Arizona_WSD_Digital_COI_PKG_02_08_24.pdf
PDF 275 KB Posted
- Attached to
- Master Agreement AZ|CTR069956
- Contract number
- CTR069956
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance dated 09/28/2023, issued by Wentworth-DeAngelis, Inc. for WSD Digital, LLC, with coverage provided by Hartford Underwriters Insurance Co. and Scottsdale Insurance Co. The certificate is prepared for the State Procurement Office in Phoenix, Arizona, with a specific contract number CTR069956.
The insurance coverage includes Commercial General Liability with a $1,000,000 each occurrence limit and $2,000,000 general aggregate, Automobile Liability with a $1,000,000 combined single limit, Umbrella/Excess Liability with $5,000,000 each occurrence and aggregate limits, and Employment Practices Liability with a $500,000 occurrence limit and $1,000,000 aggregate, with a $25,000 deductible. The policies are effective from 07/14/2023 to 07/14/2024 for most coverages, with the Employment Practices Liability running from 08/11/2023 to 08/11/2024. The certificate serves as evidence of insurance for the state contract and does not constitute a contract itself.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| 4-WSD.BPM005449PricingSheet-NEGOTIATIONS-BAFO.xlsx | XLSX spreadsheet | |
| Arizona_WSD_Digital_COI_Crime_02_08_24.pdf | ||
| CTR069956Offerand_Acceptance_Executed.pdf | ||
| AZ_Proposed_Payment_Milestones_Final.xlsx | XLSX spreadsheet | |
| Arizona_WSD_Digital_Workers_Comp_02_08_24.pdf | ||
| CTR069956_Contract_Amendment_2.pdf | ||
| CTR069956_ContractAmendment1.Extension5.13.26.pdf |
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Text version
09/28/2023
Wentworth-DeAngelis, Inc.
20 Batterson Park Rd, Ste 120
Farmington CT 06032
Tracey Cooper
(860) 676-3109 (860) 676-2217 tracey@wdkinsurance.com
WSD Digital, LLC 750 Main St
Hartford CT 06103-2703
Hartford Underwriters Insurance Co. 30104 Scottsdale Insurance Co
23/24 Master use this
A 02SBAAY9S12 07/14/2023 07/14/2024
1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000
A 02SBAAY9S12 07/14/2023 07/14/2024
1,000,000
A 10,000
02SBAAY9S12 07/14/2023 07/14/2024
5,000,000 5,000,000
B Employment Practices Liability
EKS3490393 08/11/2023 08/11/2024
Occurrence 500,000 Aggregate 1,000,000 Ded 25,000
RE: Evidence of Insurance.
State Procurement Office
1802 West Jackson Street, #100
Phoenix AZ 85007
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
Contract Number: CTR069956
File details come from the government source that posted it. Updated .