CTR056118_-_AO_AI__2_.pdf
PDF 446 KB Posted
- Attached to
- Master Agreement AZ|CTR056118
- Contract number
- CTR056118
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement (BP 04 50 01 97) that modifies a Businessowners Policy. The endorsement specifically names the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, agents, and employees as additional insured parties. The policy is designed to provide liability coverage for losses arising from work performed by or on behalf of a qualified vendor.
The endorsement adds a provision to the Businessowners Liability Coverage Form that extends insurance coverage to the named Arizona entities, but only with respect to liability arising from ongoing operations performed by the insured vendor. The policy number is P102.192.740.1 with a supplemental policy number of 971651595, dated from 1997. While the document does not specify the exact nature of the goods or services, it appears to be a standard additional insured endorsement that provides broad liability protection for the State of Arizona when working with contracted vendors.
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Text version
BP 04 50 01 97 Copyright, Insurance Services Office, Inc., 1997 Page 1 of 1
POLICY NUMBER: P102.192.740.1 BUSINESSOWNERS
BP 04 50 01 97
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED - OWNERS, LESSEES
OR CONTRACTORS
This endorsement modifies insurance provided under the following:
BUSINESSOWNERS POLICY
SCHEDULE*
Name Of Person Or Organization: State of Arizona, and its departments, agencies, boards, commissions, universities, officers, agents, and employees are named as additional insured for losses arising from work performed by or on behalf of the qualified vendor
* Information required to complete this Schedule, if not shown on this endorsement, will be shown in the Declarations.
The following is added to Paragraph C. Who Is An Insured in the Businessowners Liability Coverage Form:
4. Any person or organization shown in the Schedule is also an insured, but only with respect to liability arising out of your ongoing operations performed for that insured.
971651595 Commercial Auto
CG 20 26
File details come from the government source that posted it. Updated .