CTR059864_Certificate_of_Insurance_2025.pdf

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Attached to
Master Agreement AZ|CTR059864
Contract number
CTR059864
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Advanced Network Management, Inc., issued by HUB International Insurance Services on 7/29/2024. The certificate involves insurance coverage for the company's operations under Arizona Contract No. CTR059864, with the State of Arizona Department of Administration's State of Procurement Office as the certificate holder. The primary insurers are American Zurich Insurance Company and Endurance American Specialty Insurance Company.

The insurance coverage includes Commercial General Liability, Automobile Liability, Workers Compensation, and Cyber Errors & Omissions policies, with policy periods running from 8/1/2024 to 8/1/2025. Key coverage limits include $1,000,000 for general liability and each occurrence, $2,000,000 for general aggregate, $3,000,000 for employee benefits, and $5,000,000 aggregate for cyber E&O coverage. The policy provides protection for Advanced Network Management's operations, with the State of Arizona named as the certificate holder, indicating this is likely part of a statewide contract for technology or network management services.

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Text version

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT

$(Ea accident)

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED

BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE

$AUTOS ONLY AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE

CLAIMS-MADE AGGREGATE $

DED RETENTION $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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.

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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

The ACORD name and logo are registered marks of ACORD

7/29/2024

License # 0757776

(505) 348-1825

40142

Advanced Network Management, Inc.

4001 Jefferson Plaza NE Albuquerque, NM 87109

41718

A 1,000,000

X X CPO9704012 8/1/2024 8/1/2025 1,000,000

10,000

1,000,000 2,000,000 2,000,000

EMPLOYEE BENEFI 3,000,000

1,000,000A

X X CPO9704012 8/1/2024 8/1/2025

A

X WC9980689 8/1/2024 8/1/2025 1,000,000

N 1,000,000 1,000,000

B Cyber E&O X X PRO30033308200 8/1/2024 Aggregate 5,000,000

Arizona Contract No. CTR059864

SEE ATTACHED ACORD 101

State of Arizona Arizona Department of Administration State of Procurement Office 100 N 15th Ave, Suite 402 Phoenix, AZ 85007

ADVANET-04 DROMERO

HUB International Insurance Services (SOW) 6565 Americas Parkway Suite 720 Albuquerque, NM 87110

Jeffrey Stewart jeffrey.stewart@hubinternational.com

American Zurich Insurance Company Endurance American Specialty Insurance Company

X

8/1/2025

X X

X X

X

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