CTR052593_-_CGL_Endorsements__1_.pdf
PDF 305 KB Posted
- Attached to
- Master Agreement AZ|CTR052593
- Contract number
- CTR052593
- Issued by
- Arizona
About this file
This document is a Commercial General Liability Insurance Policy endorsement for the State of Arizona, covering the state's departments, agencies, boards, commissions, universities, and their officers, officials, agents, and employees. The policy is issued by an insurance company with the policy number PHPK2620722, effective for the term 10/31/2024-10/31/2025. The endorsements include additional insured provisions, waivers of subrogation, and primary/non-contributory status for the State of Arizona.
The policy provides liability coverage for losses arising from work performed by or on behalf of a contractor, with the State of Arizona named as an additional insured. The coverage applies to bodily injury, property damage, and personal and advertising injury caused by the contractor's operations or on premises owned or rented by the contractor. The insurance is primary, with any insurance or self-insurance maintained by the State of Arizona being non-contributing, except in cases of sole negligence by the state. The policy includes provisions for ongoing operations and products/completed operations, with specific waivers of rights of recovery against the State of Arizona.
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Text version
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 20 26 04 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page of
ADDITIONAL INSURED – DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations;
or
2. In connection with your premises owned by or rented to you.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
PHPK2620722-012
The State of Arizona (See Manuscript)
1 1
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 24 04 10 93
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name of Person or Organization:
(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)
The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV – COMMER- CIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following:
We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard".
This waiver applies only to the person or organization shown in the Schedule above.
PHPK2620722-012
Except for gross negligence and wanton or willful misconduct State of Arizona (complete Name per manuscript)
PI-MANU-1 (01/00)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY
All other terms and conditions of this Policy remain unchanged.
POLICY NUMBER: PHPK2620722 CG 20 26 07 04
Policy term 10/31/2024-10/31/2025
ADDITIONAL INSURED - DESIGNATED PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s)
The State of Arizona, its departments, agencies, boards commissions, universities and its officers, officials, agents, and employees for losses arising out of the work performed by or on behalf of the Contractor.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or rented to you.
THIS INSURANCE IS PRIMARY, WITH ANY INSURANCE OR SELF-INSURANCE PROGRAM
MAINTAINED BY THE NAME OF PERSON OR ORGANIZATION LISTED ABOVE BEING
NON-CONTRIBUTING EXCEPTING LOSS RESULTING FROM THE SOLE NEGLIGENCE OF THE
NAME OF PERSON OR ORGANIZATION LISTED ABOVE.
PRIMARY/NONCONTRIBUTORY ENDORSEMENT
POLICY NUMBER: PHPK2620722 CG 24 04 05 09
Policy term 10/31/2024-10/31/2025
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of Rights Of Recovery
Against Others To Us of Section IV - Conditions:
We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the
"products completed operations hazard".
This waiver applies only to the person or organization shown in the
Schedule above.
CG2404: Waiver of Subrogation
Policy NUMBER: PHPK2620722
Policy term 10/31/2024-10/31/2025
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s)
The State of Arizona, its departments, agencies, boards commissions, universities and its officers, officials, agents, and employees for losses arising out of the work performed by or on behalf of the Contractor.
As per certificate on file with the Company.
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Section II - Who Is An Insured is amended to in-clude as an additional insured the person(s) or organi-zation(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or
"personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omis-sions of those acting on your behalf:
A. In the performance of your ongoing operations; or
B. In connection with your premises owned by or rented to you.
CG2026: Additional Insured - Designated Person or Organization
The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, employees, shall be named as additional insured with respect to liability arising out of the activities performed by or on behalf of Contractor.
Additional Insured - State of Arizona
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