COI_11-26-2025.pdf
PDF 17 KB Posted
- Attached to
- Master Agreement AZ|CTR076601
- Contract number
- CTR076601
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Dig Studio Inc., issued by USI Insurance Services, LLC, with coverage provided by multiple insurers including Travelers Casualty Ins Co of America, Travelers Casualty and Surety Company, Charter Oak Fire Insurance Company, and Berkley Insurance Company. The certificate is issued for the Arizona Department of Administration General Services, located in Phoenix, Arizona, and covers an on-call solicitation for architectural and landscape architectural services.
The insurance certificate details multiple coverage types, including Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, Workers Compensation, and Professional Liability. Key policy limits include $2,000,000 per occurrence for General Liability, $2,000,000 for Automobile Liability, $5,000,000 for Umbrella/Excess Liability, and $2,000,000 per claim for Professional Liability (with a $4,000,000 annual aggregate). The policies are effective from 11/26/2024 to 11/26/2025, with provisions for the State of Arizona and its departments to be included as additional insureds and with a blanket waiver of subrogation for specified liability types.
View the file
Other files
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
INSR ADDL SUBR
LTR INSR WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
COMMERCIAL GENERAL LIABILITY
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
INSURER(S) AFFORDING COVERAGE NAIC #
Y / N
N / A (Mandatory in NH)
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
EACH OCCURRENCE $
DAMAGE TO RENTED
$PREMISES (Ea occurrence)CLAIMS-MADE OCCUR
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $GEN'L AGGREGATE LIMIT APPLIES PER:
PRODUCTS - COMP/OP AGG $
PRO-
OTHER:
LOCJECT
COMBINED SINGLE LIMIT
$(Ea accident)
BODILY INJURY (Per person) $ANY AUTO OWNED SCHEDULED BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
AUTOS ONLY
HIRED PROPERTY DAMAGE $
AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
POLICY
NON-OWNED
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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 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 any rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
ACORDTM CERTIFICATE OF LIABILITY INSURANCE
Travelers Casualty Ins Co of America
Travelers Casualty and Surety Company
Charter Oak Fire Insurance Company
Berkley Insurance Company
4/21/2025
USI Insurance Services, LLC 4600 S. Ulster Street, Suite 1200 Denver, CO 80237 800 873-8500
Leticia Ortiz 800 873-8500 leticia.ortiz@usi.com
Dig Studio Inc.
3003 N. Central Avenue, Suite 800 Phoenix, AZ 85004
19046 19038 25615 32603
A X X
X
X X 6803K7839022447 11/26/2024 11/26/2025 2,000,000 1,000,000 5,000 2,000,000 4,000,000 4,000,000
A
X X
X X 6803K7839022447 11/26/2024 11/26/2025 2,000,000
B X X
X 10,000
X X CUP3K7843822447 11/26/2024 11/26/2025 5,000,000
5,000,000
C
N
X UB3K50973A2447 11/26/2024 11/26/2025 X
1,000,000
1,000,000 1,000,000
D Professional Liability Claims Made
AEC908244907 11/26/2024 11/26/2025 $2,000,000 per claim $4,000,000 annl aggr.
As required by written contract or written agreement, the following provisions apply subject to the policy terms, conditions, limitations and exclusions: The Certificate Holder and owner are included as Automatic Additional Insured's for ongoing and completed operations under General Liability; Designated Insured under Automobile Liability; and Additional Insured under Umbrella / Excess Liability but only with respect to liability arising out of the Named Insured's work performed on behalf of the certificate holder and owner.
(See Attached Descriptions)
Arizona Department of Administration General Services 1400 W. Washinbgon Street, Suite B200 Phoenix, AZ 85007
#S48982979/M48562401
DIGSTUClient#: 1089906
LXOBC
SAGITTA 25.3 (2016/03)
DESCRIPTIONS (Continued from Page 1) The General Liability, Automobile Liability, Umbrella/Excess insurance policies applies on a primary and non-contributory basis. A Blanket Waiver of Subrogation applies for General Liability, Automobile Liability, Umbrella/Excess Liability and Workers Compensation. The Umbrella / Excess Liability policy provides excess coverage over the General Liability, Automobile Liability and Employers Liability.
Please note that Additional Insured status does not apply to Professional Liability or Workers' Solicitation NBO.: BMP006827 On-Call Architectural and Landscape Architectural Services
Additional Insured's: State of Arizona, and its departments, agencies, boards, commissions.
Waiver of Subrogation: State of Arizona, and its departments, agencies, boards, commissions.
#S48982979/M48562401
Job 1: Arizona Department of
File details come from the government source that posted it. Updated .