COI_exp_12-31-2024.pdf

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Attached to
Master Agreement AZ|CTR073462
Contract number
CTR073462
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Hummel Group, Inc. on 01/04/2024 for Prentke Romich Company (DBA: PRC-Saltillo), with the Arizona Department of Administration State Procurement Office listed as the certificate holder. The insurance is provided by The Cincinnati Insurance Company and The Cincinnati Indemnity Company, covering the period from 12/31/2023 to 12/31/2024.

The certificate outlines multiple insurance coverages, including Commercial General Liability with a $1,000,000 each occurrence limit and $2,000,000 aggregate limit, Automobile Liability with a $1,000,000 combined single limit, Umbrella/Excess Liability with a $10,000,000 each occurrence and aggregate limit, and Professional Liability for Speech Therapists with a $2,000,000 each claim limit and $4,000,000 aggregate limit. The policy also includes Workers' Compensation coverage with statutory limits. The insurance provides protection for various aspects of the company's operations, with the Arizona Department of Administration State Procurement Office named as the certificate holder.

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Text version

01/04/2024

Hummel Group, Inc.

461 Wadsworth Rd PO Box 3 Orrville OH 44667

Stephanie Pearson CISR

(330) 683-1050 (330) 683-1169 spearson@hummelgrp.com

Prentke Romich Company, DBA: PRC-Saltillo 1022 Heyl Rd

Wooster OH 44691

The Cincinnati Insurance Company The Cincinnati Indemnity Company 23280

Master 23-24

A Manufacturers E&O Inc.

Worldwide GL Incl. EPP0597785 12/31/2023 12/31/2024

1,000,000 500,000 10,000 1,000,000 2,000,000 2,000,000

A EPP0597785 12/31/2023 12/31/2024

1,000,000

A EPP0597785 12/31/2023 12/31/2024

10,000,000 10,000,000

B N EWC0462239 12/31/2023 12/31/2024

1,000,000 1,000,000 1,000,000

A Professional Liability Speech Therapist EPP0597785 12/31/2023 12/31/2024

Each Claim $2,000,000 Aggregate $4,000,000

Arizona Department of Administration State Procurement Office 1802 W Jackson, #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.

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

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