CERTIFICATE_OF_INSURANCE_5.Pdf
PDF 330 KB Posted
- Attached to
- Master Agreement AZ|CTR071989
- Contract number
- CTR071989
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by The Hartford for A Foreign Language Solution LLC, located in Oro Valley, Arizona. The certificate is addressed to the Arizona Department of Administration State Procurement Office in Phoenix, Arizona. The insurance policies are underwritten by Twin City Fire Insurance Company and Hartford Fire and Its P&C Affiliates, covering the period from 06/26/2024 to 06/26/2025.
The insurance coverage includes Commercial General Liability with limits of $2,000,000 per occurrence and $4,000,000 aggregate, Automobile Liability with a $2,000,000 combined single limit, Umbrella Liability with $2,000,000 per occurrence and aggregate, Workers' Compensation with statutory limits, and Professional Liability with a $2,000,000 occurrence and aggregate limit. The certificate indicates that the Arizona Department of Administration State Procurement Office is an additional insured under the Business Liability Coverage Form. The policy covers the usual operations of the insured company, with a $10,000 retention and various specific coverage provisions for different types of potential liability.
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Text version
WLTR005
THE HARTFORD
BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251 August 21, 2024
Arizona Department Of Administration State Procurement Office
100 N 15TH AVE STE 201
PHOENIX AZ 85007-2629
Account Information:
Policy Holder Details : A FOREIGN LANGUAGE
SOLUTION LLC
Contact Us Need Help?
Chat online or call us at
(866) 467-8730.
We're here Monday - Friday.
Enclosed please find a Certificate Of Insurance for the above referenced Policyholder. Please contact us if you have any questions or concerns.
Sincerely, Your Hartford Service Team
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
08/21/2024 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 SUBROGATIONIS 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).
PRODUCER
NUTMEG INSURANCE AGENCY INC/PHS
02025657 The Hartford Business Service Center 3600 Wiseman Blvd San Antonio, TX 78251
CONTACT
NAME:
PHONE
(A/C, No, Ext):
(866) 467-8730 FAX
(A/C, No):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURED
A FOREIGN LANGUAGE SOLUTION LLC
1846 E INNOVATION PARK DR STE 100
ORO VALLEY, AZ 85755-1963
INSURER A : Twin City Fire Insurance Company 29459 INSURER B : Hartford Fire and Its P&C Affiliates 00914
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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
LTR
TYPE OF INSURANCE ADDL
INSR
SUBR
WVD
POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/Y YYY)
LIMITS
A
COMMERCIAL GENERAL LIABILITY
X 02 SBM AM7661 06/26/2024 06/26/2025
EACH OCCURRENCE $2,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $1,000,000
X General Liability MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
POLICY PRO-
JECT X LOC PRODUCTS - COMP/OP AGG $4,000,000
OTHER:
A
AUTOMOBILE LIABILITY
02 SBM AM7661 06/26/2024 06/26/2025
COMBINED SINGLE LIMIT
(Ea accident)
$2,000,000 ANY AUTO BODILY INJURY (Per person)
ALL OWNED
AUTOS
SCHEDULED
AUTOS BODILY INJURY (Per accident)
X HIRED
AUTOS X NON-OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
A
X UMBRELLA LIAB
EXCESS LIAB
X OCCUR
CLAIMS-
MADE 02 SBM AM7661 06/26/2024 06/26/2025
EACH OCCURRENCE $2,000,000
AGGREGATE $2,000,000
DED X RETENTION $ 10,000
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY
PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
N/ A 02 WEC AD5FP4 06/26/2024 06/26/2025
X PER
STATUTE
OTH-
ER
Y/N E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE -EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $1,000,000
A PROFESSIONAL LIABILITY 02 SBM AM7661 06/26/2024 06/26/2025 Occurrence Aggregate
$2,000,000 $2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. Certificate holder is an additional insured per the Business Liability Coverage Form SS0008, attached to this policy.
CERTIFICATE HOLDER CANCELLATION
Arizona Department Of Administration State Procurement Office
100 N 15TH AVE STE 201
PHOENIX AZ 85007-2629
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
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