CTR059105_-_Endorsements_effective_10.5.2024.pdf
PDF 71 KB Posted
- Attached to
- Master Agreement AZ|CTR059105
- Contract number
- CTR059105
- Issued by
- Arizona
About this file
This document is a commercial auto insurance policy endorsement issued by Manufacturers Alliance Insurance Company for Marshall Home for Men, Inc., with policy number 152401-14-17-51-8, effective October 5, 2024. The endorsement modifies coverage under the Business Auto Coverage Part to include the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds with respect to liability arising from activities performed by or on behalf of the contractor involving automobiles owned, hired, and/or non-owned by the contractor.
The endorsement includes three key modifications to the standard policy terms. First, it establishes primary and non-contributory insurance provisions, ensuring that the coverage provided is primary to and will not seek contribution from any other insurance available to the named insured, contingent upon written contractual agreement. Second, it implements a waiver of subrogation that prevents the insurance company from recovering losses against the State of Arizona and its related entities for losses arising from work performed by or on behalf of the contractor. Third, it adds the specified state and governmental entities as additional insureds under the Covered Autos Liability Coverage for any accident occurring after the insured contract or written agreement has been executed or the permit has been issued. All other policy terms and conditions remain unchanged.
View the file
Other files
Show all 16
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
INSURED COPY
PCA AP 27 10 01
ENDORSEMENT
Policy Number
Named Insured Effective Date:
12:01 A.M., Standard Time
152401-14-17-51-8
10-05-24MARSHALL HOME FOR MEN, INC.
MANUFACTURERS ALLIANCE INSURANCE COMPANY
COMMERCIAL BUSINESS AUTO COVERAGE PART
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ENDORSEMENT FORM PCA 05 07 04 14 - ADDITIONAL INSURED COVERAGE
REQUIRED BY INSURED CONTRACT, WRITTEN AGREEMENT OR PERMIT IS AMENDED
TO INCLUDE THE FOLLOWING AS ADDITIONAL INSURED TO THE POLICY:
THE STATE OF ARIZONA AND ITS DEPARTMENTS, AGENCIES, BOARDS,
COMISSIONS, UNIVERSITIES, OFFICERS, OFFICALS, AGENTS, AND EMPLOYEES
AS ADDITIONAL INSUREDS WITH RESPECT TO LIABILITY ARISING OUT OF THE
ACTIVITIES PERFORMED BY, OR ON BEHALF OF, THE CONTRACTOR INVOLVING
AUROMOBILES OWNED, HIRED AND/OR NON-OWNED BY THE CONTRACTOR.
ALL OTHER POLICY TERMS AND CONDITIONS REMAIN UNCHANGED
INSURED COPY
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 1 of 1
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.
152401-14-17-51-8
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.
File details come from the government source that posted it. Updated .