CTR055987 COI 2023-01-15 Weston_GAUWP.pdf
PDF 64 KB Posted
- Attached to
- Master Agreement AZ|CTR055987
- Contract number
- CTR055987
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Weston Solutions, Inc., issued by Marsh USA Inc. on 01/06/2022. The certificate involves multiple insurers, including Greenwich Insurance Company and Liberty Mutual Fire Insurance Co, and is specifically related to a contract with the Arizona Department of Environmental Quality located in Phoenix, Arizona. The certificate holder is the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
The contract pertains to Solicitation No. BPM003359, which is a Statewide Assessment and Remediation of Hazardous or Regulated Substances or Materials contract (Contract #CTR0055987). The insurance coverage includes commercial general liability, automobile liability, umbrella/excess liability, workers' compensation, and professional liability, with various policy limits ranging from $1,000,000 to $2,000,000. The policy period is from 01/15/2022 to 01/15/2023, with a self-insured retention of $500,000. The policy includes additional insured provisions for the State of Arizona and includes a waiver of subrogation as required by the written contract.
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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
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
C
1,000,000
01/15/2023
GEC300071707
X
CLE-006750425-09
1,000,000
1,000,000
WC7-631-477160-052 (WI)
X
42404
1,000,000
AGGREGATESIR: $500,000
Attn: Philadelphia.certs@Marsh.com Fax: 212-948-0360
N
X01/15/2022
01/15/2023
01/15/2022
23035
01/15/2023
AI2-631-477160-042
CONTRACTORS POLLUTION /
B
2,000,000
1,000,000
X
37885 Liberty Insurance Corporation
1,000,000
X
A
X professional liability) as required by written contract. Waiver of subrogation is applicable where required by written contract.
01/06/2022
2,000,000
01/15/2022
2,000,000
Re: Solicitation No. BPM003359, Description: Statewide Assessment and Remediation of Hazardous or Regulated Substances or Materials Contract #CTR0055987
X
01/15/2022
1110 West Washington Street
Phoenix, AZ 85007
Arizona Department of Environmental
Liberty Mutual Fire Ins Co
10,000
The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insured (except for workers' compensation and
A
XL Specialty Insurance Company
CN102357761-WS-COPS-22-23
EACH OCCURRENCE
10,000
01/15/2023
1,000,000
UEC004535207
PROFESSIONAL
B
2,000,000
22322
1,000,000
1,000,000
01/15/2023
WA7-63D-477160-012 (AOS)
1717 Arch Street
MARSH USA INC.
Philadelphia, PA 19103
1400 WESTON WAY
WESTON SOLUTIONS, INC.
WEST CHESTER, PA 19380
X
PEC004536507
Quality
D
01/15/2023
Greenwich Insurance Company
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