Arizona_Game_and_Fish_Department_JE_Fuller_Hydrology___Geomorphology_25_GL_24_AU_WC_PROF_24__8-21-2025_1293635259.pdf
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- Attached to
- Master Agreement AZ|CTR057595
- Contract number
- CTR057595
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for JE Fuller Hydrology and Geomorphology, Inc., issued by RLI Insurance Company through Professional Underwriters of AZ, Inc. The insurance covers professional services provided under Contract No. CTR057595 for the Arizona Game and Fish Department, specifically for Hydrologic Engineering Services. The certificate includes multiple policy endorsements and covers commercial general liability, automobile liability, workers' compensation, and professional liability insurance, with the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees listed as additional insureds.
The contract appears to be a renewal amendment (Renewal Amendment Five) for hydrologic engineering services, with policy periods running from 5/1/2025 to 5/1/2026. The commercial general liability policy includes a $2,000,000 each occurrence limit, $4,000,000 general aggregate limit, and $2,000,000 products-completed operations aggregate limit. The professional liability coverage provides $2,000,000 per claim and $4,000,000 annual aggregate, with a retroactive date of 1/27/1995. The policies include primary and non-contributory coverage, with a waiver of subrogation, and are designed to cover JE Fuller's professional services rendered for the Arizona Game and Fish Department.
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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
8/21/2025
Professional Underwriters of AZ, Inc.
P.O. Box 5419 Scottsdale AZ 85261-5419
Jeff Gerrick 480-483-0440 480-948-7752 jeff@prounderwriters.com
License#: 1800004061 RLI Insurance Company 13056
JEFULLE-01
JE Fuller Hydrology & Geomorphology, Inc.
8400 S. Kyrene Rd., #201 Tempe AZ 85284
1293635259
A X 2,000,000 X 1,000,000
10,000
2,000,000
4,000,000 X
Y Y PSB0001060 5/1/2025 5/1/2026
4,000,000
A 1,000,000
X
Y Y PSA0001109 5/1/2025 5/1/2026
A XY PSW0001941 5/1/2025 5/1/2026
1,000,000
1,000,000
1,000,000 A Professional Liability
Architect/Engineer Y RDP0058294 5/1/2025 5/1/2026 Per Claim
Annual Aggregate Retroactive Date
2,000,000 4,000,000 1/27/1995
Re: Contract No. CTR057595 - Renewal Amendment Five - Arizona Game and Fish Department Hydrologic Engineering Services The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are additional insured as indicated. Coverages afforded are primary and non-contributory basis. Waiver of subrogation included.
Attached: PPB304 02 12, PPA300 03 13, WC000313
Arizona Game and Fish Department 5000 W. Carefree Hwy.
Phoenix AZ 85086
Named Insured:
1983 National Council on Compensation Insurance.
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
WC 00 03 13
JE Fuller Hydrology and Geomorphology, Inc.
PSW0001941
05-01-2025
RLI Insurance Company
(This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)
Any person or organization that you have agreed with in a written contract to provide this agreement.
12. Marital or Domestic Partner Extension
Subject otherwise to the terms and conditions hereof, this Policy shall cover Damages arising from any Claim made against the lawful spouse or domestic partner (whether such stature is derived by reason of applicable statutory law, common law, or any other applicable law anywhere in the world) of an Insured Person for Claims arising solely out of his or her capacity as the spouse or domestic partner of an Insured Person, including such Claims that seek damages recoverable from marital community property, property jointly held by the Insured Person and the spouse or domestic partner; or property transferred from the Insured Person to the spouse or domestic partner; provided, however, this extension shall not afford coverage for Wrongful Acts or acts giving rise to a Pollution Incident of the spouse or domestic partner. All terms, conditions and other provisions of this Policy, inclusive of any provision relative to the applicable Deductible, which would be applicable to Damages incurred by the Insured Person in such Claim, shall also apply to Damages incurred by the spouse or domestic partner in such Claim.
13. Severability
Except with respect to the Limits of Liability and any rights or duties specifically assigned to the First Named Insured stated in Item 1. of the Declarations, such as those rights and duties in Section 19. of this Policy, this insurance applies:
a. as if each Named Insured were the only Named Insured; and
b. separately to each Insured against whom Claim(s) is made or suit is brought.
14. Representations
The Insureds represent and acknowledge that the statements and information contained in the Application are true, accurate and are the basis of this Policy and are incorporated into and constitute a part of this Policy; and shall be deemed material to the acceptance of this risk or the hazard assumed by the Insurer under this Policy.
15. Subrogation
In the event of any payment under this Policy, the Insurer and the Insured may have the right to recover all or part of any payment the Insurer or the Insured makes under this Policy. If so, those rights are transferred to the Insurer.
The Insured must do nothing to impair such rights. The Insured will do everything necessary to secure such rights and help the Insurer enforce them, including the execution of documents necessary to enable the Insurer to effectively bring suit. Any recoveries will be applied as follows:
a. first, to the Insurer up to the amount of its payment for Damages and Claim Expenses;
b. then, to the Insured as recovery of Deductible amounts paid as Damages and Claim Expenses.
The Insurer waives its rights of subrogation under this Policy against clients of the Insured as respects Claim(s) arising from Professional Services under the client’s contract requiring waiver of subrogation but only to the extent required by written contract.
16. Other Insurance
This Policy shall be excess of any other valid insurance available to the Insured, including any project-specific professional liability insurance. This Policy shall also be excess of any Deductible or self-insured retention under such other insurance.
17. Territory
This Policy applies to Claim(s) arising from Professional Services rendered worldwide.
However, this Policy shall not apply to any risk which would be in violation of the law of the United States including, but not limited to, U.S. economic or trade sanction laws or export control laws administered by the U.S. Treasury, State, and Commerce Departments (e.g. the economic and trade sanctions administered by the U.S. Treasury Office of Foreign Assets Control).
Page 14 of 16RDP 101 (09/18)
PPB 101 01 22 Contains copyrighted material of Insurance Services Office, Inc. Page 43 of 49
(4) Assist us, upon our request, in the en-forcement of any right against any person or organization that may be liable to the insured because of injury or damage to which this insurance may also apply.
d. No insured will, except at that insured's own cost, voluntarily make a payment, assume any obligation, or incur any expense, other than for first aid, without our consent.
3. Legal Action Against Us
No person or organization has a right under this policy:
a. To join us as a party or otherwise bring us into a "suit" asking for damages from an insured; or
b. To sue us on this policy unless all of its terms have been fully complied with.
A person or organization may sue us to recover on an agreed settlement or on a final judgment against an insured; but we will not be liable for damages that are not payable under the terms of this policy or that are in excess of the applicable Limit of Insurance. An agreed settlement means a settlement and release of liability signed by us, the insured and the claimant or the claimant's legal representative.
4. Separation Of Insureds
Except with respect to the Limits of Insurance of SECTION II – LIABILITY, and any rights or duties specifically assigned in this policy to the first Named Insured, this insurance applies:
a. As if each Named Insured were the only Named Insured; and
b. Separately to each insured against whom claim is made or "suit" is brought.
F. Liability And Medical Expenses Definitions
1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition:
a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and
b. Regarding websites, only that part of a website that is about your goods, products or services for the purposes of attracting customers or supporters is considered an advertisement.
2. "Auto" means:
a. A land motor vehicle, trailer or semitrailer designed for travel on public roads, including any attached machinery or equipment; or
b. Any other land vehicle that is subject to a compulsory or financial responsibility law or other motor vehicle insurance or motor vehicle registration law where it is licensed or principally garaged.
However, "auto" does not include "mobile equipment".
3. "Bodily injury" means bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.
4. "Coverage territory" means:
a. The United States of America (including its territories and possessions), Puerto Rico and Canada;
b. International waters or airspace, but only if the injury or damage occurs in the course of travel or transportation between any places included in Paragraph a. above; or
c. All other parts of the world if the injury or damage arises out of:
(1) Goods or products made or sold by you in the territory described in Paragraph a.
above;
(2) The activities of a person whose home is in the territory described in Paragraph a.
above, but is away for a short time on your business; or
(3) "Personal and advertising injury" offenses that take place through the Internet or similar electronic means of com-munication;
provided the insured's responsibility to pay damages is determined in a "suit" on the merits in the territory described in Paragraph a. above or in a settlement we agree to.
5. "Employee" includes a "leased worker". "Em-ployee" does not include a "temporary worker".
6. "Executive officer" means a person holding any of the officer positions created by your charter, constitution, bylaws or any other similar governing document.
7. "Hostile fire" means one which becomes un-controllable or breaks out from where it was in-tended to be.
8. "Impaired property" means tangible property, other than "your product" or "your work", that cannot be used or is less useful because:
Policy Number: RLI Insurance Company Named Insured:
PPK 2108 05 11 Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RLIPack® NOTICE OF CANCELLATION OR NONRENEWAL –
DESIGNATED PERSON OR ORGANIZATION
Schedule
Designated Person or Organization:
Email Address:
US Mail Address:
If we cancel or chose to nonrenew this policy for any reason other than nonpayment of premium we will provide written notice at least (___) days before the effective date of the cancellation or nonrenewal to the designated person or organization in the above schedule.
Such notice will be sent via the US mail address or E-mail address listed above. Proof of mailing or e-mailing will be sufficient proof of notice.
PSB0001060
JE Fuller Hydrology and Geomorphology, Inc.
As per schedule to be provided by agency upon request.
Policy Number: RLI Insurance Company
PPU 304 06 10 Page 1 of 2
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
RLIPack® FOR DESIGN PROFESSIONALS
EXCESS LIABILITY ENHANCEMENT
SCHEDULE OF COVERAGES ADDRESSED BY THIS ENDORSEMENT
A. General Aggregate Limit – Per Project Or Per Location B. Additional Insured – Primary/Non-contributory C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us
This endorsement modifies insurance provided under the following:
COMMERCIAL EXCESS LIABILITY COVERAGE FORM
A. General Aggregate Limit – Per Project Or Per Location Paragraph 2.a. of C. Limits of Liability of SECTION I – INSURING AGREEMENT is deleted and replaced by the following:
a. The limit of liability stated in the Declarations as general aggregate is the most we will pay during each policy period for all ultimate net loss, except ultimate net loss because of:
(1) injury and damage included in the products-completed operations hazard or;
(2) any coverage included in underlying insurance to which no underlying aggregate applies.
The general aggregate applies separately to each of your “projects” away from premises owned by or occupied by you or to each of your locations owned by or occupied by you.
“Projects” mean an area away from premises owned by or rented to you at which you are performing operations pursuant to a contract or agreement. For the purposes of determining the applicable aggregate limit of insurance, each "project" at the same “location” shall be considered a single "project".
For the purposes of this provision, “location” means
(1) premises involving the same or connecting lots;
(2) premises where connection is interrupted only by a street, roadway, waterway or right-of-way of a railroad; or
(3) premises where operations are performed in sections, stages or phases as a continuation of the same contract or agreement, even if the premises do not involve connecting lots.
B. Additional Insured – Primary/Non-contributory Paragraph K. Other Insurance of SECTION IV – CONDITIONS is deleted and replaced by the following:
K. Other Insurance If other insurance, whether collectible or not, is available to the insured covering a loss also covered by this policy, the insurance afforded by this policy shall be in excess of, and shall not contribute with, such other insurance. However, if the underlying insurance provides coverage to an additional insured on a primary basis, or a primary and non-contributory basis, this insur-ance shall be available to such additional insured on an excess basis over the underlying insurance. We will not share with other insurance which covers such additional insured as a named insured.
C. Waiver Of Transfer Of Rights Of Recovery Against Others To Us Paragraph L. Subrogation of SECTION IV – CONDITIONS is deleted and replaced by the following:
PSE0001110
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