COI_ARIZONA.pdf
PDF 93 KB Posted
- Attached to
- Master Agreement AZ|CTR068886
- Contract number
- CTR068886
- Issued by
- Arizona
About this file
This document is an ACORD 25 Certificate of Liability Insurance issued on 3/24/2025 for Hewlett Packard Enterprise Company, located in Spring, TX. The certificate is produced by Aon Risk Insurance Services West, Inc. in San Francisco, CA, and is issued for the State Procurement Office of the Arizona Department of Administration (ADOA) located in Phoenix, AZ. The primary insurer is Old Republic Insurance Co, with policy coverage effective from 09/30/2024 to 09/30/2025.
The insurance certificate provides comprehensive liability coverage, including commercial general liability with a $3,000,000 each occurrence limit, automobile liability with a $3,000,000 combined single limit, and workers' compensation coverage with $1,000,000 limits for each accident and disease. The policies cover various insurance types such as owned and non-owned autos, and provide protection for bodily injury, property damage, and employer's liability. The certificate serves as evidence of insurance for state procurement purposes, with a waiver of subrogation applicable only where required by written contract and subject to policy terms and conditions.
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Text version
© 1988-2016 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
3/24/2025
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 rights to the certificate holder in lieu of such endorsement(s).
PRODUCER
Aon Risk Insurance Services West, Inc.
San Francisco CA Office 425 Market Street Suite 2800 San Francisco CA 94105 USA
CONTACT
NAME: Sandra Portilla
PHONE
(A/C, No, Ext):
ADDRESS: portilla@hpe.com
INSURER(S) AFFORDING COVERAGE NAIC #
INSURER A : Old Republic Insurance Co 24147
INSURED
Hewlett Packard Enterprise Company 1701 E. Mossy Oaks Road Spring, TX 77389
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: LOS-002352643-06 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
INSD
SUBR
WVD POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
A X COMMERCIAL GENERAL LIABILITY
MWZY 314052-24
09/30/2024 09/30/2025 EACH OCCURRENCE $ 3,000,000
CLAIMS-MADE OCCUR
DAMAGE TO RENTED
PREMISES (Ea occurrence)
$ 3,000,000
MED EXP (Any one person)
$ 5,000
PERSONAL & ADV INJURY
$ 3,000,000
GEN'L AGGREGATE LIMIT APPLIES PER:
GENERAL AGGREGATE
$ Not Applicable
POLICY PROJECT
LOC
PRODUCTS - COMP/OP AGG $ Not Applicable
OTHER:
A AUTOMOBILE LIABILITY
MWTB 314050-24
09/30/2024 09/30/2025 COMBINED SINGLE LIMIT
(Ea accident) $ 3,000,000
X ANY AUTO
BODILY INJURY (Per person) $
OWNED AUTOS SCHEDULED
AUTOS
BODILY INJURY (Per accident) $
ONLY HIRED
NON-OWNED
AUTOS ONLY
PROPERTY DAMAGE
(Per accident)
AUTOS ONLY
UMBRELLA LIAB OCCUR
EACH OCCURRENCE
EXCESS LIAB CLAIMS-
AGGREGATE
DED
RETENTION $
A WORKERS COMPENSATION
N / A MWC 314049 -24
'As respects all states, except' 'CA and Monopolistic states'
09/30/2024 09/30/2025 X PER STATUTE OTHER
AND EMPLOYERS' LIABILITY
ANYPROPRIETOR/PARTNER/EXECUTIV
E OFFICER/MEMBER EXCLUDED?
Y / N
E.L. EACH ACCIDENT
$ 1,000,000
Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
E.L. DISEASE - EA EMPLOYEE
$ 1,000,000
E.L. DISEASE - POLICY LIMIT
$ 1,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Evidence of Insurance
State Procurment Ofice, ADOA 1400 W Washington St., #100, Phoenix, AZ 85007. Waiver of subrogation is applicable only where required by written contract and subject to policy terms and conditions.
CERTIFICATE HOLDER CANCELLATION
State Procurment Ofice, ADOA
1400 W Washington St., #100, 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
OF Aon Risk Insurance Services West, Inc.
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