COI_-_AZDOA_-_GH2_-_Nextep.pdf

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Attached to
Master Agreement AZ|CTR076587
Contract number
CTR076587
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued on 04/18/2025 for Nextep, Inc. and Nextep Business Solutions, Inc., serving as a Labor Contractor for co-employees of GH2 Architects, LLC. The certificate involves American Zurich Insurance Company (NAIC #40142) as the primary insurer and is issued to the Arizona Department of Administration's General Services Division in Phoenix, Arizona.

The certificate covers a Workers' Compensation policy (WC 11-62-183-05) with policy periods from 08/01/2024 to 08/01/2025, providing coverage for GH2 Architects, LLC's co-employees with statutory limits of $1,000,000 for each accident, employee disease, and overall disease policy limit. The specific service detailed is an "On-Call Architectural and Landscape Architectural Services" contract, with GH2 Architects located in Scottsdale, Arizona. The coverage is explicitly noted to be for co-employees, but not for subcontractors, and is associated with client number 1974-AZ.

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Text version

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

04/18/2025

Andrew Atsaves c/o Artex Risk Solutions, Inc.

P.O. Box 13838 Scottsdale, AZ 85267

(480) 951-4177 (480) 951-4266

SDL.BSD.Certificates@artexrisk.com

American Zurich Insurance Company 40142

Nextep, Inc. and Nextep Business Solutions, Inc. Labor Contractor, for co-employees of:

GH2 ARCHITECTS, LLC

1800 North Interstate Drive Norman, OK 73072

Coverage is provided for only those co-employees of, but not subcontractors to:

WC 11-62-183-05 08/01/2024

08/01/2024

08/01/2025

08/01/2025

1,000,000

1,000,000

1,000,000

24OK5051028344

1974-AZ

BPM006827 ON-CALL ARCHITECTURAL AND LANDSCAPE ARCHITECTURAL

SERVICES

GH2 ARCHITECTS, LLC

1375 N Scottsdale Rd Ste 180 Scottsdale, AZ 85257

Arizona Department of Administration General Services Division 1400 W. Washington St., Ste B200 Phoenix, AZ 85257

Client#

A

Location Coverage Period:

X

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