CGI-Arizona_insurance_certificate_for_AFIS_ADSPO13-043465__GL-Auto-WC-EO__06042025.pdf
PDF 57 KB Posted
- Attached to
- Master Agreement AZ|ADSPO13-043465
- Contract number
- ADSPO13-043465
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Aon Risk Services Central, Inc. for CGI Technologies and Solutions Inc., related to the Arizona Financial Information System (AFIS) Replacement Solicitation No. ADSPO13-043465. The certificate involves multiple insurers, including Travelers Casualty & Surety Company, Zurich American Insurance Company, and Travelers Property Casualty Company of America. The State of Arizona, including its departments, agencies, boards, commissions, universities, and associated officials, is named as an additional insured party.
The insurance coverage includes Commercial General Liability, Automobile Liability, Workers' Compensation, Employers' Liability, and Errors & Omissions (Professional Liability) with various policy limits. The policies are effective from 06/01/2025 to 06/01/2026, with total aggregate limits ranging from $1,000,000 to $20,000,000 depending on the type of coverage. The certificate specifically notes provisions for computer security and privacy liability, and includes a waiver of subrogation in favor of the State of Arizona. The insurance is primary and non-contributory, covering potential liabilities associated with the AFIS replacement project.
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H o ld e r
Id e n ti fi e r
77777 77707 07070 00777 63616 06555 33307 73725 77703 65557 07662 00774 16353 00072 66144 61543 11130 70637 77522 47763 00736 00555 30076 53007 34205 55326 54130 07304 01175 62747 10077 24213 77027 45100 77727 25202 57731 10777 77770 70007 07007
66666 66606 06060 00626 06466 20444 62006 22222 42602 60222 06202 02626 00422 00060 20226 26006 20000 60220 04062 26202 00600 20262 62040 02206 22202 40622 42220 06220 20426 00400 02062 02204 04222 24200 66646 06224 06644 40666 66660 60006 06006
C e rt if ic a te
N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
06/04/2025
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).
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.
PRODUCER
Aon Risk Services Central, Inc.
Minneapolis MN Office 5600 West 83rd Street 8200 Tower, Suite 1100 Minneapolis MN 55437 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 19038Travelers Casualty & Surety CompanyINSURER A:
16535Zurich American Ins CoINSURER B:
25674Travelers Property Cas Co of AmericaINSURER C:
27855Zurich American Ins Co of IllinoisINSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.):
(800) 363-0105
CONTACT
NAME:
CGI Technologies and Solutions Inc.
11325 Random Hills Road, 8th Floor Fairfax VA 22030 USA
COVERAGES CERTIFICATE NUMBER: 570113030317 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. Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$2,000,000
$1,000,000
$5,000
$2,000,000
$2,000,000
$2,000,000
B 06/01/2025 06/01/2026GLO379277518
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$1,000,000D 06/01/2025 06/01/2026 COMBINED SINGLE LIMIT
(Ea accident)
BAP 3792988 - 17
EXCESS LIAB
OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
DED
UMBRELLA LIAB
RETENTION
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-
ER
PER STATUTEA 06/01/2025 06/01/2026
AOS
UB4P2459202551RC 06/01/2025 06/01/2026
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
MA, WI
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$1,000,000
UB4P3327872551K
Per ClaimEOC435890518 06/01/2025 06/01/2026 Claims Made $20,000,000Aggregate
E&O - Miscellaneous Professional-Primary
B
SIR applies per policy terms & conditions
$20,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Arizona Financial Information System (AFIS) Replacement Solicitation No. ADSPO13-043465. The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are included as Additional Insured in accordance with the policy provisions of the General Liability, Automobile Liability and Professional Liability policies. General Liability policy evidenced herein is Primary & Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees in accordance with the policy provisions of the General Liability, Automobile Liability and Workers' Compensation
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEState of Arizona, State Procurement Office 100 N 15th Ave., Suite 402 Phoenix AZ 85007 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
policies. Should any of the above-described policies be cancelled before the expiration date thereof, the policy provisions will govern how notice of cancellation may be delivered to certificate holders in accordance with the policy provisions of each policy. Professional Liability includes Computer Security and Privacy Liability. Contractual Liability and Severability of Interest clause is included.
FORM TITLE:FORM NUMBER:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ADDITIONAL REMARKS
EFFECTIVE DATE:
CARRIER NAIC CODE
POLICY NUMBER
Aon Risk Services Central, Inc.
NAMED INSUREDAGENCY
LOC #:
570000058858AGENCY CUSTOMER ID:
© 2008 ACORD CORPORATION. All rights reserved.
See Certificate Number:
See Certificate Number:
The ACORD name and logo are registered marks of ACORD
570113030317
570113030317
ACORD 25 Certificate of Liability Insurance Additional Description of Operations / Locations / Vehicles:
ACORD 101 (2008/01)
ADDITIONAL REMARKS SCHEDULE Page _ of _
CGI Technologies and Solutions Inc.
File details come from the government source that posted it. Updated .