $3,000,000 general aggregate, and additional coverages for automobile liability, umbrella liability, workers' compensation, and product liability. The policy includes various endorsements such as additional insured provisions, broad form property damage, product recall expense coverage, and supplementary payment increased limits. The certificate holder (Arizona Department of Administration) is listed as an additional insured on a primary non-contributory basis, with specific protections for rented premises and various operational risks associated with the insured's business activities.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR074458_Pricing_Document.xlsx | XLSX spreadsheet | |
| RJE_Oceanbotics_-_Amendment_1_-_Extend_Contract.pdf | ||
| CTR074458_RJE_Ocenabotics_Inc_-_Contract.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
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).
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.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
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.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
3/6/2025
ERM Insurance Brokers LLC 111 Corporate Drive #200 Ladera Ranch CA 92694
Brianna Valdivia 949-596-4081 949-222-0445 bvaldivia@alkemeins.com
License#: OM63276 Star Insurance Company 18023 RJEINTE-01 StarStone Specialty Insurance 44776
RJE Oceanbotics Inc.
15375 Barranca Pkwy, Suite I-112 Irvine CA 92618
Hartford Casualty Insurance Company 29424
252352551
A X 1,000,000 X 300,000
5,000
1,000,000
3,000,000 X
Y CP0860221 10/1/2024 10/1/2025
A 1,000,000
X
X X
CA0860221 10/1/2024 10/1/2025
B X 2,000,000 X
CSX00050002P-02 10/1/2024 10/1/2025
2,000,000 X 10,000
C X
Y
72 WEC AT9VWZ 10/1/2024 10/1/2025
1,000,000
1,000,000
1,000,000
B PRODUCT LIABILITY PRL00011477P-02 10/1/2024 10/1/2025 EACH OCCURRENCE
PRODUCTS-COMP/OP AGG
DEDUCTIBLE
1,000,000 2,000,000 5,000
Certificate holder is additional insured per form 21 97 GL 11 99 and primary non-contributory wording;
Arizona Department of Administration State Procurement Office 1802 W. Jackson, #100 Phoenix AZ 85007
Policy Number: CP0860221
File details come from the government source that posted it. Updated .