COI_Exp_2025-07-01-_CAuUmWCE-O_-Spray_Systems.pdf

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Attached to
Master Agreement AZ|CTR065805
Contract number
CTR065805
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package for Spray Systems of Arizona, Inc., issued by Zurich Insurance Group LTD through Steadfast Insurance Company and Zurich American Insurance Company. The policy covers multiple lines of insurance, including Commercial General Liability, Auto Liability, Workers Compensation, Professional Liability, and Pollution Liability. The primary certificate holder is the Arizona Department of Environmental Quality (ADEQ), and the policy is effective from July 1, 2024 to July 1, 2025.

The contract appears to be for statewide environmental abatement services, specifically for asbestos and lead-related work, as indicated by contract #ADEQ18-186327. The insurance package provides comprehensive coverage with significant limits, including $2,000,000 per occurrence for Commercial General Liability, $1,000,000 for Auto Liability, and $2,000,000 per incident for Pollution Liability. The policies include additional insured provisions, primary and non-contributory coverage, and waiver of subrogation rights. The policy covers ongoing operations and completed work, with aggregate limits of $4,000,000 for general and products/completed operations. A $25,000 deductible applies to several coverage types, which erodes the policy limits.

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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)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Willis Towers Watson Insurance Services West, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

Spray Systems of Arizona 2202 W. Medtronic Way, Suite 108 Tempe, AZ 85281-5107

Certificate Holder is included as an Additional Insured as respects to General Liability, Auto Liability, Pollution Liability, Professional Liability and Umbrella/Excess Liability, if required by written contract.

General Liability, Auto Liability, Pollution Liability, Professional Liability and Umbrella/Excess Liability policies shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional

SEE ATTACHED

ARIZONA DEPARTMENT OF ENVIRONMENTAL QUALITY (ADEQ)

1110 W. WASHINGTON ST.

PHOENIX, AZ 85007

06/28/2024

1-877-945-7378 1-888-467-2378 certificates@wtwco.com

Steadfast Insurance Company 26387

Zurich American Insurance Company 16535

W34161841

A

2,000,000

100,000

5,000

2,000,000

4,000,000

4,000,000

Y Y GPL641040100 07/01/2024 07/01/2025

B

1,000,000

07/01/202507/01/2024Y Y BAP641040700

A 9,000,000

Y Y SXS641040500 07/01/2024 07/01/2025 9,000,000

WC641040800

B Y

1,000,000 No 07/01/2024 07/01/2025

1,000,000

1,000,000

A Errors & Ommissions

Claims-Made - Retro 7/1/1991

Y Each IncidentGPL641040100 07/01/2024 07/01/2025

Aggregate

Y

352193826099031SR ID: BATCH:

$4,000,000

$2,000,000

WTW Certificate Center

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

Spray Systems of Arizona 2202 W. Medtronic Way, Suite 108 Tempe, AZ 85281-5107

Insured, if required by written contract.

Waiver of Subrogation applies in favor of Additional Insured with respects to General Liability, Auto Liability, Umbrella/Excess Liability, Pollution Liability, Professional Liability and Workers Compensation, if required by written contract and as permitted by law.

Excess liability is following form of General liability, Pollution liability, Professional liability, Auto liability and Workers’ Compensation

CONTRACT #ADEQ18-186327 STATEWIDE ENVIRONMENTAL ABATEMENT SERVICES FOR ASBESTOS AND LEAD.

INSURER AFFORDING COVERAGE: Steadfast Insurance Company NAIC#: 26387

POLICY NUMBER: GPL641040100 EFF DATE: 07/01/2024 EXP DATE: 07/01/2025

ADDITIONAL INSURED: Y

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Contractors Pollution Liability Each Incident $2,000,000 Aggregate $4,000,000

2 2

Willis Towers Watson Insurance Services West, Inc.

See Page 1

See Page 1 See Page 1 See Page 1

25 Certificate of Liability Insurance

W34161841CERT:3521938BATCH:26099031SR ID:

STF-ESP-101-F CW (04/13)

Additional Insured-Automatic-Owners, Lessees Or Contractors Coverage Part One-Commercial General Liability Coverage Part Two-Contractor's Pollution Liability

Policy No. Eff. Date of Pol. Exp. Date of Pol. Eff. Date of End. Producer Add’l Prem. Return Prem.

GPL6410401-00 7/1/2024 7/1/2025 7/1/2024

Named Insured and Mailing Address: Producer:

Spray Systems of Arizona, Inc.

2202 W. Medtronic Way, Suite 108 Tempe, AZ 85281-5107

Willis Towers Watson Insurance Services West, Inc.

1144 W. Washington Street Tempe, AZ 85281-1200

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

Environmental Services Package Policy

[X] COVERAGE PART ONE-COMMERCIAL GENERAL LIABILITY

[X] COVERAGE PART TWO-CONTRACTOR'S POLLUTION LIABILITY

1. Who is an Insured (Section I.) in the COMMON COVERAGE PROVISIONS is amended to include as an additional insured any person(s) or organization(s) whom you are required to add as an additional insured on this policy under a written contract or written agreement.

2. The insurance provided to the additional insured person(s) or organization(s) applies only to:

a. "Bodily injury”, “property damage” or "personal and advertising injury" under COVERAGE PART ONE- COMMERCIAL GENERAL LIABILITY, COVERAGE A - BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B - PERSONAL AND ADVERTISING INJURY LIABILITY caused, in whole or in part, by:

(1) Your acts or omissions; or

(2) The acts or omissions of those acting on your behalf;

and resulting directly from:

(a) Your ongoing operations performed for the additional insured, which is the subject of the written contract or written agreement; or

(b) “Your work” completed as included in the "products-completed operations hazard", performed for the additional insured, which is the subject of the written contract or written agreement; and/or

b. "Claims" arising out of a "pollution event" under COVERAGE PART TWO - CONTRACTOR'S POLLUTION LIABILITY, caused, in whole or in part, by:

(1) Your acts or omissions; or

(2) The acts or omissions of those acting on your behalf, and resulting directly from:

(a) "Covered operations" performed for the additional insured, which is the subject of the written contract or written agreement; or

(b) "Completed operations" of the "covered operations" performed for the additional insured, which is the subject of the written contract or written agreement.

3. However, regardless of the provisions of paragraphs 1. and 2. above, the insurance afforded to such additional insured:

a. Only applies to the extent permitted by law; and

b. Will not be broader than that which you are required by the written contract or written agreement to provide to such additional insured.

4. With respect to the insurance afforded to the additional insured under this endorsement, the following is added to Section III – Limits Of Insurance and Deductible:

The most we will pay on behalf of the additional insured is the amount of insurance:

a. Required by the written contract or written agreement you have entered into with the additional insured; or

b. Available under the applicable Limits of Insurance shown in the Declarations, whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations

5. The insurance provided to the additional insured person or organization does not apply to:

"Bodily injury", "property damage" or "personal and advertising injury" arising out of the rendering or failure to render any professional architectural, engineering or surveying services including:

(1) The preparing, approving or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifications; and

(2) Supervisory, inspection, architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdoing in the supervision, hiring, employment, training or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of or the failure to render any architectural, engineering or surveying services.

6. The additional insured must see to it that:

a. We are notified as soon as practicable of an "occurrence", offense or “pollution event”, as applicable, that may result in a claim;

b. We receive written notice of a claim or "suit" as soon as practicable; and

c. A request for defense and indemnity of the claim or "suit" will promptly be brought against any policy issued by another insurer under which the additional insured may be an insured in any capacity. This provision does not apply to insurance on which the additional insured is a Named Insured, if the written contract or written agreement requires that this coverage be primary and non-contributory.

7. For the coverage provided by this endorsement:

a. The following paragraph is added to Paragraph 8.a. Other Insurance, Conditions (Section V.) in the COMMON

COVERAGE PROVISIONS:

Primary and Noncontributory Insurance

This Insurance is primary to and will not seek contribution from any other insurance available to an additional insured under this endorsement provided that:

(1) The additional insured is a Named Insured under such other insurance; and

(2) You have agreed in a written contract or written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the additional insured.

b. The following paragraph is added to Paragraph 8.b. Other Insurance, Conditions (Section V.) in the COMMON

COVERAGE PROVISIONS:

This insurance is excess over:

Any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured, in which the additional insured on our policy is also covered as an additional insured on another policy providing coverage for the same "occurrence", offense, claim or "suit". This provision does not apply to any policy in which the additional insured is a Named Insured on such other policy and where our policy is required by written contract or written agreement to provide coverage to the additional insured on a primary and non-contributory basis.

8. This endorsement does not apply to an additional insured which has been added to this policy by an endorsement showing the additional insured in a Schedule of additional insureds, and which endorsement applies specifically to that identified additional insured.

ALL OTHER TERMS AND CONDITIONS OF THE POLICY SHALL APPLY AND REMAIN UNCHANGED.

STF-ESP-248-A CW (04/10)

Waiver of Transfer of Rights of Recovery Against Others – Blanket as Required by Contract

Named Insured and Mailing Address: Producer:

Spray Systems of Arizona, Inc.

Tempe, AZ 85281-1200

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

This endorsement modifies insurance provided under the following:

Environmental Services Package Policy

[X] COVERAGE PART ONE – COMMERCIAL GENERAL LIABILITY

[X] COVERAGE PART TWO – CONTRACTOR’S POLLUTION LIABILITY

[X] COVERAGE PART THREE - PROFESSIONAL LIABILITY

In consideration of the payment of premium and the Deductible by you and in reliance upon the statements in the Application made a part hereof, we agree with you, subject to all the terms, exclusions and conditions that with respect to the coverage parts indicated above Conditions (Section V.) of the COMMON COVERAGE PROVISIONS, Condition 14.

Subrogation is amended by the addition of the following:

We waive any right of recovery we may have against any person or organization whom you are required to waive your right of subrogation by a written contract or written agreement executed and effective prior to the performance of your services which is the subject of such written contract or written agreement.

STF-ENVL-1632-A CW (11/10)

Blanket Notification to Others of Cancellation

Named Insured and Mailing Address: Producer:

Spray Systems of Arizona, Inc.

Tempe, AZ 85281-1200

This endorsement modifies insurance provided under the:

Agribusiness Pollution Liability Insurance Policy - Claims Made and Reported Coverage Commercial Umbrella Liability Policy Commercial Umbrella Liability Policy – Claims Made and Reported Coverage Contractor’s Pollution Liability Insurance Policy Contractor’s Pollution Liability Insurance Policy - Claims Made and Reported Coverage Environmental Cleanup and Liability Insurance Policy - Claims Made and Reported Coverage Environmental Impairment Liability Insurance Policy - Claims Made and Reported Coverage Environmental Services Package Policy Excess Environmental Insurance Policy - Claims Made and Reported Coverage Follow Form Excess Liability Policy Follow Form Excess Liability Policy – Claims Made and Reported Coverage Healthcare Pollution Liability Insurance Policy - Claims Made and Reported Coverage Lender Environmental Collateral Protection and Liability Insurance Outstanding Loan Balance - Claims Made and Reported Coverage Lender Environmental Collateral Protection and Liability Insurance Policy – Claims Made and Reported Coverage Professional Consultant’s Liability Insurance Policy - Claims Made and Reported Coverage Professional Environmental Consultant’s Liability Insurance Policy Professional Environmental Consultant’s Liability Insurance Policy - Claims Made and Reported Coverage Public Entity Pollution Liability - Claims Made and Reported Coverage Real Estate Environmental Liability Insurance Policy - Claims Made and Reported Coverage Remediation Stop Loss Z Choice Pollution Liability Z Choice® Real Estate Environmental Liability - Claims Made and Reported Coverage Z Choice™ Pollution Liability - Claims Made and Reported Coverage Z Link® Commercial General and Pollution Liability

STF-ENVL-1632-A CW (11/10)

A. If we cancel this policy by written notice to the first Named Insured for any reason other than nonpayment of premium, we will deliver electronic notification that such policy has been cancelled to each person or organization shown in a Schedule provided to us by the First Named Insured. Such Schedule:

1. Must be initially provided to us within 15 days:

a. After the beginning of the policy period shown in the Declarations; or

b. After this endorsement has been added to policy;

2. Must contain the names and e-mail addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled;

3. Must be in an electronic format that is acceptable to us; and

4. Must be accurate.

Such Schedule may be updated and provided to us by the First Named Insured during the policy period. Such updated Schedule must comply with Paragraphs 2. 3. and 4. above.

B. Our delivery of the electronic notification as described in Paragraph A. of this endorsement will be based on the most recent Schedule in our records as of the date the notice of cancellation is mailed or delivered to the first Named Insured. Delivery of the notification as described in Paragraph A. of this endorsement will be completed as soon as practicable after the effective date of cancellation to the first Named Insured.

C. Proof of emailing the electronic notification will be sufficient proof that we have complied with Paragraphs A. and B. of this endorsement.

D. Our delivery of electronic notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such delivery of electronic notification will not:

1. Extend the Coverage Part cancellation date;

2. Negate the cancellation; or

3. Provide any additional insurance that would not have been provided in the absence of this endorsement.

E. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the Schedule provided to us as described in Paragraphs A. and B. of this endorsement.

U-CA-424-H CW (10/21)

Includes copyrighted material of Insurance Services Office, Inc., with its permission.

Coverage Extension Endorsement

Policy No. BAP6410407-00 Effective Date: 07/01/2024

Business Auto Coverage Form Motor Carrier Coverage Form

A. Amended Who Is An Insured

1. The following is added to the Who Is An Insured Provision in Section II – Covered Autos Liability Coverage:

The following are also "insureds":

a. Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow for acts performed within the scope of employment by you. Any “employee” of yours is also an “insured” while operating an “auto” hired or rented under a contract or agreement in an “employee’s” name, with your permission, while performing duties related to the conduct of your business.

b. Anyone volunteering services to you is an "insured" while using a covered "auto" you don’t own, hire or borrow to transport your clients or other persons in activities necessary to your business.

c. Anyone else who furnishes an "auto" referenced in Paragraphs A.1.a. and A.1.b. in this endorsement.

d. Where and to the extent permitted by law, any person(s) or organization(s) where required by written contract or written agreement with you executed prior to any "accident", including those person(s) or organization(s) directing your work pursuant to such written contract or written agreement with you, provided the "accident" arises out of operations governed by such contract or agreement and only up to the limits required in the written contract or written agreement, or the Limits of Insurance shown in the Declarations, whichever is less.

2. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance – Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form:

Coverage for any person(s) or organization(s), where required by written contract or written agreement with you executed prior to any "accident", will apply on a primary and non-contributory basis and any insurance maintained by the additional "insured" will apply on an excess basis. However, in no event will this coverage extend beyond the terms and conditions of the Coverage Form.

B. Amendment – Supplementary Payments Paragraphs a.(2) and a.(4) of the Coverage Extensions Provision in Section II – Covered Autos Liability Coverage are replaced by the following:

(2) Up to $5,000 for the cost of bail bonds (including bonds for related traffic law violations) required because of an "accident" we cover. We do not have to furnish these bonds.

(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $500 a day because of time off from work.

C. Fellow Employee Coverage The Fellow Employee Exclusion contained in Section II – Covered Autos Liability Coverage does not apply.

D. Driver Safety Program Liability and Physical Damage Coverage

1. The following is added to the Racing Exclusion in Section II – Covered Autos Liability Coverage:

This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations.

2. The following is added to Paragraph 2. in B. Exclusions of Section III – Physical Damage Coverage of the Business Auto Coverage Form and Paragraph 2.b. in B. Exclusions of Section IV – Physical Damage Coverage of the Motor Carrier Coverage Form:

This exclusion does not apply to covered "autos" participating in a driver safety program event, such as, but not limited to, auto or truck rodeos and other auto or truck agility demonstrations.

E. Lease or Loan Gap Coverage The following is added to the Coverage Provision of the Physical Damage Coverage Section:

Lease Or Loan Gap Coverage

In the event of a total "loss" to a covered "auto", we will pay any unpaid amount due on the lease or loan for a covered "auto", less:

a. Any amount paid under the Physical Damage Coverage Section of the Coverage Form; and

b. Any:

(1) Overdue lease or loan payments at the time of the "loss";

(2) Financial penalties imposed under a lease for excessive use, abnormal wear and tear or high mileage;

(3) Security deposits not returned by the lessor;

(4) Costs for extended warranties, credit life insurance, health, accident or disability insurance purchased with the loan or lease; and

(5) Carry-over balances from previous leases or loans.

F. Towing and Labor Paragraph A.2. of the Physical Damage Coverage Section is replaced by the following:

We will pay up to $75 for towing and labor costs incurred each time a covered "auto" that is a "private passenger type", light truck or medium truck is disabled. However, the labor must be performed at the place of disablement.

As used in this provision, "private passenger type" means a private passenger or station wagon type "auto" and includes an "auto" of the pickup or van type if not used for business purposes.

G. Extended Glass Coverage The following is added to Paragraph A.3.a. of the Physical Damage Coverage Section:

If glass must be replaced, the deductible shown in the Declarations will apply. However, if glass can be repaired and is actually repaired rather than replaced, the deductible will be waived. You have the option of having the glass repaired rather than replaced.

H. Hired Auto Physical Damage – Increased Loss of Use Expenses The Coverage Extension for Loss Of Use Expenses in the Physical Damage Coverage Section is replaced by the following:

Loss Of Use Expenses For Hired Auto Physical Damage, we will pay expenses for which an "insured" becomes legally responsible to pay for loss of use of a vehicle rented or hired without a driver under a written rental contract or written rental agreement. We will pay for loss of use expenses if caused by:

(1) Other than collision only if the Declarations indicate that Comprehensive Coverage is provided for any covered "auto";

(2) Specified Causes Of Loss only if the Declarations indicate that Specified Causes Of Loss Coverage is provided for any covered "auto"; or

(3) Collision only if the Declarations indicate that Collision Coverage is provided for any covered "auto".

However, the most we will pay for any expenses for loss of use is $100 per day, to a maximum of $3000.

I. Personal Effects Coverage

The following is added to the Coverage Provision of the Physical Damage Coverage Section:

Personal Effects Coverage

a. We will pay up to $750 for "loss" to personal effects which are:

(1) Personal property owned by an "insured"; and

(2) In or on a covered "auto".

b. Subject to Paragraph a. above, the amount to be paid for "loss" to personal effects will be based on the lesser of:

(1) The reasonable cost to replace; or

(2) The actual cash value.

c. The coverage provided in Paragraphs a. and b. above, only applies in the event of a total theft of a covered "auto".

No deductible applies to this coverage. However, we will not pay for "loss" to personal effects of any of the following:

(1) Accounts, bills, currency, deeds, evidence of debt, money, notes, securities, or commercial paper or other documents of value.

(2) Bullion, gold, silver, platinum, or other precious alloys or metals; furs or fur garments; jewelry, watches, precious or semi-precious stones.

(3) Paintings, statuary and other works of art.

(4) Contraband or property in the course of illegal transportation or trade.

(5) Tapes, records, discs or other similar devices used with audio, visual or data electronic equipment.

Any coverage provided by this Provision is excess over any other insurance coverage available for the same "loss".

J. Tapes, Records and Discs Coverage

1. The Exclusion in Paragraph B.4.a. of Section III – Physical Damage Coverage in the Business Auto Coverage

Form and the Exclusion in Paragraph B.2.c. of Section IV – Physical Damage Coverage in the Motor Carrier Coverage Form does not apply.

2. The following is added to Paragraph 1.a. Comprehensive Coverage under the Coverage Provision of the Physical Damage Coverage Section:

We will pay for "loss" to tapes, records, discs or other similar devices used with audio, visual or data electronic equipment. We will pay only if the tapes, records, discs or other similar audio, visual or data electronic devices:

(a) Are the property of an "insured"; and

(b) Are in a covered "auto" at the time of "loss".

The most we will pay for such "loss" to tapes, records, discs or other similar devices is $500. The Physical Damage Coverage Deductible Provision does not apply to such "loss".

K. Airbag Coverage The Exclusion in Paragraph B.3.a. of Section III – Physical Damage Coverage in the Business Auto Coverage Form and the Exclusion in Paragraph B.4.a. of Section IV – Physical Damage Coverage in the Motor Carrier Coverage Form does not apply to the accidental discharge of an airbag.

L. Two or More Deductibles

The following is added to the Deductible Provision of the Physical Damage Coverage Section:

If an accident is covered both by this policy or Coverage Form and by another policy or Coverage Form issued to you by us, the following applies for each covered "auto" on a per vehicle basis:

1. If the deductible on this policy or Coverage Form is the smaller (or smallest) deductible, it will be waived; or

2. If the deductible on this policy or Coverage Form is not the smaller (or smallest) deductible, it will be reduced by the amount of the smaller (or smallest) deductible.

M. Temporary Substitute Autos – Physical Damage

1. The following is added to Section I – Covered Autos:

Temporary Substitute Autos – Physical Damage

If Physical Damage Coverage is provided by this Coverage Form on your owned covered "autos", the following types of vehicles are also covered "autos" for Physical Damage Coverage:

Any "auto" you do not own when used with the permission of its owner as a temporary substitute for a covered "auto" you do own but is out of service because of its:

1. Breakdown;

2. Repair;

3. Servicing;

4. "Loss"; or

5. Destruction.

2. The following is added to the Paragraph A. Coverage Provision of the Physical Damage Coverage Section:

Temporary Substitute Autos – Physical Damage

We will pay the owner for "loss" to the temporary substitute "auto" unless the "loss" results from fraudulent acts or omissions on your part. If we make any payment to the owner, we will obtain the owner's rights against any other party.

The deductible for the temporary substitute "auto" will be the same as the deductible for the covered "auto" it replaces.

N. Amended Duties In The Event Of Accident, Claim, Suit Or Loss Paragraph a. of the Duties In The Event Of Accident, Claim, Suit Or Loss Condition is replaced by the following:

a. In the event of "accident", claim, "suit" or "loss", you must give us or our authorized representative prompt notice of the "accident", claim, "suit" or "loss". However, these duties only apply when the "accident", claim, "suit" or "loss" is known to you (if you are an individual), a partner (if you are a partnership), a member (if you are a limited liability company) or an executive officer or insurance manager (if you are a corporation). The failure of any agent, servant or employee of the "insured" to notify us of any "accident", claim, "suit" or "loss" shall not invalidate the insurance afforded by this policy.

Include, as soon as practicable:

(1) How, when and where the "accident" or "loss" occurred and if a claim is made or "suit" is brought, written notice of the claim or "suit" including, but not limited to, the date and details of such claim or "suit";

(2) The "insured’s" name and address; and

(3) To the extent possible, the names and addresses of any injured persons and witnesses.

If you report an "accident", claim, "suit" or "loss" to another insurer when you should have reported to us, your failure to report to us will not be seen as a violation of these amended duties provided you give us notice as soon as practicable after the fact of the delay becomes known to you.

O. Waiver of Transfer Of Rights Of Recovery Against Others To Us The following is added to the Transfer Of Rights Of Recovery Against Others To Us Condition:

This Condition does not apply to the extent required of you by a written contract, executed prior to any "accident" or "loss", provided that the "accident" or "loss" arises out of operations contemplated by such contract. This waiver only applies to the person or organization designated in the contract.

P. Employee Hired Autos – Physical Damage Paragraph b. of the Other Insurance Condition in the Business Auto Coverage Form and Paragraph f. of the Other Insurance – Primary and Excess Insurance Provisions Condition in the Motor Carrier Coverage Form are replaced by the following:

For Hired Auto Physical Damage Coverage, the following are deemed to be covered "autos" you own:

(1) Any covered "auto" you lease, hire, rent or borrow; and

(2) Any covered "auto" hired or rented under a written contract or written agreement entered into by an "employee" or elected or appointed official with your permission while being operated within the course and scope of that "employee's" employment by you or that elected or appointed official’s duties as respect their obligations to you.

However, any "auto" that is leased, hired, rented or borrowed with a driver is not a covered "auto".

Q. Unintentional Failure to Disclose Hazards

The following is added to the Concealment, Misrepresentation Or Fraud Condition:

However, we will not deny coverage under this Coverage Form if you unintentionally:

(1) Fail to disclose any hazards existing at the inception date of this Coverage Form; or

(2) Make an error, omission, improper description of "autos" or other misstatement of information.

You must notify us as soon as possible after the discovery of any hazards or any other information that was not provided to us prior to the acceptance of this policy.

R. Hired Auto – World Wide Coverage Paragraph 7.b.(5) of the Policy Period, Coverage Territory Condition is replaced by the following:

(5) Anywhere else in the world if a covered "auto" is leased, hired, rented or borrowed for a period of 60 days or less, S. Bodily Injury Redefined The definition of "bodily injury" in the Definitions Section is replaced by the following:

"Bodily injury" means bodily injury, sickness or disease, sustained by a person including death or mental anguish, resulting from any of these at any time. Mental anguish means any type of mental or emotional illness or disease.

T. Expected Or Intended Injury The Expected Or Intended Injury Exclusion in Paragraph B. Exclusions under Section II – Covered Auto Liability Coverage is replaced by the following:

Expected Or Intended Injury "Bodily injury" or "property damage" expected or intended from the standpoint of the "insured". This exclusion does not apply to "bodily injury" or "property damage" resulting from the use of reasonable force to protect persons or property.

U. Physical Damage – Additional Temporary Transportation Expense Coverage Paragraph A.4.a. of Section III – Physical Damage Coverage is replaced by the following:

4. Coverage Extensions

a. Transportation Expenses

We will pay up to $50 per day to a maximum of $1,000 for temporary transportation expense incurred by you because of the total theft of a covered "auto" of the private passenger type. We will pay only for those covered "autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage. We will pay for temporary transportation expenses incurred during the period beginning 48 hours after the theft and ending, regardless of the policy's expiration, when the covered "auto" is returned to use or we pay for its "loss".

V. Replacement of a Private Passenger Auto with a Hybrid or Alternative Fuel Source Auto The following is added to Paragraph A. Coverage of the Physical Damage Coverage Section:

In the event of a total "loss" to a covered "auto" of the private passenger type that is replaced with a hybrid "auto" or "auto" powered by an alternative fuel source of the private passenger type, we will pay an additional 10% of the cost of the replacement "auto", excluding tax, title, license, other fees and any aftermarket vehicle upgrades, up to a maximum of $2500. The covered "auto" must be replaced by a hybrid "auto" or an "auto" powered by an alternative fuel source within 60 calendar days of the payment of the "loss" and evidenced by a bill of sale or new vehicle lease agreement.

To qualify as a hybrid "auto", the "auto" must be powered by a conventional gasoline engine and another source of propulsion power. The other source of propulsion power must be electric, hydrogen, propane, solar or natural gas, either compressed or liquefied. To qualify as an "auto" powered by an alternative fuel source, the "auto" must be powered by a source of propulsion power other than a conventional gasoline engine. An "auto" solely propelled by biofuel, gasoline or diesel fuel or any blend thereof is not an "auto" powered by an alternative fuel source.

W. Return of Stolen Automobile

The following is added to the Coverage Extension Provision of the Physical Damage Coverage Section:

If a covered “auto” is stolen and recovered, we will pay the cost of transport to return the “auto” to you. We will pay only for those covered “autos" for which you carry either Comprehensive or Specified Causes of Loss Coverage.

All other terms, conditions, provisions and exclusions of this policy remain the same.

Copyright, Hawaii Insurance Bureau, Inc., 1999 Includes copyrighted material of the

Insurance Services Office, Inc. with its permission CA 1099 (12-93) CA 99 48 12 93 Copyright, Insurance Services Office, Inc., 1999 Page 1 of 1

COMMERCIAL AUTO

CA 99 48 12 93

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

POLLUTION LIABILITY – BROADENED COVERAGE FOR COVERED AUTOS –

BUSINESS AUTO, MOTOR CARRIER AND TRUCKERS COVERAGE FORMS

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

TRUCKERS COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

1. LIABILITY COVERAGE is changed as follows:

Paragraph a. of the POLLUTION EXCLUSION applies only to liability assumed under a contract or agreement.

2. DEFINITIONS

As used in this endorsement:

D. "Covered pollution cost or expense" means any cost or expense arising out of:

1. Any request, demand or order; or

2. Any claim or "suit" by or on behalf of a governmental authority demanding that the "insured" or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or as-sess the effects of "pollutants".

"Covered pollution cost or expense" does not include any cost or expense arising out of the actual, alleged or threatened discharge, dis-persal, seepage, migration, release or escape of "pollutants":

a. Before the "pollutants" or any prop-erty in which the "pollutants" are contained are moved from the place where they are accepted by the "in-sured" for movement into or onto the covered "auto"; or

b. After the "pollutants" or any property in which the "pollutants" are con-tained are moved from the covered "auto" to the place where they are fi-nally delivered, disposed of or aban-doned by the "insured".

Paragraphs a. and b. above do not apply to "accidents" that occur away from premises owned by or rented to an "in-sured" with respect to "pollutants" not in or upon a covered "auto" if:

(1) The "pollutants" or any property in which the "pollutants" are contained are upset, overturned or damaged as a result of the maintenance or use of a covered "auto"; and

(2) The discharge, dispersal, seep-age, migration, release or escape of the "pollutants" is caused di-rectly by such upset, overturn or damage.

Policy Number: BAP6410407-00

U-CA-832-B CW (03/23)

Blanket Notification to Others of Cancellation or Non-Renewal

Policy No. Effective Date:

Commercial Automobile Coverage Part

SCHEDULE

The total number of days for mailing or delivering with respect to Paragraph B.1. of this endorsement is amended to indicate the following number of days: *

The total number of days for mailing or delivering with respect to Paragraph B.2. of this endorsement is amended to indicate the following number of days: **

* If a number is not shown here, 10 days continues to apply.

** If a number is not shown here, 30 days continues to apply.

A. If we cancel or non-renew this Coverage Part by written notice to the first Named Insured, we will mail or deliver notification that such Coverage Part has been cancelled or non-renewed to each person or organization shown in a list provided to us by the first Named Insured if you are required by written contract or written agreement to provide such notification. However, such notification will not be mailed or delivered if a conditional notice of renewal has been sent to the first Named Insured. Such list:

1. Must be provided to us prior to cancellation or non-renewal;

2. Must contain the names and addresses of only the persons or organizations requiring notification that such Coverage Part has been cancelled or non-renewed; and

3. Must be in an electronic format that is acceptable to us.

B. Our notification as described in Paragraph A. of this endorsement will be based on the most recent list in our records as of the date the notice of cancellation or non-renewal is mailed or delivered to the first Named Insured. We will mail or deliver such notification to each person or organization shown in the list:

1. Within 10 days of the effective date of the notice of cancellation, if we cancel for non-payment of premium; or

2. At least 30 days prior to the effective date of:

a. Cancellation, if cancelled for any reason other than nonpayment of premium; or

b. Non-renewal, but not including conditional notice of renewal, unless a greater number of days is shown in the Schedule of this endorsement for the mailing or delivering of such notification with respect to Paragraph B.1. or Paragraph B.2. above.

BAP6410407-00 07/01/2024

U-CA-832-B CW (03/23)

C. Our mailing or delivery of notification described in Paragraphs A. and B. of this endorsement is intended as a courtesy only. Our failure to provide such mailing or delivery will not:

1. Extend the Coverage Part cancellation or non-renewal date;

2. Negate the cancellation or non-renewal; or

3. Provide any additional insurance that would not have been provided in the absence of this endorsement.

D. We are not responsible for the accuracy, integrity, timeliness and validity of information contained in the list provided to us as described in Paragraphs A. and B. of this endorsement.

All other terms, conditions, provisions and exclusions of this policy remain the same.

WC124 (4-84) Page 1 of 1 WC 00 03 13 Copyright 1983 National Council on Compensation Insurance, Inc. Uniform FormsTM

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 04-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

ALL PERSONS AND/OR ORGANIZATIONS - OTHER THAN MANUFACTURERS OF

ASBESTOS, MANUFACTURERS WHOSE COMPONENT PART INCLUDES ABESTOS, OR

DITRIBUTORS OF A PRODUCT THAT CONTAINS ASBESTOS-THAT ARE REQUIRED BY

WRITTEN CONTRACT OR WRITTEN AGREEMENT WITH YOU, EXECUTED PRIOR TO THE

ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS

POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective: 07/01/2024 Policy No.: WC6410408-00 Endorsement No.

Insured: Spray Systems of Arizona, Inc.

Tempe, AZ 85281

Premium $

Insurance Company: Zurich American Insurance Company Countersigned by

Schedule of Underlying Insurance

Re:

Coverage:

Policy Number:

Straight Excess Liability Policy

Our Binder is subject to the underlying limits of liability and coverages as stated below. All Underlying Insurance must be provided by a carrier with an A.M. Best rating of A-VII or better.

SPRAY SYSTEMS OF ARIZONA INC

Commercial General Liability Carrier Group Name: Zurich Insurance Group LTD

Issuing Company: Steadfast Insurance Company

Detailed Description of Policy: Envrionmental Services Package

Policy Number: Policy Period: 07/01/2024 to 07/01/2025

General AggregateType:

General Aggregate Application:

General Aggregate Cap Amount:

Coverages Included: Premises and Products / Completed Ops

Premises - Each Occurrence Limit: $2,000,000

Retention Type: Deductible Retention ALAE: Erode the Limit

Retention Amount: $25,000

Products / Completed Ops - Each Occurrence

$2,000,000

Retention Type: Deductible Retention ALAE: Erode the Limit

Retention Amount: $25,000

General Aggregate: $4,000,000

Products / Completed Operations Aggregate:

$4,000,000

Terms and Conditions:

Auto Liability Carrier Group Name:

Issuing Company:

Policy Number: 07/01/2024 to 07/01/2025

Combined Single Limit:

Retention Type:

Terms and Conditions:

U-GU-879-A CW (06/11)

GPL641040100

Per Location/Per Project

Term Aggregate

$8,000,000

Zurich Insurance Group LTD

Zurich American Insurance Company

BAP641040700 Policy Period:

$1,000,000

None

SXS6410405-00

Employers Liability Carrier Group Name:

Issuing Company:

Detailed Description of Policy:

Policy Number: 07/01/2024 to 07/01/2025

Bodily Injury By Accident - Each Accident:

Retention Type:

Bodily Injury By Disease - Each Employee:

Retention Type:

Bodily Injury By Disease - Policy Limit:

Terms and Conditions:

Employers Liability Carrier Group Name:

Issuing Company:

Detailed Description of Policy:

Policy Number: 07/01/2024 to 07/01/2025

Bodily Injury By Accident - Each Accident:

Retention Type:

Bodily Injury By Disease - Each Employee:

Retention Type:

Bodily Injury By Disease - Policy Limit:

Terms and Conditions:

Employers Liability Carrier Group Name:

Issuing Company:

Detailed Description of Policy:

Policy Number:

Bodily Injury By Accident - Each Accident:

Retention Type:

Bodily Injury By Disease - Each Employee:

Retention Type:

Bodily Injury By Disease - Policy Limit:

Terms and Conditions:

U-GU-879-A CW (06/11)

Zurich Insurance Group LTD

Zurich American Insurance Company

Workers Compensation Policy

WC641040800 Policy Period:

$1,000,000

None

$1,000,000

None

$1,000,000

Zurich Insurance Group LTD

Zurich American Insurance Company

Workers Compensation Policy

WC649960100 Policy Period:

$1,000,000

None

$1,000,000

None

$1,000,000

Zurich Insurance Group LTD

Zurich American Insurance Company

Workers Compensation Policy

WC649960200 Policy Period:

$1,000,000

None

$1,000,000

None

$1,000,000

07/01/2024 to 07/01/2025

Professional Liability

Carrier Group Name: Zurich Insurance Group LTD

Issuing Company: Steadfast Insurance Company

Detailed Description of Policy: Environmental Services Package

Policy Number: Policy Period: 07/01/2024 to 07/01/2025

Each Occurrence Limit:

Aggregate Limit:

Retention Type: Retention ALAE: Erode the Limit

Retention Amount: $25,000

Terms and Conditions:

Pollution Liability

Carrier Group Name: Zurich Insurance Group LTD

Issuing Company: Steadfast Insurance Company

Detailed Description of Policy: Environmental Services Package

Policy Number: Policy Period: 07/01/2024 to 07/01/2025

Coverages Included: Environmental Services Package

Each Incident Limit: $2,000,000

Policy Aggregate Limit: $4,000,000

Retention Type: Deductible Retention ALAE: Erode the Limit

Retention Amount: $25,000

Products/Completed Operations Aggregate: $4,000,000

Terms and Conditions:

U-GU-879-A CW (06/11)

GPL641040100

$2,000,000

$4,000,000

Deductible

GPL641040100

10.0.2.20120224.1.869952

DATE (MM/DD/YYYY): 06/28/2024
PRODUCER: Willis Towers Watson Insurance Services West, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

FAX (A/C, No):: 1-877-945-7378
FAX (A/C, No):: 1-888-467-2378
FAX (A/C, No):: certificates@wtwco.com
NAIC #_INSURER A :: Steadfast Insurance Company
NAIC #_INSURER A :: 26387
INSURED: Spray Systems of Arizona

2202 W. Medtronic Way, Suite 108 Tempe, AZ 85281-5107

NAIC #_INSURER B :: Zurich American Insurance Company
NAIC #_INSURER C ::
NAIC #_INSURER B :: 16535
NAIC #_INSURER C ::
NAIC #_INSURER D ::
NAIC #_INSURER D ::
NAIC #_INSURER E ::
NAIC #_INSURER E ::
NAIC #_INSURER F ::
NAIC #_INSURER F ::
CERT_NUMBER: W34161841
GL INSR LETTER: A
CGL_checkbox: Yes
Clams_Made_checkbox: 0
Occur_checkbox: Yes
OTHER 1 checkbox: Off
OTHER 1 checkbox: Off
undefined: 2,000,000
undefined: 100,000
undefined: 5,000
GL_OTHER_1_TYPE_OF_INS:
GL_OTHER_2_TYPE_OF_INS:
undefined: 2,000,000
undefined: 4,000,000
undefined: 4,000,000
Gen_Agg_Policy_checkbox: Yes
Gen_Agg_Project_checkbox: Yes
Gen_Agg_Location_checkbox: 0
INSR ADDL_Row_1: Y
WVD SUBR_Row_1: Y
POLICY NUMBER_Row_1: GPL641040100
POLICY EFF (MM/DD/YYYY)_Row_1: 07/01/2024
POLICY EXP (MM/DD/YYYY)_Row_1: 07/01/2025
OTHER_LIMIT_DESC:
undefined:
ANY_AUTO_checkbox: Yes
AL INSR LETTER: B
undefined: 1,000,000
NON-OWNED_AUTOS_checkbox: 0
SCHEDULED_AUTOS_checkbox: 0
ALL_OWNED_AUTOS_checkbox: 0
HIRED_AUTO_checkbox: 0
POLICY EXP (MM/DD/YYYY)_Row_1: 07/01/2025
undefined:
POLICY EFF (MM/DD/YYYY)_Row_1: 07/01/2024
undefined:
undefined:
AL_OTHER_1_checkbox: 0
AL_OTHER_1_DESC:
PROPERTY DAMAGE (Per accident)_Row_1:
AL_OTHER_2_checkbox: 0
AL_OTHER_2_DESC:
INSR ADDL_Row_2: Y
WVD SUBR_Row_2: Y
POLICY NUMBER_Row_2: BAP641040700
undefined:
UMB_LIAB: 0
UMB_EX_OCC: Yes
UMB INSR LETTER: A
undefined: 9,000,000
EX_LIAB_checkbox: Yes
CLAIMS_MADE_checkbox: 0
RET_checkbox: 0
DED_checkbox: Off
DED_RET_AMOUNT:
INSR ADDL_Row_3: Y
WVD SUBR_Row_3: Y
POLICY NUMBER_Row_3: SXS641040500
POLICY EFF (MM/DD/YYYY)_Row_3: 07/01/2024
POLICY EXP (MM/DD/YYYY)_Row_3: 07/01/2025
undefined: 9,000,000
AGGREGATE_Row_1:
undefined:
POLICY NUMBER_N / A: WC641040800
STATUTORY: Yes
OTHER: Off
WC_OTHER_DESC:
WC INSR LETTER: B
WVD SUBR_N / A: Y
undefined: 1,000,000
Y / N: No
POLICY EFF (MM/DD/YYYY)_Row_3: 07/01/2024
POLICY EXP (MM/DD/YYYY)_Row_3: 07/01/2025
undefined: 1,000,000
undefined: 1,000,000
OTHER 1 INSR LETTER: A
OTHER_1_TYPE_OF_INS: Errors & Ommissions
OTHER_2_TYPE_OF_INS: Claims-Made - Retro 7/1/1991
N / A_Row_1:
WVD SUBR_Row_5:
N / A_Row_1: Y
OTHER_1_LIMIT_OF_INS: Each Incident
OTHER 2 INSR LETTER:
POLICY NUMBER_Row_5: GPL641040100
POLICY NUMBER_Row_5:
POLICY EFF (MM/DD/YYYY)_Row_5: 07/01/2024
POLICY EFF (MM/DD/YYYY)_Row_5:
POLICY EXP (MM/DD/YYYY)_Row_5: 07/01/2025
POLICY EXP (MM/DD/YYYY)_Row_5:
OTHER_2_LIMIT_OF_INS: Aggregate
WVD SUBR_Row_5: Y
OTHER 3 INSR LETTER:
WVD SUBR_Row_5:
POLICY NUMBER_Row_5:
POLICY EFF (MM/DD/YYYY)_Row_5:
OTHER_3_TYPE_OF_INS:
N / A_Row_1:
POLICY EXP (MM/DD/YYYY)_Row_5:
OTHER_3_LIMIT_OF_INS:
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required): Certificate Holder is included as an Additional Insured as respects to General Liability, Auto Liability, Pollution

Liability, Professional Liability and Umbrella/Excess Liability, if required by written contract.

General Liability, Auto Liability, Pollution Liability, Professional Liability and Umbrella/Excess Liability policies shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional

SEE ATTACHED

INSURED:

ARIZONA DEPARTMENT OF ENVIRONMENTAL QUALITY (ADEQ)

1110 W. WASHINGTON ST.

PHOENIX, AZ 85007

AUTHORIZED REPRESENTATIVE:
BATCH_NUMBER: 3521938
SR_NUMBER: 26099031
SRID_label: SR ID:
Batch_label: BATCH:
GL_Agg_applies_per_Other_checkbox: 0
GL_Agg_applies_per_Other:
OTHER_3_LIMIT_OF_INS_AMT3:
OTHER_2_LIMIT_OF_INS_AMT_2: $4,000,000
OTHER_1_LIMIT_OF_INS_AMT_1: $2,000,000
Contact_Name: WTW Certificate Center
DATE (MM/DD/YYYY): Page 1 of 2

File details come from the government source that posted it. Updated .