Certicicate of Insurance GL - Auto - Vendtronics 9.5.2026.pdf

PDF 40 KB Posted

Attached to
Master Agreement AZ|CTR077301
Contract number
CTR077301
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by WaFd Insurance Group for Kenneth E. Vanleer dba Vendtronics, with Travelers Insurance as the primary insurer. The certificate names the State of Arizona, specifically the Department of Economic Security, as the certificate holder. The insurance coverage is valid from 9/5/2025 to 9/5/2026 and provides commercial general liability and automobile liability insurance.

The contract covers vending machine sales and repair services under the State of Arizona contract number CTR077301. The insurance policy includes a combined single limit of $1,000,000 for automobile liability and commercial general liability. The State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, are listed as additional insureds with a waiver of subrogation. The policy provides coverage for potential damages, with aggregate limits of $2,000,000 for general liability and specific limits for medical expenses, personal injury, and property damage.

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Text version

CERTIFICATE HOLDER

© 1988-2009 ACORD CORPORATION. All rights reserved.

ACORD 25 (2009/09)

AUTHORIZED REPRESENTATIVE

CANCELLATION

DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE

LOCJECT

PRO-POLICY

GEN'L AGGREGATE LIMIT APPLIES PER:

OCCURCLAIMS-MADE

COMMERCIAL GENERAL LIABILITY

GENERAL LIABILITY

PREMISES (Ea occurrence) $

DAMAGE TO RENTED

EACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTION

DEDUCTIBLE

CLAIMS-MADE

OCCUR

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required)

INSR

LTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

WC STATU-

TORY LIMITS

OTH-

ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE

E.L. DISEASE - POLICY LIMIT

ANY PROPRIETOR/PARTNER/EXECUTIVE

If yes, describe under DESCRIPTION OF OPERATIONS below

(Mandatory in NH)

OFFICER/MEMBER EXCLUDED?

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY Y / N

AUTOMOBILE LIABILITY

ANY AUTO

ALL OWNED AUTOS

SCHEDULED AUTOS

HIRED AUTOS

NON-OWNED AUTOS

COMBINED SINGLE LIMIT

(Ea accident)

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE

(Per accident) $

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.

INSR

ADDL

WVD

SUBR

N / A

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 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).

The ACORD name and logo are registered marks of ACORD

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE

(A/C, No, Ext):

PRODUCER

PRODUCER

CUSTOMER ID #:

ADDRESS:

E-MAIL

FAX

(A/C, No):

CONTACT

NAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

INSURER(S) AFFORDING COVERAGE

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

9/2/2025

WaFd Insurance Group 6720 N Scottsdale Rd Ste 111 Scottsdale, AZ 85253

623-889-6366 623-889-6399 commercial@hanksure.com

Kenneth E. Vanleer dba Vendtronics 3056 W. 30th Ave.

Phoenix, AZ 85017

Travelers

A x x x

Y Y BIP7T615108-24-42 9/5/2025 9/5/2026 1,000,000

300,000 5,000 1,000,000 2,000,000 2,000,000

A x x x

Y Y BA7Y855503 9/5/2025 9/5/2026 1,000,000

State of Arizona Department of Economic Security c/o myCOI PO Box 501970 8710 Bash Street Indianapolis, IN 46256

Vending machine sales and repair. ADES - CTR077301 State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are additional insureds and waiver of subrogation applies.

File details come from the government source that posted it. Updated .