CTR058022_-_WOS_Endorsement__1_.pdf
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- Attached to
- Master Agreement AZ|CTR058022
- Contract number
- CTR058022
- Issued by
- Arizona
About this file
The documents are insurance policy endorsements for Commercial General Liability and Commercial Auto coverage issued by Insurance Services Office, Inc. The named insured is Pillar Health Group Two Holdings, I, and the policies include a waiver of transfer of rights of recovery (subrogation) for the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The policy number is PHPK2661586, with an endorsement effective date of 04/18/2024.
These endorsements modify the standard insurance coverage by waiving the insurer's right to seek recovery against the State of Arizona for losses arising from work performed by or on behalf of the contractor. The waiver applies specifically to ongoing operations and completed work under a contract, limiting the insurance company's ability to pursue subrogation claims against the state and its associated entities. The documents do not provide details about specific goods, services, or contract terms beyond the insurance coverage modifications.
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Text version
POLICY NUMBER: COMMERCIAL GENERAL LIABILITY
CG 24 04 05 09
CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART
SCHEDULE
Name Of Person Or Organization:
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:
We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.
PHPK2661586
The State of Arizona, its department, agencies, boards, commissions, universities and its officers, officials, agents and employees.
POLICY NUMBER: COMMERCIAL AUTO
CA 04 44 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page of
WAIVER OF TRANSFER OF RIGHTS OF RECOVERY
AGAINST OTHERS TO US (WAIVER OF SUBROGATION)
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
MOTOR CARRIER COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.
Named Insured:
Endorsement Effective Date:
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.
PHPK2661586
04/18/2024
Pillar Health Group Two Holdings, I 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 the Contractor
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