COI_Exp._10-1-25.pdf

PDF 113 KB Posted

Attached to
Master Agreement AZ|CTR055132
Contract number
CTR055132
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Aon Risk Services Northeast, Inc. for Bruker Corporation and PinPoint Testing, LLC, with the certificate holder being the Arizona Department of Public Safety. The insurance is provided by multiple Hartford insurance companies, including Hartford Underwriters Insurance Company, Hartford Fire Insurance Company, and Trumbull Insurance Company, covering various states such as New Hampshire, New York, Rhode Island, Wisconsin, Colorado, Connecticut, Maine, and others.

The certificate details comprehensive insurance coverage effective from 10/01/2024 to 10/01/2025, including Commercial General Liability with a $2,000,000 each occurrence limit and $4,000,000 aggregate limit, Automobile Liability with a $1,000,000 combined single limit, and Workers Compensation with a $1,000,000 per statute limit. The policy covers different types of liability, including bodily injury, property damage, and employer's liability, with specific provisions for medical expenses and personal and advertising injury. The certificate is valid through 11/18/2024 and serves as a matter of information, conferring no direct rights to the certificate holder.

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Text version

H o ld e r Id e n ti fi e r

77777

77707 07070

00777 61616

04557 11107

55516 12733

44452 07760

31557 25141

12071 45355

42762 02110

76051 54643

67564 00770

45314 00126

31307 40242

73321 67100

07673 57114

01316 50073

72113 55103

46010 76727

24203 57720

00777 77770

70007 07007

77777

77707 07070

00735 25677

11545 60007

62540 00247

21571 07624

11556 03674

62070 23376

21752 31510

70233 37352

17300 10713

32363 53162

10007 02232

62530 73111

07122 22725

21731 10071

33226 25217

31010 77756

16335 17655

40777 77770

70007 07007

C e rt if ic a te N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

11/18/2024

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.

PRODUCER

Aon Risk Services Northeast, Inc.

Boston MA Office 53 State Street Suite 2201 Boston MA 02109 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

(866) 283-7122

INSURED 30104Hartford Underwriters Insurance CompanyINSURER A:

19682Hartford Fire Insurance Co.INSURER B:

27120Trumbull Insurance CompanyINSURER C:

INSURER D:

INSURER E:

INSURER F:

FAX

(A/C. No.): (800) 363-0105

CONTACT

NAME:

Bruker Corporation PinPoint Testing, LLC 13 Children's Way, R2109 Little Rock AR 72202 USA

COVERAGES CERTIFICATE NUMBER: 570109456671 REVISION NUMBER:

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, Limits shown are as requested

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

(MM/DD/YYYY)

SUBR

WVD

INSR

LTR

ADDL

INSD POLICY NUMBER TYPE OF INSURANCE LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

POLICY LOC

EACH OCCURRENCE

DAMAGE TO RENTED

PREMISES (Ea occurrence)

MED EXP (Any one person)

PERSONAL & ADV INJURY

GENERAL AGGREGATE

PRODUCTS - COMP/OP AGG

X

X

X

GEN'L AGGREGATE LIMIT APPLIES PER:

$2,000,000

$300,000

$10,000

$2,000,000

$4,000,000

$4,000,000

B 10/01/2024 10/01/202508UENAZ7PB9

PRO-

JECT

OTHER:

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

HIRED AUTOS

ONLY

NON-OWNED

AUTOS ONLY

BODILY INJURY ( Per person)

PROPERTY DAMAGE

(Per accident)

X

BODILY INJURY (Per accident)

$1,000,000C 10/01/2024 10/01/2025 COMBINED SINGLE LIMIT

(Ea accident)

08UENAZ4KV1

EXCESS LIAB

OCCUR

CLAIMS-MADE AGGREGATE

EACH OCCURRENCE

DED

UMBRELLA LIAB

RETENTION

E.L. DISEASE-EA EMPLOYEE

E.L. DISEASE-POLICY LIMIT

E.L. EACH ACCIDENT $1,000,000

X OTH-

ER

PER STATUTEA 10/01/2024 10/01/2025

$1,000,000

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER /

EXECUTIVE OFFICER/MEMBER N / AN

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

$1,000,000

08WEAZ4KVG

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

©1988-2015 ACORD CORPORATION. All rights reserved

The ACORD name and logo are registered marks of ACORD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION

DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS.

Arizona Department of Public Safety 2102 W Encanto Blvd. Ste 340 Phoeniz AZ 85009

Workers Compensation Insurers

AGENCY CUSTOMER ID:

ADDITIONAL REMARKS SCHEDULE

LOC #:

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance

EFFECTIVE DATE:

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSUREDAGENCY

See Certificate Number:

See Certificate Number:

Aon Risk Services Northeast, Inc.

570000061235

570109456671

570109456671

Page _ of _

Bruker Corporation

Hartford Accident and Indemnity Company (New Hampshire, New York)

Hartford Casualty Insurance Company (Rhode Island, Wisconsin)

Hartford Fire Insurance Company (Colorado, Connecticut, Maine, Nebraska, Oklahoma)

Hartford Insurance Company of Illinois (Mississippi, Pennsylvania, Texas, Virginia)

Hartford Insurance Company of the Midwest (Idaho)

Hartford Insurance Company of the Southeast (Alabama, Arizona, Delaware, District of Columbia, Indiana, Missouri, North Carolina, Tennessee, Utah)

Hartford Underwriters Insurance Company (Hawaii, New Jersey, South Dakota)

Nutmeg Insurance Company (Minnesota)

Property and Casualty Insurance Company of Hartford (Georgia, Illinois, Kentucky, Maryland)

Sentinel Insurance Company Ltd.

(Arkansas, California, Iowa, Michigan, Nevada, Oregon, South Carolina)

Trumbull Insurance Company (Louisiana, Vermont)

Twin City Fire Insurance Company (Florida, Kansas, Massachusetts, Ohio, Washington)

ACORD 101 (2008/01) © 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

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