COI_CTR_074510.pdf
PDF 280 KB Posted
- Attached to
- Master Agreement AZ|CTR074510
- Contract number
- CTR074510
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Arizona Auto Glass Direct LLC, issued by Insurance Professionals of Arizona on 9/18/2025. The certificate involves two primary insurers: Property & Cas Ins Co of Hartford and United Fncl Cas Co. The certificate holder is the Arizona Department of Public Safety, located in Phoenix, with a contract number CTR074510.
The insurance coverage includes Commercial General Liability with a $1,000,000 each occurrence limit, $2,000,000 general aggregate, and $1,000,000 products-completed operations aggregate. Automobile liability is also provided with a $1,000,000 combined single limit, covering owned, scheduled, and non-owned vehicles. Additionally, there is a Garagekeepers Comprehensive/Collision Deductible coverage of $200,000. The policies include provisions for additional insured status, waiver of subrogation, and primary and noncontributory coverage as per the written contract. The insurance policies are effective from 09/18/2025 to 09/18/2026 and from 09/17/2025 to 09/17/2026, respectively.
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Other files
| File | Type | Posted |
|---|---|---|
| Price_Sheet_Arizona_Auto_Glass_Direct.pdf | ||
| Amendment_Extension_11-6-26.doc | DOC document | |
| COI_Arizona_Auto_Glass_9-17-25.pdf |
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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
9/18/2025
Insurance Professionals of Arizona
3521 E Brown Rd. Ste 101
Mesa AZ 85213
Amanda Bouchard
(480) 981-6338 (480) 981-6339
AmandaB@insuranceproaz.com
Arizona Auto Glass Direct LLC
2010 S Rural Rd
Tempe AZ 85282-1408
PROPERTY & CAS INS CO OF HARTFORD 34690
UNITED FNCL CAS CO 11770
A Y Y 59SBABV4UBU 09/18/2025 09/18/2026
1,000,000
1,000,000
10,000
1,000,000
2,000,000
2,000,000
B Y Y 863182759 09/17/2025 09/17/2026
1,000,000
Y
A Garagekeepers
Comp/Collison Deductible 59SBABV4UBU 09/18/2025 09/17/2026 Garagekeepers $200,000
Deductible
Contract # CTR074510; General Liability Additional Insured ongoing and completed operations, Waiver of Subrogation and Primary & Noncontributory per written contract, per attached. Auto Additional Insured, Waiver of
Subrogation and Primary & Noncontributory per written contract, per attached. Worker’s Compensation Waiver of Subrogation per written contract, per attached.
Arizona Department of Public Safety
2102 West Encanto Blvd.
P.O. Box 6638
Phoenix, AZ 85005-6638
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