COI_GL_BA_WC_exp3.15.25_PLexp6.15.24.pdf
PDF 88 KB Posted
- Attached to
- Master Agreement AZ|CTR054776
- Contract number
- CTR054776
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Avenu Holdings, LLC, issued by Marsh USA LLC, with multiple insurance carriers providing coverage. The certificate names the Arizona Department of Administration's State Procurement Office as the certificate holder, and includes additional insureds such as the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
The insurance coverage includes Commercial General Liability with a $1,000,000 per occurrence limit and $2,000,000 aggregate, Automobile Liability with a $1,000,000 combined single limit, Umbrella/Excess Liability with a $10,000,000 each occurrence limit, Workers' Compensation, Crime Insurance, and Technology Errors & Omissions/Cyber Liability. The policies are effective from 03/15/2024 to 03/15/2025, with various deductibles ranging from $15,000 to $100,000. The certificate provides additional coverage for multiple Avenu-related entities, including Avenu Local Government Solutions, Avenu Insights & Analytics, and several other subsidiaries and affiliated companies.
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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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
C
1,000,000
10 UUN DR3892
CLE-007174472-06
1,000,000
06/15/2024
10,000,000
X
27120
10,000,000
Limit (Ded: 100,000)LCY802019
N
X03/15/2024
Landmark American Insurance Company
03/15/2025
10/02/2023
19445
03/15/2025
10 WE AE7C2X
Crime
C
2,000,000
1,000,000
29424 Trumbull Insurance Company
1,000,000
X
D
X
03/15/2024
3,000,000
03/15/2024
2,000,000
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insureds with respects to General Liability where requried by written contract with the Named Insured. A Waiver of Subrogation is in favor of the Additional Insureds with respects to General Liability where required by written contract with the Named Insured.
X
100 N. 15th Ave., Suite 201
Phoenix, AZ 85007
Arizona Department of Administration
National Union Fire Ins Co Pittsburgh PA
E 03/15/2023
A
Hartford Casualty Ins Co
CN115487564--Tech-2024
Limit (Ded: 15,000)
03/15/2025
1,000,000
83 RHU DR3731
Tech E&O / Cyber
2,000,000
300,000
1,000,000
10/02/2024
10 WE AE7C2X
1050 CONNECTICUT AVENUE, SUITE 700
MARSH USA LLC.
X
WASHINGTON, DC 20036-5386
5860 Trinity Parkway, Suite 120
Avenu Holdings, LLC
Centreville, VA 20120
X
01-571-49-77
03/15/2024
State Procurement Office, 03/15/2024
B
03/15/2025
33138
The Hartford Insurance Company
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:
Avenu Local Government Solutions, LLC�
Avenu Unclaimed Property Systems, LLC�
Avenu Government Systems, LLC� eGov Solutions, LLC�
Avenu Pension Administration Solutions ULC
Interware Development Company�
Ram Ware, LLC� MuniServices, LLC d/b/a Avenu MuniServices, LLC�
Washington
Avenu STR IP LLC� ACP Avenu Buyer, LLC�
Avenu Insights & Analytics LLC� Avenu Holdings, LLC�
Additional Named Insureds:�
ACP Avenu Intermediate, LLC�
Certificate of Liability Insurance
Columbia Ultimate Business Systems, LLC�
CN115487564
Avenu Insights, LLC�
Avenu SLS Holdings, LLC�
Avenu SLGS Holdings, LLC�
Avenu Government Record Services, LLC�
Avenu Enterprise Solutions, LLC�
Mill Point GRS Blocker, LLC�
Justice Systems, LLC�
Columbia Ultimate, LLC�
MARSH USA LLC.�
5860 Trinity Parkway, Suite 120� Avenu Holdings, LLC�
Centreville, VA 20120
Avenu Title Records, LLC�
Judicial Innovations, LLC�
Avenu Canada, LLC�
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