CTR056550_COI_Exp_5.1.26___PL_exp_12.15.25.pdf
PDF 83 KB Posted
- Attached to
- Master Agreement AZ|CTR069972
- Contract number
- CTR069972
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Appriss Insights, a subsidiary of Equifax Inc., issued by Marsh USA, LLC on May 19, 2025. The certificate holder is the Arizona Department of Administration's State Procurement Office, located in Phoenix, Arizona. The insurance is provided primarily by Zurich American Insurance Company and includes coverage from Syndicates at Lloyd's, with policies covering the period from May 1, 2025 to May 1, 2026.
The insurance certificate covers multiple lines of coverage including Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, and Workers' Compensation, with varying policy limits. Notable coverage details include a $1,000,000 limit for Commercial General Liability, a $1,000,000 Combined Single Limit for Automobile Liability, and a $15,000,000 Umbrella/Excess Liability limit. The certificate references Contract #CTR069972 and specifies that the certificate holder is included as an additional insured on general and auto liability policies where required by written contract, with a waiver of subrogation applicable where contractually mandated.
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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
05/01/2025
05/01/2026
X
A
2,000,000
WC 4257158-02 (AZ,MA,WI)
16535
W20485241301
15,000,000
A
A
10,000,000
05/01/2026 X
Professional Liability/Cyber
05/01/2025
CN101920890-APP-10mP-2025
1,000,000
37540
12/15/2025
ATL-006009605-02
05/01/2025
X
2,000,000
05/19/2025
05/01/2026
1,000,000
X
1,000,000 1,000,000
A
05/01/2026
12/15/2024
05/01/2025
X
GLA 3906538-02
LIMIT:
10,000
WC 4257158-02 (AOS)
AUC 3850189-02
1,000,000
CERTIFICATE HOLDER IS INCLUDED AS ADDITIONAL INSURED ON THE GENERAL LIABILITY AND AUTO LIABILITY POLICIES WHERE REQUIRED BY WRITTEN CONTRACT. WAIVER OF
SUBROGATION IS APPLICABLE WHERE REQUIRED BY WRITTEN CONTRACT.
RE: CONTRACT# CTR069972
Appriss Insights
Equifax Inc. & All Subsidiaries
Louisville, KY 40223 9901 Linn Station Road, Suite 500
1,000,000
Zurich American Insurance Company
X
TWO ALLIANCE CENTER
MARSH USA, LLC.
ATLANTA, GA 30326
3560 LENOX ROAD, SUITE 2400
Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321
GLA 3906538-02
Syndicates 2623/623 at Lloyd's
N
100 N. 15th Ave., Suite 305
Phoenix, AZ 85007
Arizona Dept of Administration
State Procurement Office
05/01/2025
A
1,000,000
X
B
15,000,000
05/01/2026
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