Att_7_Insurability_Solicitation_No._BPM006379_GLA.pdf

PDF 407 KB Posted

Attached to
Master Agreement AZ|CTR074218
Contract number
CTR074218
Issued by
Arizona

About this file

This document is a Request for Proposal (RFP) from the Arizona Department of Environmental Quality (ADEQ) for Capacity Development and Technical Assistance to Small Public Drinking Water Systems, with Solicitation Number BPM006379. The document includes a Letter of Insurability from Lockton Insurance Brokers, LLC and an ACORD Certificate of Liability Insurance for Geologic Associates, Inc., the proposed contractor. The insurance certificate is issued by Standard Insurance Company and Zurich American Insurance Company, covering the proposed work.

The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, and Workers' Compensation, with policy periods from 12/31/2023 to 12/31/2024. The policies provide various coverage limits, including $2,000,000 per occurrence for Commercial General Liability, $1,000,000 for Automobile Liability, and $10,000,000 aggregate for Umbrella Liability. The Certificate of Liability Insurance is specifically for work related to Capacity Development/Technical Assistance to Small Public Drinking Water Systems, with Geologic Associates, Inc. as the insured entity and ADEQ listed as the certificate holder.

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Att_12_Approach_Solicitation_No._BPM006379_GLA.pdf PDF
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Att_3_Force_Labor_Form_Solicitation_No._BPM006379_GLA.pdf PDF
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Text version

Request for Proposal

Solicitation No. BPM006379

Capacity Development/Technical Assistance to Small Public Drinking Water Systems

Arizona Department of Environmental

Quality (ADEQ)

1110 W. Washington Street

Phoenix, AZ 85007

Solicitation Attachment – Letter of Insurability | Revision No. 2 | Revised 08-23

Attachment 7 – Letter of Insurability

The Offeror shall provide a Letter of Insurability from the Insurance Company as a proof that the Offeror currently possesses the required insurance as stated in Addendum A of the Special Terms and Conditions or the Offeror is able to obtain the required Minimum Scope and Limits of Insurance should a contract be awarded to them.

The Letter of Insurability (and any additional letters) should be clearly marked as:

Attachment - Supplement Insurance

NOTE: Awarded Contractors shall provide a Certificate of Insurance (e.g. ACORD forms) and associated policy endorsement(s) electronically prior to beginning Service(s) or performing any other work under the Contract. Contractors shall also provide updated Certificates of Insurance electronically, so the State has current Certificates of Insurance as required under the Contract.

LOCKTON INSURANCE BROKERS, LLC 213.689.0500

777 S. Figueroa St., Suite 5200, Los Angeles, CA 90017 lockton.com

August 20, 2024

Arizona Department of Environmental Quality (ADEQ) 1110 W. Washington Street Phoenix, AZ 85007

RE: Request for Proposal for Geologic Associates Inc.

Letter of Insurability

To Whom It May Concern:

This letter is to confirm that the attached certificate issued for the Offeror (Geologic Associates, Inc.) on August 20, 2024 is evidencing all the coverages they can comply with.

Sincerely, Lusine Hovsepyan Sr. Account Manager Lockton Insurance Brokers, LLC Tel (213) 655-9760 Email: Lusine.Hovsepyan@lockton.com CA License 0F15767 mailto:Lusine.Hovsepyan@lockton.com

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