CERTIFICATE_OF_INSURANCE.Pdf
PDF 236 KB Posted
- Attached to
- Master Agreement AZ|CTR056526
- Contract number
- CTR056526
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by The Hartford on August 6, 2021, for EMS LINQ, INC., a company based in Wilmington, NC. The certificate is associated with a state contract (Contract ID CTR056526) with the Arizona State Procurement Office, located in Phoenix, AZ. The insurance is provided through Sentinel Insurance Company Ltd. and covers the period from July 1, 2021, to July 1, 2022.
The insurance policy includes multiple coverage types: Commercial General Liability with a $1,000,000 per occurrence limit and $2,000,000 aggregate, Automobile Liability with a $1,000,000 combined single limit, and an Umbrella Liability policy with a $5,000,000 limit. Additionally, the policy includes Failsafe Technology Errors and Omissions coverage with a $2,000,000 aggregate limit. The policy provides comprehensive insurance protection for EMS LINQ's operations, with coverage spanning general liability, automobile use, and technology-related risks.
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Text version
WLTR005
THE HARTFORD
BUSINESS SERVICE CENTER
3600 WISEMAN BLVD
SAN ANTONIO TX 78251 August 6, 2021
ADOA State Procurement Office State of Arizona Contract ID CTR056526
100 N 15TH AVE
PHOENIX AZ 85007
Account Information:
Policy Holder Details : EMS LINQ, INC.
Contact Us
Business Service Center Business Hours: Monday - Friday (7AM - 7PM Central Standard Time) Phone: (877) 287-1312 Fax: (888) 443-6112 Email: agency.services@thehartford.com Website: https://business.thehartford.com
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)
08/06/2021 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
PAYCHEX INSURANCE AGENCY INC
76210762
150 SAWGRASS DRIVE
ROCHESTER NY 14620
CONTACT NAME:
PHONE
(A/C, No, Ext):
(800) 472-0072 FAX
(A/C, No):
(585) 389-7894
E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A : Sentinel Insurance Company Ltd. 11000
INSURED
EMS LINQ, INC.
2528 INDEPENDENCE BLVD STE 200
WILMINGTON NC 28412-2591
INSURER B :
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
76 SBW BF2913 07/01/2021 07/01/2022
EACH OCCURRENCE $1,000,000
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 $1,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000
POLICY PRO-
JECT X LOC PRODUCTS - COMP/OP AGG $2,000,000
OTHER:
A
AUTOMOBILE LIABILITY
76 SBW BF2913 07/01/2021 07/01/2022
COMBINED SINGLE LIMIT
(Ea accident)
$1,000,000
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 76 SBW BF2913 07/01/2021 07/01/2022
EACH OCCURRENCE $5,000,000
AGGREGATE $5,000,000
DED X RETENTION $ 10,000
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
PER
STATUTE
OTH-
ER
Y/N E.L. EACH ACCIDENT
E.L. DISEASE -EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
A FAILSAFE TECHNOLOGY E OR
O
76 SBW BF2913 07/01/2021 07/01/2022 Each Glitch 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 CANCELLATION
ADOA State Procurement Office State of Arizona Contract ID CTR056526
100 N 15TH AVE
PHOENIX AZ 85007
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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