Arizona_Game_and_Fish_Department_Vectronic_Aerospace_Inc_24-25__001__GLCWCO_4-25-2025_560289206.pdf
PDF 93 KB Posted
- Attached to
- Master Agreement AZ|CTR060941
- Contract number
- CTR060941
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by AssuredPartners Great Plains, LLC for Vectronic Aerospace Inc, covering insurance policies from Cincinnati Specialty Underwriters Insurance Company and Accident Fund Insurance Company of America. The certificate lists the Arizona Game and Fish Department as the certificate holder, located in Phoenix, Arizona. The insurance document is dated 4/25/2025 and references a specific contract number CTR060941.
The certificate provides details on two primary insurance policies: a Commercial General Liability policy with Cincinnati Specialty Underwriters (Policy Number CSU 0218874) effective from 10/7/2024 to 10/7/2025, with coverage limits of $1,000,000 per occurrence and a $2,000,000 general aggregate. The second policy is a Workers Compensation and Employers' Liability policy with Accident Fund Insurance Company (Policy Number AF WCP100099065) effective from 10/11/2024 to 10/11/2025, with statutory coverage limits. The Arizona Game and Fish Department is listed as an Additional Insured on the General Liability policy, and the total contract appears to involve insurance coverage for Vectronic Aerospace Inc's operations.
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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
4/25/2025
AssuredPartners Great Plains, LLC PO Box 759 Dubuque IA 52004-0759
Jackie Pape 563-585-2799 563-556-4425 jackie.pape@assuredpartners.com
License#: 1001000272 Cincinnati Specialty Underwriters Insurance Compan 13037 VECTAER-01 Accident Fund Ins Co of America 10166
Vectronic Aerospace Inc 3292 Ridgeway Dr Ste B-C Coralville IA 52241
560289206
A X 1,000,000 X 100,000
1,000,000
2,000,000 X
Y CSU 0218874 10/7/2024 10/7/2025
2,000,000
B XAF WCP100099065 10/11/2024 10/11/2025
1,000,000
1,000,000
1,000,000
Contract # CTR060941
Arizona Game and Fish Department is listed as Additional Insured on the above General Liability policy.
Arizona Game and Fish Department 5000 W Carefree Highway Phoenix AZ 85086
File details come from the government source that posted it. Updated .