Cellular_Tracking_-_COI_-_State_of_Arizona.pdf
PDF 17 KB Posted
- Attached to
- Master Agreement AZ|CTR060827
- Contract number
- CTR060827
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Cellular Tracking Technologies, issued by AssuredPartners of PA, LLC with insurance coverage from ACE Property & Casualty Insurance Co and Sentinel Insurance Company Ltd. The certificate is specifically for a contract (CTR060827) with the State of Arizona and Arizona Game and Fish Department, located at 5000 W. Carefree Hwy in Phoenix, AZ.
The insurance certificate provides comprehensive coverage including Commercial General Liability ($1,000,000 per occurrence), Automobile Liability ($1,000,000), and Umbrella/Excess Liability ($2,000,000) effective from 02/01/2025 to 02/01/2026. Workers' Compensation coverage is also included, effective 08/01/2024 to 08/01/2025. The policy includes a waiver of subrogation and additional insured status for the State of Arizona, its departments, agencies, boards, commissions, universities, officers, and employees, as specified in the written contract or agreement.
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Text version
INSR ADDL SUBR
LTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N / A (Mandatory in NH)
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $
DAMAGE TO RENTED
$PREMISES (Ea occurrence)CLAIMS-MADE OCCUR
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
PRO-
OTHER:
LOCJECT
COMBINED SINGLE LIMIT
$(Ea accident)
BODILY INJURY (Per person) $ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
AUTOS ONLY
HIRED PROPERTY DAMAGE $
AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
POLICY
NON-OWNED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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.
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 any rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
ACE Property & Casualty Insurance Co
Sentinel Insurance Company Ltd
5/05/2025
AssuredPartners of PA, LLC 1301 Grandview Ave Suite 400 Pittsburgh, PA 15211
Dan Woytek daniel.woytek@assuredpartners.com
Cellular Tracking Technologies 1293 Hornet Road Unit 1 Rio Grande, NJ 08242
20699 11000
A X X
D94720151 02/01/2025 02/01/2026 1,000,000 1,000,000 10,000 1,000,000 2,000,000 2,000,000
A
X X
D94720151 02/01/2025 02/01/2026 1,000,000
A X X D94720278 02/01/2025 02/01/2026 2,000,000 2,000,000
B
N
40WECAY9S17 08/01/2024 08/01/2025 x 1,000,000
1,000,000 1,000,000
Reg: contract number CTR060827 In respect to the General Liability, Waiver of Subrogation applies to the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, and Arizona Game and Fish Department which are included as Additional Insureds, per written contract or agreement. Waiver of Subrogation and Additional Insured is written on a blanket endorsement and provides status when required by a written contact. Umbrella follows General Liability, Auto and Workers Compensation
The State of Arizona Arizona Game and Fish Department 5000 W. Carefree Hwy Phoenix, AZ 85086-0000
#S1150112/M1026126
CELLUTRACClient#: 10895
DWOYT
Job 1: The State of Arizona
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