BWS_Architects_Certificate_of_Insurance_September_2024_-_September_2025.pdf
PDF 81 KB Posted
- Attached to
- Master Agreement AZ|CTR076526
- Contract number
- CTR076526
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Stuckey Insurance & Associated Agencies in Phoenix, Arizona, for Burns Wald-Hopkins Shambach Architects, Inc., located in Tucson, Arizona. The insurance is provided by multiple Travelers Insurance companies, including The Travelers Indemnity Company of Connecticut, The Travelers Property Casualty Insurance Company, Hartford Accident & Indemnity Company, and Travelers Casualty & Surety Co of America.
The certificate covers multiple types of insurance, including Commercial General Liability, Automobile Liability, Umbrella Liability, Workers' Compensation, and Professional Liability. The policies are effective from 12/23/2023 to 12/23/2024 for most coverages, with the Workers' Compensation and Professional Liability running from 9/1/2024 to 9/1/2025. The Professional Liability policy includes full prior acts coverage with limits of $5,000,000 per claim and in the aggregate. Commercial General Liability has a $1,000,000 per occurrence limit and a $2,000,000 general aggregate limit. The document is marked "For Information Only" and does not constitute a direct 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
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
8/30/2024
Stuckey Insurance & Associated Agencies 2850 E Camelback Rd Suite 325 Phoenix AZ 85016
Abi Law 602-264-5533 abigail.law@stuckeyinsurance.com
The Travelers Indemnity Company of Connecticut 25682 BURNWAL-01 The Travelers Property Casualty Insurance Company 25674
Burns Wald-Hopkins Shambach Architects, Inc.
261 N Court Avenue Tucson AZ 85701
Hartford Accident & Indemnity Company 22357 Travelers Casualty & Surety Co of America 31194
843637914
A X 1,000,000 X 1,000,000
5,000
1,000,000
2,000,000 X
6804P347936 12/23/2023 12/23/2024
2,000,000
A 1,000,000
X X
6804P347936 12/23/2023 12/23/2024
B X X 5,000,000CUP4P486266 12/23/2023 12/23/2024
5,000,000 X 10,000
C X
N
59WEGTU4553 9/1/2024 9/1/2025
1,000,000
1,000,000
1,000,000 D Professional Liability 108118305 9/1/2024 9/1/2025 Per Claim
Aggregate 5,000,000 5,000,000
Professional Liability - Claims Made - Full Prior Acts
For Information Only
USA
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