Arizona_Game___Fish_Dept._Sprague_s_Sports__Inc_2526_Certificates_9-23-2025_1608612153.pdf

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Attached to
Master Agreement AZ|CTR057649
Contract number
CTR057649
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by CopperPoint Mutual Insurance for Sprague's Sports, Inc and Truckmates, LLC, located in Yuma, Arizona. The certificate is issued for a contract with the Arizona Game & Fish Department, State of Arizona Purchasing Office, located in Phoenix, Arizona. The insurance policy (WC1020873) provides Workers' Compensation and Employers' Liability coverage, with ATP & Associates, LLC serving as the producer.

The contract (Contract No: CTR057649) is specifically for Rifles/Firearms for Hunter Education, with a policy period from 7/1/2025 to 7/1/2026. The insurance coverage includes workers' compensation limits of $1,000,000 per each accident, per employee, and for the policy limit. A notable feature is the waiver of subrogation that applies in favor of Arizona Game & Fish and the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, agents, and employees. The certificate is valid until 9/23/2025 and provides insurance information for the specified contract.

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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

E-MAIL

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

9/23/2025

ATP & Associates, LLC 350 W. 16th Street, Suite 103 Yuma AZ 85364

928-783-0000 928-783-3731

CopperPoint Mutual Ins. 14216

SPRASPO-01

Sprague's Sports, Inc Truckmates, LLC 345 W. 32nd Street Yuma AZ 85365

1608612153

A X

Y

Y WC1020873 7/1/2025 7/1/2026

1,000,000

1,000,000

1,000,000

Contract No: CTR057649- Rifles/Firearms for Hunter Education

Waiver of subrogation applies per form WC000313 in favor of Arizona Game & Fish and the State of Arizona, It's Departments, agencies, boards, commissions, universities, officers, agents & Employees.

Arizona Game & Fish Dept.

State of Arizona Purchasing Office 5000 W. Carefree Highway Phoenix AZ 85086

WC1020873

Sprague's Sports, Inc Truckmates, LLC

CopperPoint Mutual Ins.

File details come from the government source that posted it. Updated .