CTR058022_-_PNC_Endorsement__1_.pdf

PDF 1018 KB Posted

Attached to
Master Agreement AZ|CTR058022
Contract number
CTR058022
Issued by
Arizona

About this file

This document is an Additional Insured Endorsement for Commercial General Liability Coverage, involving the State of Arizona and its various departments and agencies. The first page, effective 04/18/2022, lists the additional insured as "The State of Arizona, its department, agencies, boards, commissions, universities and its officers, officials, agents and employee." The second page, effective 10/02/2023, updates the additional insured to "The State of Arizona and Department of Economic Security c/o myCOI".

The endorsement modifies the insurance policy to include the State of Arizona as an additional insured, specifically covering liability for bodily injury, property damage, or personal and advertising injury arising from the insured's negligence in performing work. The insurance is primary and non-contributory with any other insurance maintained by the state, except for losses resulting from the sole negligence of the state. The additional insured's limits do not increase the policy's overall insurance limits, and all other terms, conditions, and exclusions of the original policy remain unchanged.

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Text version

PI-GL-005 (07/12)

Page of Includes copyrighted material of Insurance Services Office, Inc., with its permission.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED

PRIMARY AND NON-CONTRIBUTORY INSURANCE

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Effective Date:

Name of Person or Organization (Additional Insured):

SECTION II – WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for “bodily injury,” “property damage” or “personal and advertising injury” arising out of or relating to your negligence in the performance of “your work” for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule.

This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization.

This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or ”occurrence” we cover for this Additional Insured.

The Additional Insured’s limits of insurance do not increase our limits of insurance, as described in

SECTION III – LIMITS OF INSURANCE.

All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged.

The State of Arizona, its department, agencies, boards, commissions, universities and its officers, officials, agents and employee.

04/18/2022

1 2

PI-GL-005 (07/12)

Page of Includes copyrighted material of Insurance Services Office, Inc., with its permission.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED

PRIMARY AND NON-CONTRIBUTORY INSURANCE

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Effective Date:

Name of Person or Organization (Additional Insured):

SECTION II – WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the endorsement Schedule, but only with respect to liability for “bodily injury,” “property damage” or “personal and advertising injury” arising out of or relating to your negligence in the performance of “your work” for such person(s) or organization(s) that occurs on or after the effective date shown in the endorsement Schedule.

This insurance is primary to and non-contributory with any other insurance maintained by the person or organization (Additional Insured), except for loss resulting from the sole negligence of that person or organization.

This condition applies even if other valid and collectible insurance is available to the Additional Insured for a loss or ”occurrence” we cover for this Additional Insured.

The Additional Insured’s limits of insurance do not increase our limits of insurance, as described in

SECTION III – LIMITS OF INSURANCE.

All other terms, conditions, and exclusions under the policy are applicable to this endorsement and remain unchanged.

The State of Arizona and Department of Economic Security c/o myCOI

10/02/2023

2 2

File details come from the government source that posted it. Updated .