CTR057657_Certificate_of_Insurance.pdf
PDF 51 KB Posted
- Attached to
- Master Agreement AZ|CTR057657
- Contract number
- CTR057657
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued on 08/08/2023 by Aon Risk Services Northeast, Inc. for Oxford University Press. The certificate covers insurance policies from multiple insurers, including Federal Insurance Company, American Automobile Insurance Company, and Firemans Fund Insurance Company. The certificate holder is the State of Arizona, encompassing its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
The insurance coverage includes Commercial General Liability with a $1,000,000 each occurrence limit and a $2,000,000 general aggregate limit, Automobile Liability with a $1,000,000 combined single limit, and Umbrella Liability with a $20,000,000 each occurrence and aggregate limit. The policies are effective from 08/01/2023 to 08/01/2024, with Workers' Compensation coverage meeting statutory requirements. The State of Arizona is included as an Additional Insured with primary and non-contributory status, and a Waiver of Subrogation is granted in favor of the state and its entities.
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Text version
H o ld e r
Id e n ti fi e r
77777 77707 07070 00777 63616 06555 33307 73725 77703 65557 07662 00774 16353 00072 66144 61543 11130 70626 23132 52332 00776 40551 34032 57407 70601 15762 14574 07704 01131 62743 10073 60213 77023 45100 77727 25202 57731 10777 77770 70007 07007
66666 66606 06060 00626 06466 20444 62006 02222 60620 62220 06222 00624 22420 00062 22024 04004 20020 62222 06240 04020 20600 20042 62260 22006 00222 62402 40222 06220 20404 02600 02062 02004 06220 04200 66646 06224 06644 40666 66660 60006 06006
C e rt if ic a te
N o
CERTIFICATE OF LIABILITY INSURANCE
DATE(MM/DD/YYYY)
08/08/2023
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.
PRODUCER
Aon Risk Services Northeast, Inc.
Morristown NJ Office 44 Whippany Road, Suite 220 Morristown NJ 07960 USA
PHONE
(A/C. No. Ext):
ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC #
(866) 283-7122
INSURED 20281Federal Insurance CompanyINSURER A:
21849American Automobile Insurance CompanyINSURER B:
21873Firemans Fund Ins CoINSURER C:
INSURER D:
INSURER E:
INSURER F:
FAX
(A/C. No.):
(800) 363-0105
CONTACT
NAME:
Oxford University Press Attn Lorraine Betancourt 198 Madison Avenue New York NY 10016 USA
COVERAGES CERTIFICATE NUMBER: 570101088130 REVISION NUMBER:
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. Limits shown are as requested
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
(MM/DD/YYYY)
SUBR
WVD
INSR
LTR
ADDL
INSD POLICY NUMBER TYPE OF INSURANCE LIMITS
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
POLICY LOC
EACH OCCURRENCE
DAMAGE TO RENTED
PREMISES (Ea occurrence)
MED EXP (Any one person)
PERSONAL & ADV INJURY
GENERAL AGGREGATE
PRODUCTS - COMP/OP AGG
X
X
X
GEN'L AGGREGATE LIMIT APPLIES PER:
$1,000,000
$100,000
$10,000
$1,000,000
$2,000,000
$2,000,000
C 08/01/2023 08/01/2024USC018915230
PRO-
JECT
OTHER:
AUTOMOBILE LIABILITY
ANY AUTO
OWNED
AUTOS ONLY
SCHEDULED
AUTOS
HIRED AUTOS
ONLY
NON-OWNED
AUTOS ONLY
BODILY INJURY ( Per person)
PROPERTY DAMAGE
(Per accident)
X
BODILY INJURY (Per accident)
$1,000,000B 08/01/2023 08/01/2024
$1,000
COMBINED SINGLE LIMIT
(Ea accident)
SCV010678-23-01
Comp.\Coll. Ded.
EXCESS LIAB
X OCCUR
CLAIMS-MADE AGGREGATE
EACH OCCURRENCE
X DED
$20,000,000
$20,000,000
$10,000
08/01/2023UMBRELLA LIABA 08/01/202479836568
RETENTION
X
Deductible
E.L. DISEASE-EA EMPLOYEE
E.L. DISEASE-POLICY LIMIT
E.L. EACH ACCIDENT $1,000,000
X OTH-
ER
PER STATUTEB 08/01/2023 08/01/2024
$1,000,000
Y / N
(Mandatory in NH)
ANY PROPRIETOR / PARTNER / EXECUTIVE
OFFICER/MEMBER EXCLUDED? N / AN
WORKERS COMPENSATION AND
EMPLOYERS' LIABILITY
If yes, describe under DESCRIPTION OF OPERATIONS below
$1,000,000
SCW0263162301
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are included as Additional Insured in accordance with the policy provisions of the General Liability policy. General Liability policy evidenced herein is Primary and Non-Contributory to other insurance available to Additional Insured, but only in accordance with the policy's provisions. A Waiver of Subrogation is granted in favor of State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents and employees in accordance with the policy provisions of the General Liability and Workers' Compensation policies.
CANCELLATIONCERTIFICATE HOLDER
AUTHORIZED REPRESENTATIVEState of Arizona 100 N. 15th Ave., Suite 402 Phoenix AZ 85007 USA
ACORD 25 (2016/03)
©1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE
POLICY PROVISIONS.
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