CTR057655_Certificate_of_Insurance.pdf
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- Attached to
- Master Agreement AZ|CTR057655
- Contract number
- CTR057655
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance dated 04/07/2023, issued by Valent Group, LLC for EBSCO Industries, Inc. and EBSCO Information Services, LLC, with the State of Arizona State Procurement Office as the certificate holder. The insurance is provided by multiple carriers including Travelers Property & Casualty Co of America, The Charter Oak Fire Insurance Company, Travelers Indemnity Company, and Endurance American Specialty Insurance Co.
The certificate covers multiple types of insurance including commercial general liability, automobile liability, umbrella/excess liability, workers' compensation, and cyber/professional liability. Key policy details include a general liability policy with a $1,000,000 per occurrence limit, a $250,000 deductible, and coverage from 10/15/2022 to 10/15/2023. The umbrella liability provides $25,000,000 in coverage, and the cyber/professional liability policy offers $5,000,000 in limits with a $2,000,000 SIR (Self-Insured Retention). The policies are active for the 22/23 and 23/24 periods, covering various operational risks for EBSCO Information Services.
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Text version
04/07/2023
Valent Group, LLC 3500 Blue Lake Drive, Ste. 120
Birmingham AL 35243
Adrienne Lamon
(205) 262-2700 (205) 262-2701 alamon@valentgroup.com
EBSCO Industries, Inc.
EBSCO Information Services, LLC P. O. Box 1943 Birmingham AL 35201
Travelers Property & Casualty Co of America 25674 The Charter Oak Fire Insurance Company 25615 Travelers Indemnity Company 25658 Endurance American Specialty Insurance Co 41718
*22/23 EIS w. 23-24 Cyber
A GL Ded: $250,000 Printers E&O Ded: $250,000 TC2JGLSA-9D909462-TIL-22 10/15/2022 10/15/2023
1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000
Printers E&O 1,000,000
A TC2JCAP-9D909474-TIL-22 10/15/2022 10/15/2023
1,000,000
A 10,000
CUP-7S137226-22-NF 10/15/2022 10/15/2023
25,000,000 25,000,000
A N TWXJUB-9D911955-TIL-22 (AL) 10/15/2022 10/15/2023
SIR - $500,000
1,000,000 1,000,000 1,000,000
B Workers Comp - Per Statute & Employer Liability (AOS) SIR $500,000 UB-1L339839-22-51-K 10/15/2022 10/15/2023
E.L. Each Accident $1,000,000 E.L. Disease - Each EE $1,000,000 E.L. Disease - Policy Lmt $1,000,000
Named Insured Includes: EBSCO Information Services
State of Arizona State Procurement Office 100 N. 15th Avenue Suite 402 Phoenix AZ 85007
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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
C WC (Per Statute) & EL (AZ,MA,WI) - Pol# UB-9K299627-22 - 10/15/22 - 10/15/23 WCEL
$1,000,000 $1,000,000 $1,000,000 $500,000 SIR
D Cyber/Professional Liab - Pol# NRO30018238501 - 4/7/23 - 4/7/24 CYBER
$5,000,000 $5,000,000 $2,000,000 SIR
ADDITIONAL COVERAGES
Ref # Description Edition DateForm No.Coverage Code
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Ref # Description Coverage Code Form No. Edition Date
Limit 1 Limit 2 Limit 3 Deductible Amount Deductible Type Premium
Copyright 2001, AMS Services, Inc.OFADTLCV
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