AZ_Game_Fish__1_.pdf
PDF 274 KB Posted
- Attached to
- Master Agreement AZ|CTR074709
- Contract number
- CTR074709
- Issued by
- Arizona
About this file
This Certificate of Liability Insurance was issued on October 20, 2025, for Verde Earth Technologies LLC, located in Williams, Arizona, under Contract #CTR074709 with the State of Arizona, Arizona Game and Fish Department. The certificate was prepared by J A Knapp Agency, an authorized insurance representative located in Sunbury, Ohio. The State of Arizona, Arizona Game and Fish Department, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are named as Additional Insureds on the policies.
Verde Earth Technologies LLC maintains two active insurance policies effective through 2026: Commercial General Liability coverage through EMC Evanston Insurance Company (Policy 6X6-27-84, effective 02/22/2025–02/22/2026) with limits of $1,000,000 per occurrence, $2,000,000 general aggregate, and $100,000 damage to rented premises; and Pollution Liability coverage (Policy CPLMOL130544, effective 03/26/2025–03/26/2026) with limits of $1,000,000 each and $2,000,000 aggregate. The Automobile Liability section indicates scheduled autos and non-owned autos coverage with a combined single limit of $1,000,000 per accident. All policies are subject to standard terms, exclusions, and conditions, and limits may be reduced by paid claims.
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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
10/20/2025
J A Knapp Agency
PO BOX 286
Sunbury OH 43074
Robin Johnston
(740) 913-0815 csr@jaknapp.com
Verde Earth Technologies LLC
7499 S LATIGO RD
WILLIAMS AZ 86046-1536
EMC
EVANSTON INSURANCE COMPANY
A Y 6X6-27-84 02/22/2025 02/22/2026
1,000,000
100,000
5,000
1,000,000
2,000,000
2,000,000
A 6X6-27-84 02/22/2025 02/22/2026
1,000,000
B Pollution Liability
CPLMOL130544 03/26/2025 03/26/2026
Each Limit 1,000,000
Aggregate 2,000,000
The State of Arizona, Arizona Game and Fish Department and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are listed as Additional Insureds. Contract # CTR074709
Arizona Game and Fish Dept.
Attn: Purchasing
5000 W Carefree Hwy
Phoenix AZ 85086
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