CTR052593-RenewalAI.pdf
PDF 42 KB Posted
- Attached to
- Master Agreement AZ|CTR052593
- Contract number
- CTR052593
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement modifying coverage for various liability forms, specifically an Additional Insured endorsement for the State of Arizona. The policy involves the State of Arizona, its departments, agencies, boards, commissions, universities, and their respective officers, officials, agents, and employees. The endorsement is part of a policy (Policy No. PHPK2620722) with a term from 10/31/2023 to 10/31/2024, covering Commercial General Liability, Human Services Organization Professional Liability, Sexual or Physical Abuse Vicarious Liability, and Business Auto Coverage.
The endorsement provides additional insured status to the State of Arizona, extending coverage for activities performed by or on behalf of the contractor. Key provisions include: 1) expanding the definition of who is an insured to include the State of Arizona, 2) covering liability assumed in written or oral contracts, 3) making this coverage primary with other applicable insurance applying as excess, and 4) waiving subrogation rights against the State of Arizona and its entities for losses arising from work performed by the contractor or subcontractor. The document does not specify specific goods, services, pricing, or contract details beyond the insurance coverage modifications.
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Text version
MANUSCRIPT (06/11)
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – STATE OF ARIZONA
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
HUMAN SERVICES ORGANIZATION PROFESSIONAL LIABILITY COVERAGE FORM
SEXUAL OR PHYSICAL ABUSE OR MOLESTATION VICARIOUS LIABILITY COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
Policy No.
Policy Term.
SCHEDULE
Name of Person or Organization: State of Arizona
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
The following provisions are added to the policy:
1. WHO IS AN INSURED is amended to include as an insured the person or organization shown in the above
SCHEDULE, but only with respect to their liability for activities performed by you or on your behalf relating to the conduct of your business;
2. The coverage provided by this endorsement includes the assumption of liability in a written or oral contract between the named insured and the person or organization shown in the above SCHEDULE for work performed by you or on your behalf relating to the conduct of your business;
3. The coverage provided by this endorsement only is primary. Any other applicable insurance will apply as excess; and
4. We agree to waive any right of subrogation against the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees” for losses arising from work performed by or on behalf of Subcontractor
Revised 6/13/12 Page 1 of 1 landerso Typewritten Text
PHPK2620722
landerso Typewritten Text 10/31/2023-10/31/2024
File details come from the government source that posted it. Updated .