Arizona_Game_and_Fish_Dept.__5000_W_Carefree_Hwy__Phoenix__AZ__85086__Method_of_Distribution__Email.pdf
PDF 17 KB Posted
- Attached to
- Master Agreement AZ|CTR074701
- Contract number
- CTR074701
- Issued by
- Arizona
About this file
This is a Certificate of Liability Insurance dated September 3, 2025, issued by Flood and Peterson, an insurance producer based in Greeley, Colorado, for Markit! Forestry Management, LLC, located in Colorado Springs, Colorado. The certificate is issued on behalf of the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees in connection with contract number CTR074701 with the Arizona Game and Fish Department located in Phoenix, Arizona. Falls Lake National Insurance Company serves as the primary insurer.
The insurance coverage includes Commercial General Liability with policy number TIM-CL-00003081-00, effective from September 1, 2025, through September 1, 2026, providing limits of $1,000,000 per occurrence, $100,000 for damage to rented premises, $5,000 for medical expenses, $1,000,000 for personal and advertising injury, and $2,000,000 for general aggregate and products/completed operations aggregate. Umbrella Liability coverage under policy number PXFXS0074703 provides $4,000,000 per occurrence and $4,000,000 aggregate for the same policy period. Additional coverage includes Loggers Broad Form Property Damage with $1,000,000 per occurrence. The State of Arizona is included as an Additional Insured as required by the written contract for liability caused by the named insured.
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Text version
09/03/2025
Flood and Peterson PO Box 578
Greeley CO 80632
Scott Sorensen
(970) 356-0123 (970) 330-1867 ssorensen@floodpeterson.com
Markit! Forestry Management, LLC 2424 Garden of the Gods Road Suite 290 Colorado Springs CO 80919
Falls Lake National Insurance Company 31925
AOS
A Y TIM-CL-00003081-00 09/01/2025 09/01/2026
1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000
A PXFXS0074703 09/01/2025 09/01/2026
4,000,000 4,000,000
A Loggers Broad Form Property Damage
TIM-CL-00003081-00 09/01/2025 09/01/2026 Each Occurrence 1,000,000
RE: contract # CTR074701 The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insured as required by written contract for liability caused by the named insured with regard to General Liability, subject to policy terms, exclusions, and conditions. This Certificate is issued as a matter of information only, confers no rights upon the certificate holder, and does not alter the insurance coverage afforded by the policies described herein.
Arizona Game and Fish Dept.
5000 W Carefree Hwy
Phoenix AZ 85086
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
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