CERT-963183499.pdf
PDF 5 MB Posted
- Attached to
- Master Agreement AZ|CTR072002
- Contract number
- CTR072002
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Bowen, Miclette & Britt Insurance Agency, LLC for MasterWord Services, Inc., with the State of Arizona listed as the certificate holder. The primary insurers include Hanover Casualty Company, Allmerica Financial Benefit Insurance Co., Twin City Fire Insurance Company, and others. The insurance policies cover various types of liability including commercial general liability, automobile liability, umbrella liability, workers' compensation, directors' and officers' liability, employment practices liability, professional liability, cyber liability, and crime coverage.
The insurance policies are effective from 07/30/2024 to 07/30/2025, with multiple coverage limits. The commercial general liability policy has a $1,000,000 per occurrence limit and $2,000,000 aggregate limit. The professional liability and cyber liability coverages share a $5,000,000 policy aggregate limit. Additional coverages include product recall expense ($25,000 per occurrence, $50,000 aggregate), directors' and officers' liability with a $1,000,000 aggregate limit, and employment practices liability with a $1,000,000 third-party liability limit. The policies include various endorsements such as additional insured provisions, blanket waiver of subrogation, and coverage for sexual abuse and molestation.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment_13_-_Pricing_Document_Rev01__1_.pdf | ||
| CTR072002_Amendment_1.pdf | ||
| Masterword_Contract.pdf | ||
| CART-ASL_Comprehensive_Pricing_List.xlsx | XLSX spreadsheet | |
| CART-ASL_Comprehensive_Pricing_List_6-1-25.xlsx | XLSX spreadsheet |
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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
7/29/2024
Bowen, Miclette & Britt Insurance Agency, LLC 2800 North Loop West, Suite 1100 Houston TX 77092
Tina Xayasane 713-802-6159 713-880-7166 txayasane@bmbinc.com
Hanover Casualty Company 41602 MASTERWORD Allmerica Financial Benefit Ins. Co. 41840
MasterWord Services, Inc.
303 Stafford Street, Suite 204 Houston TX 77079
Twin City Fire Insurance Company 29459
963183499
A X 1,000,000 X 300,000
5,000
1,000,000
2,000,000 X
Y Y OLDH70412503 7/30/2024 7/30/2025
2,000,000
A *Included
X X
OLDH70412503 7/30/2024 7/30/2025
A X X 5,000,000Y OLDH70412503 7/30/2024Y 7/30/2025
5,000,000
B XY W2DH67696403 7/30/2024 7/30/2025
1,000,000
1,000,000
1,000,000 C Directors & Officers Liability N N 61KB039200124 7/30/2024 7/30/2025 D&O Aggregate 1,000,000
The Professional Liability and Cyber Liability coverages share a POLICY AGGREGATE LIMIT OF $5,000,000* Hired and Non Owned Auto liability shares the each occurrence limit of the Commercial General Liability
Employment Practices Liability- Twin City Fire Insurance Co.
Policy Number: 61KB039200124 Effective Dates: 07/30/2024 – 07/30/2025 Third Part Liability Limit: $1,000,000 See Attached...
State of Arizona 100 N. 15th Ave.
Suite 201 Phoenix AZ 85007
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
MASTERWORD
1 1
Bowen, Miclette & Britt Insurance Agency, LLC MasterWord Services, Inc.
303 Stafford Street, Suite 204 Houston TX 77079
25 CERTIFICATE OF LIABILITY INSURANCE
Aggregate Limit: $1,000,000
Crime- Twin City Fire Insurance Co.
Policy Number:. 61KB039200124 Effective Dates: 07/30/2024 – 07/30/2025 Crime Aggregate: $1,000,000
Cyber Liability- Ace American Insurance Co.
Policy Number: D963374437 Effective Dates: 07/30/2024 – 07/30/2025 Each Claim: $5,000,000 Policy Aggregate: $5,000,000
Professional Liability- Ace American Insurance Co.
Policy Number: D963374437 Effective Dates: 07/30/2024 – 07/30/2025 Each Claim: $5,000,000 Policy Aggregate: $5,000,000
Excess Cyber- Certain Underwriter's at Lloyds Policy# W37075240201 Effective Dates: 07/30/2024 - 07/30/2025 Each Claim: $5,000,000 Aggregate: $5,000,000
The following policy provisions and/or endorsements form part of the policies of insurance represented by this certificate of insurance. The terms contained in the policies and/or endorsements supersede the representations made herein. Electronic copies of the policy provisions and/or endorsements listed below are available by emailing Contact Person as shown above.
General Liability:
Blanket additional insured Ongoing Operations per form # 391-1006 08 16 Blanket additional insured Completed Operations per form # 391-1006 08 16 Blanket waiver of subrogation per form # 391-1003 08 16 Blanket primary/non-contributory per form # 391-1003 08 16
Worker’s Compensation:
Blanket waiver of subrogation per form # WC000313 04/84 (AZ, FL, MI, NE); WC040306 04/84 (CA); WC420304B 06/14 (TX)
Umbrella:
Blanket additional insured per form # CU 00 01 12 07 Blanket waiver of subrogation per form # CU 00 01 12 07
Sexual Abuse and Molestation coverage is not excluded on the general liability policy.
File details come from the government source that posted it. Updated .