COI_Insurance_AZ_STATE_2025.pdf

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.

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).

PRODUCER

Sentry Insurance

1800 North Point Drive

Stevens Point, WI 54481

CONTACT

NAME: Sentry Customer Service

PHONE

(A/C, No, Ext): 800-473-6879

FAX

(A/C, No): 800-514-7191

EMAIL

ADDRESS: businessproducts_direct@sentry.com

INSURER(S) AFFORDING COVERAGE NAIC#

INSURER A : Sentry Insurance Company 24988

INSURED

US Computers Inc 181 W Orangethorpe Ave Ste C Placentia, CA 92870-6931

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: 4024123 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.

INSR

LTR TYPE OF INSURANCE ADDL

INSR

SUBR

WVD POLICY NUMBER POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

LIMITS

A

X BUSINESS OWNERS LIABILITY

CLAIMS-MADE X OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

X POLICY PRO-

JECT LOC

OTHER:

2557758001 04/15/2025 04/15/2026

EACH OCCURRENCE $ 1,000,000

DAMAGE TO RENTED

PREMISES (Ea occurrence) $ 300,000

MED EXP (Any one person) $ 10,000

PERSONAL & ADV INJURY $ 1,000,000

GENERAL AGGREGATE $ 3,000,000

PRODUCTS - COMP/OP AGG $ 3,000,000

A

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

X HIRED

AUTOS ONLY X NON-OWNED

AUTOS ONLY

2557758001 04/15/2025 04/15/2026

COMBINED SINGLE LIMIT

(Ea accident) $ 1,000,000

BODILY INJURY (Per person) $

BODILY INJURY (Per accident) $

PROPERTY DAMAGE

(Per accident) $

UMBRELLA LIAB OCCUR

EXCESS LIAB CLAIMS-MADE

DED RETENTION $

EACH OCCURRENCE $

AGGREGATE $

A

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

Y / N

Y N / A 2557758002 04/15/2025 04/15/2026

X PER

STATUTE

OTH-

ER

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

E.L. DISEASE - EA EMPLOYEE $ 1,000,000

E.L. DISEASE - POLICY LIMIT $ 1,000,000

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

Refer to attached

DATE (MM/DD/YYYY)

03/14/2025CERTIFICATE OF LIABILITY INSURANCE

CERTIFICATE HOLDER

Arizona Department of Administration State Procurement Office 1802 W Jackson St # 100 Phoenix, AZ 85007-3221

CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03) © 1988-2015 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD2557758 Sentry Insurance Company b3bb20bc-7110-414b-a26b-5ca6c88f27dd

03/14/2025

2557758 Sentry Insurance Company b3bb20bc-7110-414b-a26b-5ca6c88f27dd

03/14/2025The ACORD name and logo are registered marks of ACORD

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

AGENCY CUSTOMER ID: XXXXXX4132

LOC #:

Page 2 of 2ADDITIONAL REMARKS SCHEDULE

AGENCY NAMED INSURED

Scott Deaver US Computers Inc

POLICY NUMBER

2557758001

CARRIER NAIC CODE

Sentry Insurance Company 24988 EFFECTIVE DATE: 04/15/2025

ADDITIONAL REMARKS

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: ACORD 25 Certificate of Liability InsuranceFORM TITLE:

Certificate Details

Additional Insured status applies per the terms and conditions of the policy when required in written contract or written agreement.

ACORD25_03-16 Certificate of Liability Insurance