COI_-_AZDOA_-_GH2_-_Nextep.pdf
PDF 24 KB Posted
- 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
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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