CTR056118-AOAI.pdf
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- Attached to
- Master Agreement AZ|CTR056118
- Contract number
- CTR056118
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement for Business Automobile Liability (Policy Number: 971651595), specifically an "Additional Insured - Owners, Lessees or Contractors" endorsement. The policy involves the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, who are being added as additional insureds under this coverage.
The endorsement modifies several insurance coverage forms, including Commercial General Liability, Human Services Organization Professional Liability, Sexual or Physical Abuse Vicarious Liability, and Business Auto Coverage. The key provision is that the State of Arizona and its associated entities are covered with respect to liability arising from the contractor's operations, and the insurer agrees to waive subrogation rights for losses arising from work performed by or on behalf of the subcontractor. The endorsement is dated 1997 and published by the Insurance Services Office, Inc.
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Text version
POLICY NUMBER: 971651595 Business Automobile Liability, 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:
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
SCHEDULE*
Name Of Person Or Organization: The policy shall be endorsed to include the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor. 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
* 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.
BP 04 50 01 97 Copyright, Insurance
Services Office, Inc., 1997 Page 1 of 1
File details come from the government source that posted it. Updated .