COI_Gannett.pdf

PDF 45 KB Posted

Attached to
Master Agreement AZ|CTR078829
Contract number
CTR078829
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Aon Risk Services Northeast, Inc. on 11/02/2022 for The Arizona Republic, covering insurance policies for the State of Arizona, its departments, agencies, boards, commissions, and universities. The insurers include National Union Fire Insurance Company of Pittsburgh (NAIC #19445), AIU Insurance Company (NAIC #19399), and AIG Specialty Insurance Company (NAIC #26883).

The certificate relates to Contract ADSPO18-178338 for Legal, Classified, and Web-Based Recruitment Advertising. The insurance policies provide coverage from 10/01/2022 to 10/01/2023, including Commercial General Liability with limits of $2,000,000 per occurrence and $4,000,000 aggregate, Automobile Liability with a $1,000,000 combined single limit, Workers' Compensation, and Errors & Omissions coverage. The State of Arizona and its entities are included as Additional Insureds, with the insurance being primary and non-contributory. The policies include a Waiver of Subrogation in favor of the certificate holder, the AZ Department of Administration.

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H ol de r

Id en tif ie r

77777 77707

07070 00777

61616 04557

11107 76617

13701 54572

07472 33746

35373 30072

76045 73653

33130 71514

13023 73112

10772 71046

52755 52207

52773 70221

27320 07365

01546 41775

31077 16410

42335 11210

76727 24203

57720 00777

77770 70007

07007

77777 77707

07070 00735

25677 11545

60007 22150

14602 77122

07133 32725

31630 00070

33336 34206

21000 71333

26352 17310

10702 33373

43162 10007

03333 72531

63100 07032

22734 21731

10070 23337

25206 30000

77756 16335

17655 40777

77770 70007

07007 C er tif ic at e N o

CERTIFICATE OF LIABILITY INSURANCE

DATE(MM/DD/YYYY)

11/02/2022

IMPORTANT: If the certificate holder is an ADDITION AL INSURED, the policy(ies) must have ADDITIONAL IN SURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and c onditions of the policy, certain policies may requi re an endorsement. A statement on this certificate does not confer rights to the certifica te holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATI ON ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AM END, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE P OLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONST ITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AU THORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOL DER.

PRODUCER

Aon Risk Services Northeast, Inc.

New York NY Office One Liberty Plaza 165 Broadway, Suite 3201 New York NY 10006 USA

PHONE

(A/C. No. Ext):

E-MAIL

ADDRESS:

INSURER(S) AFFORDING COVERAGE NAIC #

(866) 283-7122

INSURED 19445National Union Fire Ins Co of PittsburghINSURER A:

19399AIU Insurance CompanyINSURER B:

26883AIG Specialty Insurance CompanyINSURER C:

INSURER D:

INSURER E:

INSURER F:

FAX

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

CONTACT

NAME:

The Arizona Republic 200 E. Van Buren St.

Phoenix AZ 85004 USA

COVERAGES CERTIFICATE NUMBER: 570096340652 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, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. 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

$2,000,000

$2,000,000

$4,000,000

$4,000,000

A 10/01/2022 10/01/20239575244

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)

$1,000,000A 10/01/2022 10/01/2023

AOS

7281038A 10/01/2022 10/01/2023

VA

7281037B 10/01/2022 10/01/2023

MA

COMBINED SINGLE LIMIT

(Ea accident)

7281036

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 STATUTEB 10/01/2022 10/01/2023

AOS

WC035901913B 10/01/2022 10/01/2023

$1,000,000

Y / N

(Mandatory in NH)

ANY PROPRIETOR / PARTNER / EXECUTIVE

OFFICER/MEMBER EXCLUDED? N / AN

CA

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY

If yes, describe under DESCRIPTION OF OPERATIONS below

$1,000,000

WC035901912

Each Wrongful Act015926801 10/01/2022 10/01/2023 Claims Made $2,000,000Aggregate

E&O-MPL-PrimaryC

SIR applies per policy terms & conditions

$2,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (A CORD 101, Additional Remarks Schedule, may be attac hed if more space is required)

RE: Contract ADSPO18-178338 - Legal, Classified and Web Based Recruitment Advertising.

The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability and Auto Liability evidenced herein is Primary and Non-Contributory to other insurance available to an Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of Certificate Holder in accordance with the policy provisions of the General Liability and Auto Liability policy.

CANCELLATIONCERTIFICATE HOLDER

AUTHORIZED REPRESENTATIVEAZ Dept of Administration Charlotte Righetti, CPPB 100 N 15th Ave, Suite 201 Phoenix AS 85007 USA

ACORD 25 (2016/03)

©1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACO RD

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCE LLED BEFORE THE

EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE

POLICY PROVISIONS.

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:

570096340652

570096340652

Aon Risk Services Northeast, Inc.

570000082066

ADDITIONAL POLICIES If a policy below does not include limit information, refer to the corresponding policy on the ACORD certificate form for policy limits.

INSURER

INSURER

INSURER

INSURER

INSURER(S) AFFORDING COVERAGE

Page _ of _

NAIC #

The Arizona Republic

TYPE OF INSURANCE

POLICY NUMBER LIMITS

WORKERS COMPENSATION

B WC035901914 10/01/2022 10/01/2023

WI

N/A

ADDL

INSD

INSR

LTR

SUBR

WVD

POLICY

EFFECTIVE

DATE

(MM/DD/YYYY)

POLICY

EXPIRATION

DATE

(MM/DD/YYYY)

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

The ACORD name and logo are registered marks of ACO RD

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