Certificate_of_Insurance_State_of_Arizona_CGL_Cyber_E_O_Revised_05242022__1_.pdf

The ACORD name and logo are registered marks of ACORD

CERTIFICATE HOLDER

© 1988-2014 ACORD CORPORATION. All rights reserved.

ACORD 25 (2014/01)

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

PREMISES (Ea occurrence) $

DAMAGE TO RENTED

EACH OCCURRENCE $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

$RETENTIONDED

CLAIMS-MADE

OCCUR

AGGREGATE $

EACH OCCURRENCE $UMBRELLA LIAB

EXCESS LIAB

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

INSR

LTR TYPE OF INSURANCE POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

PER

STATUTE

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 SCHEDULED

HIRED AUTOS

NON-OWNED

AUTOS AUTOS

AUTOS

COMBINED SINGLE LIMIT

BODILY INJURY (Per person)

BODILY INJURY (Per accident)

PROPERTY DAMAGE $

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.

INSD

ADDL

WVD

SUBR

N / A

(Ea accident)

(Per accident)

OTHER:

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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

INSURED

PHONE

(A/C, No, Ext):

PRODUCER

ADDRESS:

E-MAIL

FAX

(A/C, No):

CONTACT

NAME:

NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER B :

INSURER B :

INSURER B :

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.

5/24/2022

Arthur J. Gallagher Canada Limited 250 York Street, Suite 400 London ON N6A6K2

Peter McConnell, CAIB, CIP, CRM 519-857-3003 peter_mcconnell@ajg.com

Allied World Surplus Lines Insurance Company Arch Specialty Insurance Company

Info-Tech Research Group Inc.

3960 Howard Hughes Parkway, Suite 500 Las Vegas NV 89169

Liberty Mutual Insurance Company

370355174

C X 2,000,000 X 300,000

15,000

$2,000,000

4,000,000

X

Y Y BLS (23) 64827649 5/20/2022 5/20/2023

4,000,000

C 1,000,000

XX

Y Y BAS (23) 64 82 76 49 5/20/2022 5/20/2023

Hired / Borrowed Auto 1,000,000

B A

Cyber Liability Professional Liability

Y Y N N

C-4LRU-172263-CYBER-2022

0313-3921

5/19/2022 5/19/2022

5/19/2023 5/19/2023

Third Party Coverages First Party Coverages PL Limit of Liability

5,000,000 5,000,000 5,000,000

*All amounts are in USD.

RE: Contract #CTR053238

The Commercial General Liability Policy, Non-Owned Auto Policy and the Cyber Policy are extended to include Primary/Non-Contributory Clause.

The Commercial General Liability Policy, Non-Owned Auto Policy and the Cyber Policy are extended to include Waiver of Subrogation in favour of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

See Attached...

30 Days

Arizona Department of Administration State Procurement Office 100 N 15th Ave., Suite 402 Phoenix AZ 85007

North American Capacity Insurance Company Ascot Specialty Insurance Company Coalition Insurance Solutions, Inc.

23043

24319

25038 21199

21199

25038

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

1 1

Arthur J. Gallagher Canada Limited Info-Tech Research Group Inc.

3960 Howard Hughes Parkway, Suite 500 Las Vegas NV 89169

25 CERTIFICATE OF LIABILITY INSURANCE

The certificate holder, State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are added as an additional insured to the The Commercial General Liability Policy, Non-Owned Auto Policy and the Cyber Policy, but only with respect to liability arising out of operations carried out by or on behalf of the Named Insured, excluding any automobile liability.

Should any of the above described policies be cancelled before the expiration date thereof, the issuing company will endeavour to mail 30 days written notice to the certificate holder named below. Failure to mail such notice shall impose no obligation or liability of any kind upon the company, its agents or representatives.

Professional Liability Policy #0313-3921 Carrier: Allied World Surplus Lines Insurance Company Retroactive Date: May 19, 2022 Extended Reporting Period:

(a) 12 Months for an Additional Premium of 100% of the Premium

(b) 36 Months for an Additional Premium of 150% of the Premium $5,000,000 Limit of Liability - Insurer’s Maximum Limit of Liability for all Loss from each Claim under Insuring Agreement I(A).

$5,000,000 Limit of Liability - Insurer’s Maximum Limit of Liability for all Loss from all Claims under Insuring Agreement I(A).

$25,000 Retention -Technology E&O Included within the above limits.

-The Policy shall cover professional misconduct or lack of ordinary skill for those positions defined in the Scope of Work of this Contract.

-Such insurance shall cover any, and all errors, omissions, or negligent acts in the delivery of products, services, and/or licensed programs under this contract.

-Coverage shall include copyright infringement, infringement of trade dress, domain name, title or slogan.

Cyber Liability Policy #C-4LRU-172235-CYBER-2022 Carrier: Coalition Insurance Solutions, Inc. (MGA) Subscribers: North American Capacity Insurance Company (30%), Arch Specialty Insurance Company (45%), Ascot Specialty Insurance Company (25%) Retroactive Date: Full Prior Acts Coverage First Party Coverages Limit: $5,000,000 Third Party Coverages Limit: $5,000,000 Retention for all Coverages: $25,000 Such insurance shall include, but not be limited to, coverage for third party claims and losses with respect to network risks (such as data breaches, unauthorized access or use, ID theft, theft of data) and invasion of privacy regardless of the type of media involved in the loss of private information, crisis management and identity theft response costs. This should also include breach notification costs, credit remediation and credit monitoring, defense and claims expenses, regulatory defense costs plus fines and penalties, cyber extortion, computer program and electronic data restoration expenses coverage (data asset protection), network business interruption, computer fraud coverage, and funds transfer loss.