COI_thru_10.1.24.pdf

PDF 207 KB Posted

Attached to
Master Agreement AZ|CTR062095
Contract number
CTR062095
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for The GEO Group Inc. and all its subsidiaries, including Cornell Companies Inc., with Willis Towers Watson Southeast, Inc. as the insurance producer. The certificate is issued for multiple insurance policies covering various jurisdictions, with the primary certificate holder being the Arizona Department of Corrections. The insurance policies involve multiple insurers, including National Union Fire Insurance Company of Pittsburgh, ACE Property & Casualty Insurance Company, AIU Insurance Company, Ironshore Specialty Insurance Company, and Berkley National Insurance Company.

The insurance coverage includes comprehensive liability protection across multiple domains: Commercial General Liability with Civil Rights coverage, Automobile Liability, Umbrella and Excess Liability, Workers Compensation, Pollution Liability, and Medical Malpractice. The policies cover specific correctional facilities in Arizona, including Phoenix West State Prison, Arizona State Prison - Florence West, Central Arizona Correctional Facility, and Kingman Correctional Facility. The policies are effective from 10/01/2023 to 10/01/2024, with various coverage limits ranging from $2,000,000 to $25,000,000. Additional insured status and waiver of subrogation are provided for the State of Arizona and Arizona Department of Corrections as required by written contracts.

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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

E-MAIL

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

Willis Towers Watson Southeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

The GEO Group Inc and All Subsidiaries including Cornell Companies Inc.

4955 Technology Way Boca Raton, FL 33431

General Liability: Contractual Liability is provided per form CG0001 - Commercial General Liability. Coverage includes Severability of interest and Cross Suits. Sexual Molestation - Physical Abuse is not excluded under the General Liability policy. Blanket Additional Insured is included to Certificate Holder as respects General Liability if required by written contract. Insurance is Primary and Non Contributory. Blanket Waiver of Subrogation is provided as respects General Liability as required by written contract.

SEE ATTACHED

Arizona Department of Corrections Contracts Administration Attn: Denel Pickering 1601 West Jefferson, M/C 55303 Phoenix, AZ 85007-3002

10/02/2023

1-877-945-7378 1-888-467-2378 certificates@willis.com

National Union Fire Insurance Company of P 19445

ACE Property & Casualty Insurance Company

AIU Insurance Company

20699

19399

Ironshore Specialty Insurance Company 25445

Berkley National Insurance Company 38911

W30493873

A

5,000,000

5,000,000

0Civil Rights

5,000,000

25,000,000

5,000,000

Y Y 1729003 10/01/2023 10/01/2024

A

5,000,000

10/01/202410/01/2023

Deductible

Y Y 4594443

1,000,000

B 10,000,000

XOOG72597631 002 10/01/2023 10/01/2024 10,000,000

049154398 C Y

2,000,000 No 10/01/2023 10/01/2024

2,000,000

2,000,000

D Pollution Liability Each IncidentISPILLSCV0Y3001 10/01/2023 10/01/2026

Policy Aggregate

Retention

315091224740543SR ID: BATCH:

$100,000

$10,000,000

$10,000,000

Willis Towers Watson Certificate Center

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:

The GEO Group Inc and All Subsidiaries including Cornell Companies Inc.

4955 Technology Way Boca Raton, FL 33431

Blanket Additional Insured is included to Certificate Holder as respect Automobile Liability if required by written contract. Blanket Waiver of Subrogation is provided as respects Automobile Liability as required by written contract.

Blanket Waiver of Subrogation is provided as respects Workers Compensation as required by written contract, as permitted by law.

State of Arizona and Arizona Department of Corrections are named as Additional Insureds not applicable to worker compensation per contracts.� Phoenix West State Prison, Contract #010039DC; Arizona State Prison - Florence West, Contract #020049DC; Central Arizona Correctional Facility, Contract #040176DC; Kingman Correctional Facility, Contract #AD9-010-A3-001.� Waiver of Subrogation is applicable in favor of the State of Arizona and its departments with respect to General Liability, Auto Liability, and Workers Compensation where required by written contract.

INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445

POLICY NUMBER: 6547191 EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

ADDITIONAL INSURED: Y

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Medical Malpractice Limit 5,000,000 ������������������� Agg 25,000,000

ADDITIONAL REMARKS:

Certificate Holder is included as an Additional Insured as respects to Medical Malpractice. Waiver of Subrogation applies in favor of Certificate Holder with respects to Medical Malpractice.

INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399

POLICY NUMBER: 049154399 EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Workers Compensation - CA Each Accident $2,000,000 Per Statute Disease Each Empl $2,000,000 ����������� Disease Pol Limit $2,000,000

2 3

Willis Towers Watson Southeast, Inc.

See Page 1

See Page 1 See Page 1 See Page 1

25 Certificate of Liability Insurance

W30493873CERT:3150912BATCH:24740543SR ID:

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:

The GEO Group Inc and All Subsidiaries including Cornell Companies Inc.

4955 Technology Way Boca Raton, FL 33431

INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399

POLICY NUMBER: 049154397 EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Workers Compensation - WI Each Accident $2,000,000 Per Statute Disease Each Empl $2,000,000 ����������� Disease Pol Limit $2,000,000

INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445

POLICY NUMBER: 4594444 EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

ADDITIONAL INSURED: Y

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Automobile Liability - MA Only Combined Single Limit $5,000,000 Any Auto including Hired & Non-Owned

INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445

POLICY NUMBER: 25060203 EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Excess Liability Limit $10M x $10M

INSURER AFFORDING COVERAGE: Berkley National Insurance Company NAIC#: 38911

POLICY NUMBER: CEX09602890-05 EFF DATE: 10/01/2023 EXP DATE: 10/01/2024

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Excess Liability Limit $5M x $20M

3 3

Willis Towers Watson Southeast, Inc.

See Page 1

See Page 1 See Page 1 See Page 1

25 Certificate of Liability Insurance

W30493873CERT:3150912BATCH:24740543SR ID:

10.0.2.20120224.1.869952

DATE (MM/DD/YYYY): 10/02/2023
PRODUCER: Willis Towers Watson Southeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

FAX (A/C, No):: 1-877-945-7378
FAX (A/C, No):: 1-888-467-2378
FAX (A/C, No):: certificates@willis.com
NAIC #_INSURER A :: National Union Fire Insurance Company of P
NAIC #_INSURER A :: 19445
INSURED: The GEO Group Inc and All Subsidiaries

including Cornell Companies Inc.

4955 Technology Way Boca Raton, FL 33431

NAIC #_INSURER B :: ACE Property & Casualty Insurance Company
NAIC #_INSURER C :: AIU Insurance Company
NAIC #_INSURER B :: 20699
NAIC #_INSURER C :: 19399
NAIC #_INSURER D :: Ironshore Specialty Insurance Company
NAIC #_INSURER D :: 25445
NAIC #_INSURER E :: Berkley National Insurance Company
NAIC #_INSURER E :: 38911
NAIC #_INSURER F ::
NAIC #_INSURER F ::
CERT_NUMBER: W30493873
GL INSR LETTER: A
CGL_checkbox: Yes
Clams_Made_checkbox: 0
Occur_checkbox: Yes
OTHER 1 checkbox: Yes
OTHER 1 checkbox: Off
undefined: 5,000,000
undefined: 5,000,000
undefined: 0
GL_OTHER_1_TYPE_OF_INS: Civil Rights
GL_OTHER_2_TYPE_OF_INS:
undefined: 5,000,000
undefined: 25,000,000
undefined: 5,000,000
Gen_Agg_Policy_checkbox: Yes
Gen_Agg_Project_checkbox: 0
Gen_Agg_Location_checkbox: 0
INSR ADDL_Row_1: Y
WVD SUBR_Row_1: Y
POLICY NUMBER_Row_1: 1729003
POLICY EFF (MM/DD/YYYY)_Row_1: 10/01/2023
POLICY EXP (MM/DD/YYYY)_Row_1: 10/01/2024
OTHER_LIMIT_DESC:
undefined:
ANY_AUTO_checkbox: Yes
AL INSR LETTER: A
undefined: 5,000,000
NON-OWNED_AUTOS_checkbox: Yes
SCHEDULED_AUTOS_checkbox: 0
ALL_OWNED_AUTOS_checkbox: 0
HIRED_AUTO_checkbox: Yes
POLICY EXP (MM/DD/YYYY)_Row_1: 10/01/2024
undefined:
POLICY EFF (MM/DD/YYYY)_Row_1: 10/01/2023
undefined:
undefined:
AL_OTHER_1_checkbox: 0
AL_OTHER_1_DESC:
PROPERTY DAMAGE (Per accident)_Row_1: Deductible
AL_OTHER_2_checkbox: 0
AL_OTHER_2_DESC:
INSR ADDL_Row_2: Y
WVD SUBR_Row_2: Y
POLICY NUMBER_Row_2: 4594443
undefined: 1,000,000
UMB_LIAB: Yes
UMB_EX_OCC: Yes
UMB INSR LETTER: B
undefined: 10,000,000
EX_LIAB_checkbox: 0
CLAIMS_MADE_checkbox: 0
RET_checkbox: 0
DED_checkbox: Off
DED_RET_AMOUNT:
INSR ADDL_Row_3:
WVD SUBR_Row_3:
POLICY NUMBER_Row_3: XOOG72597631 002
POLICY EFF (MM/DD/YYYY)_Row_3: 10/01/2023
POLICY EXP (MM/DD/YYYY)_Row_3: 10/01/2024
undefined: 10,000,000
AGGREGATE_Row_1:
undefined:
POLICY NUMBER_N / A: 049154398
STATUTORY: Yes
OTHER: Off
WC_OTHER_DESC:
WC INSR LETTER: C
WVD SUBR_N / A: Y
undefined: 2,000,000
Y / N: No
POLICY EFF (MM/DD/YYYY)_Row_3: 10/01/2023
POLICY EXP (MM/DD/YYYY)_Row_3: 10/01/2024
undefined: 2,000,000
undefined: 2,000,000
OTHER 1 INSR LETTER: D
OTHER_1_TYPE_OF_INS: Pollution Liability
OTHER_2_TYPE_OF_INS:
N / A_Row_1:
WVD SUBR_Row_5:
N / A_Row_1:
OTHER_1_LIMIT_OF_INS: Each Incident
OTHER 2 INSR LETTER:
POLICY NUMBER_Row_5: ISPILLSCV0Y3001
POLICY NUMBER_Row_5:
POLICY EFF (MM/DD/YYYY)_Row_5: 10/01/2023
POLICY EFF (MM/DD/YYYY)_Row_5:
POLICY EXP (MM/DD/YYYY)_Row_5: 10/01/2026
POLICY EXP (MM/DD/YYYY)_Row_5:
OTHER_2_LIMIT_OF_INS: Policy Aggregate
WVD SUBR_Row_5:
OTHER 3 INSR LETTER:
WVD SUBR_Row_5:
POLICY NUMBER_Row_5:
POLICY EFF (MM/DD/YYYY)_Row_5:
OTHER_3_TYPE_OF_INS:
N / A_Row_1:
POLICY EXP (MM/DD/YYYY)_Row_5:
OTHER_3_LIMIT_OF_INS: Retention
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required): General Liability: Contractual Liability is provided per form CG0001 - Commercial General Liability. Coverage

includes Severability of interest and Cross Suits. Sexual Molestation - Physical Abuse is not excluded under the General Liability policy. Blanket Additional Insured is included to Certificate Holder as respects General Liability if required by written contract. Insurance is Primary and Non Contributory. Blanket Waiver of Subrogation is provided as respects General Liability as required by written contract.

SEE ATTACHED

INSURED:

Arizona Department of Corrections Contracts Administration Attn: Denel Pickering 1601 West Jefferson, M/C 55303 Phoenix, AZ 85007-3002

AUTHORIZED REPRESENTATIVE:
BATCH_NUMBER: 3150912
SR_NUMBER: 24740543
SRID_label: SR ID:
Batch_label: BATCH:
GL_Agg_applies_per_Other_checkbox: 0
GL_Agg_applies_per_Other:
OTHER_3_LIMIT_OF_INS_AMT3: $100,000
OTHER_2_LIMIT_OF_INS_AMT_2: $10,000,000
OTHER_1_LIMIT_OF_INS_AMT_1: $10,000,000
Contact_Name: Willis Towers Watson Certificate Center
DATE (MM/DD/YYYY): Page 1 of 3

File details come from the government source that posted it. Updated .