COI_SmithShurtliff_Smith_ARIZONA_GAME_AND_FISH_DEPARTMENT_UB2S006667_04112025130639.pdf

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

4/11/2025 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 CONSTITUE 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 an endorsement(s).

PRODUCER

TRUSTCO INSURANCE AGENCY

491 N BLUFF ST STE 101-C

ST GEORGE, UT 84770-7381

CONTACT

NAME:

PHONE

(A/C. No. Ext.): (435) 628-3321

FAX

(A/C. No. Ext.): (435) 628-3352

E-MAIL

ADDRESS:

INSURED

SMITH, SHURTLIFF & SMITH LLC

620 RIESLING AVE

SANTA CLARA, UT 84765

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A : FIDELITY AND GUARANTY INSURANCE COMPANY

INSURER B : TRAVELERS CASUALTY COMPANY OF CONNECTICUT

INSURER C :

INSURER D :

INSURER E :

INSURER F :

COVERAGES CERTIFICATE NUMBER: 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

INSD

SUBR

WVD POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

A

X COMMERCIAL GENERAL LIABILITY

BIP-8R880545-25-42 02/01/2025 02/01/2026 EACH OCCURRENCE $1,000,000

CLAIMS-MADE X OCCUR DAMAGE TO RENTED

PREMISES (Ea Occurrence) $300,000

X HIRED AUTO

MED EXP (Any one person) $5,000

X NON OWNED AUTO

PERSONAL & ADV INJURY $1,000,000

GEN’L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $2,000,000

X POLICY PROJECT LOC

PRODUCTS – COMP/OP AGG $2,000,000

OTHER

AUTOMOBILE LIABILITY

COMBINED SINGLE LIMIT

(Ea accident) $ ANY AUTO

BODILY INJURY (Per person) $

OWNED

AUTOS ONLY

SCHEDULED

AUTOS BODILY INJURY (Per accident) $

HIRED

AUTOS ONLY

NON-OWNED

AUTOS ONLY

PROPERTY DAMAGE

(Per accident) $

UMBRELLA LIAB OCCUR

EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE

AGGREGATE $

DED

RETENTION

B

WORKERS COMPENSATION

AND EMPLOYERS’ LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

If yes, describe under

DESCRIPTION OF OPERATIONS BELOW

UB-2S006667-25-42 04/15/2025 04/15/2026 X

PER

STATUTE

OTH

-ER

Y/N N/A

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)

CERTIFICATE HOLDER CANCELLATION

ARIZONA GAME AND FISH DEPARTMENT

DIANA KOISTINEN

500 WEST CAREFREE HIGHWAY

PHEONIX, AZ 85086

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

© 1993-2015 ACORD CORPORATION. All rights reserved.

ACORD 25 (2016/3) The Acord name and logo are registered marks of ACORD