cert_NYC_State_of_Arizona_11309864_6.pdf
PDF 116 KB Posted
- Attached to
- Master Agreement AZ|CTR048140
- Contract number
- CTR048140
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for West Publishing Corporation, a Thomson Reuters Business located in Eagan, MN. The certificate is issued by Marsh USA LLC and covers insurance policies for the State of Arizona, specifically the Arizona Department of Administration State Procurement Office. The insurance providers include ACE American Insurance Company, ACE Property and Casualty Insurance Company, Indemnity Insurance Company of North America, and Chubb.
The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella Liability, Workers' Compensation, Professional Liability (E&O), and Cyber insurance. The policies are effective from 10/01/2024 to 10/01/2025, with various coverage limits ranging from $1,000,000 to $20,000,000. The certificate recognizes the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds. The insurance is primary and non-contributory, with a waiver of subrogation as required by written contract. The policies cover liability arising from the operations of the named insured across multiple states including Wisconsin, Arizona, California, and Massachusetts.
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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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
A 10/01/2024
10/01/2025 of Marsh USA LLC
X
D
10052
4,000,000
SCF C7262810A (WI)
X
22667
G21635029 023 (SIR: $15M)
A
5,000,000
A
X
B
20,000,000
10/01/2025 X
Indemnity Insurance Company of North America
Professional Liability (E&O)
10/01/2024
CN103024198-STND-GAWUE-24-
X
1,000,000
20699
10/01/2025
NYC-011309864-06
10/01/2024
X
2,000,000
12/11/2024
10/01/2025
CTR048140
X
20,000,000
Cyber
2,000,000
X
Limit:10/01/2025
1,000,000 1,000,000
A
10/01/2025
10/01/2024
10/01/2024
X
43575
ISA H10823006
Limit:
25,000
10/01/2024
WLR C72628020 (AOS)
WLR C72628068 (AZ,CA,MA)
G27963675 009
G21635029 023 (SIR: $15M)
500,000
Certificate Holder is recognized under the General Liability, Auto Liability and Workers' Compensation policies. This insurance is primary and non-contributory over any existing insurance and limited to liability arising out of the operations of the named insured and where required by written contract. Contract:
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as an additional insured (except workers’ compensation) where required by written contract. A Waiver of Subrogation, as required by written contract, in favor of
Chubb A Thomson Reuters Business
West Publishing Corporation
Eagan, MN 55121
2900 Ames Crossing Road, Suite 100
2,000,000
ACE American Insurance Company
1166 Avenue of the Americas
MARSH USA, LLC.
Attn: NewYork.Certs@marsh.com Fax: 212-345-3695
New York, NY 10036
HDO G48898798
ACE Property and Casualty Insurance Company
10/01/2024
N
Avenue, 3rd Floor, Suite 305
Phoenix, AZ 85007
State of Arizona
Arizona Department of Administration State Procurement Office 100 North 15th
10/01/2024
C
3,000,000X
A
5,000,000
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