Cert_of_Ins_-_Arizona_Department_of_Admi.PDF
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- Attached to
- Master Agreement AZ|CTR056871
- Contract number
- CTR056871
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Alliance Lead Group, LLC dba Armor Insurance Professionals, located in Tempe, Arizona, for insurance coverage related to a contract with the Arizona Department of Administration State of Procurement Office. The certificate involves multiple insurance providers including CNA and Underwriters at Lloyd's, with the State of Arizona and its departments listed as additional insureds. The document is dated 03/03/2022 and references Contract #CTR056871.
The insurance coverage includes various liability protections with specific limits: general liability of $2,000,000 per occurrence and $4,000,000 aggregate, automobile liability, and professional liability of $1,000,000 per claim/aggregate. The policy periods vary, with most coverages effective from 02/06/2022 to 02/06/2023, and some professional liability coverage from 04/04/2021 to 04/04/2022. The certificate includes provisions for waiver of subrogation and additional insured status for the State of Arizona's departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
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Text version
03/03/2022
Alliance Lead Group, LLC dba Armor Insurance Professionals 671 E. Apache Blvd., Suite 125 Tempe, AZ 85281
Madison Meise
480-444-7086 480-444-7088 madison@armorinsprof.com
00028253-920560 17
The James Agency, Inc.
6240 E Thomas Rd Ste 200 Scottsdale, AZ 85251
CNA 20443
A Y Y 6011236243 02/06/2022 02/06/2023X X
X
2,000,000 300,000 10,000
2,000,000 4,000,000 4,000,000
CNA 20443
A Y Y 6011236243 02/06/2022 02/06/2023
X X
1,000,000
CNA 35289
B Y 6025574046 04/04/2021 04/04/2022 X 1,000,000 1,000,000 1,000,000
Underwriters at Lloy'ds and other insurers
C ESJ0031337979 04/29/2021 04/29/2022Professional Liabili Each Claim/Aggregat $1mil/$1mil
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are listed as additional insureds only as their interests may appear by written contract. A waiver of subrogation applies.
Contract #:CTR056871
Arizona Department of Administration State of Procurement Office 100 N 15th Ave., Suite 402 Phoenix, AZ 85007
(MAD)
Printed by MAD on 03/03/2022 at 03:31PM
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD 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)
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
EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY LOC PRODUCTS - COMP/OP AGG $JECT
OTHER: $
COMBINED SINGLE LIMIT $(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY 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
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
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 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)
CERTIFICATE OF LIABILITY INSURANCE
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