CTR061242__COI-CGL__Pollution__Professional_thru_10.1.22.PDF

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Attached to
Master Agreement AZ|CTR061242
Contract number
CTR061242
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for The GEO Group Inc and its subsidiaries, including GEO Transport, Inc., located in Boca Raton, FL. The certificate involves multiple insurance providers, including National Union Fire Insurance Company, American Guarantee and Liability Insurance Company, AIU Insurance Company, Steadfast Insurance Company, Ironshore Specialty Insurance Company, and Berkley National Insurance Company. The certificate references the State of Arizona Department of Corrections, Rehabilitation & Reentry Procurement Services as a key stakeholder, with Willis Towers Watson Southeast, Inc. serving as the insurance producer.

The insurance coverage includes multiple policy types with significant liability limits: General Liability with $5 million coverage and civil rights provisions, Automobile Liability with $5 million limits for various states (VA, MA), Workers' Compensation coverage for multiple states (WI, NY, CA) with $2 million limits, Pollution Liability with a $10 million per incident and aggregate limit, Professional Liability with $3 million per loss and annual aggregate, and Excess Liability coverage with layered limits ranging from $5 million to $25 million. The policies are effective from 10/01/2021 to 10/01/2022, with provisions for additional insured status, blanket waiver of subrogation, and primary non-contributory insurance conditions.

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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2016 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

Willis Towers Watson Southeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

The GEO Group Inc and All Subsidiaries including GEO Transport, Inc.

4955 Technology Way Boca Raton, FL 33431

General Liability: Contractual Liability is provided per form CG0001 - Commercial General Liability. Coverage includes Severability of interest and Cross Suits. Sexual Molestation - Physical Abuse is not excluded under the General Liability policy. Blanket Additional Insured is included to Certificate Holder as respects General Liability if required by written contract. Insurance is Primary and Non Contributory. Blanket Waiver of Subrogation is provided as respects General Liability as required by written contract.

SEE ATTACHED

State of Arizona Department of Corrections, Rehabilitation & Reentry Procurement Services 1645 W Jefferson Street Phoenix, AZ 85007

07/18/2022

1-877-945-7378 1-888-467-2378 certificates@willis.com

National Union Fire Insurance Company of P 19445

American Guarantee and Liability Insurance

AIU Insurance Company

26247

19399

Steadfast Insurance Company 26387

Ironshore Specialty Insurance Company 25445

Berkley National Insurance Company 38911

W25444638

A

5,000,000

5,000,000

0Civil Rights

5,000,000

25,000,000

5,000,000

Y Y 1729003 10/01/2021 10/01/2022

A

5,000,000

10/01/202210/01/2021Y Y 4594443

B 15,000,000

IPR 3792274-07 10/01/2020 10/01/2022 15,000,000

065885756 C Y

2,000,000 No 10/01/2021 10/01/2022

2,000,000

2,000,000

D Professional Liability Per LossIPR 3792303-09 10/01/2021 10/01/2022

Annual Aggregate

259896822848674SR ID: BATCH:

$3,000,000

$3,000,000

Willis Towers Watson Certificate Center

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

The GEO Group Inc and All Subsidiaries including GEO Transport, Inc.

4955 Technology Way Boca Raton, FL 33431

Blanket Additional Insured is included to Certificate Holder as respect Automobile Liability if required by written contract.

Blanket Waiver of Subrogation is provided as respects Automobile Liability as required by written contract.

Blanket Waiver of Subrogation is provided as respects Workers Compensation as required by written contract, as permitted by law.

INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399

POLICY NUMBER: 065885755 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Workers Compensation - WI Each Accident $2,000,000 Per Statute Disease Each Empl $2,000,000 ����������� Disease Pol Limit $2,000,000

INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399

POLICY NUMBER: 065885758 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Workers Compensation - NY Each Accident $2,000,000 Per Statute Disease Each Empl $2,000,000 ����������� Disease Pol Limit $2,000,000

INSURER AFFORDING COVERAGE: AIU Insurance Company NAIC#: 19399

POLICY NUMBER: 065885757 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Workers Compensation - CA Each Accident $2,000,000 Per Statute Disease Each Empl $2,000,000 ����������� Disease Pol Limit $2,000,000

2 4

Willis Towers Watson Southeast, Inc.

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25 Certificate of Liability Insurance

W25444638CERT:2598968BATCH:22848674SR ID:

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

The GEO Group Inc and All Subsidiaries including GEO Transport, Inc.

4955 Technology Way Boca Raton, FL 33431

INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445

POLICY NUMBER: 4594445 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

ADDITIONAL INSURED: Y

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Automobile Liability - VA Only Any Auto - CSL Limit: $5,000,000 Any Auto including Hired & Non-Owned

INSURER AFFORDING COVERAGE: National Union Fire Insurance Company of Pittsburgh NAIC#: 19445

POLICY NUMBER: 4594444 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

ADDITIONAL INSURED: Y

SUBROGATION WAIVED: Y

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Automobile Liability - MA Only Combined Single Limit $5,000,000 Any Auto including Hired & Non-Owned

INSURER AFFORDING COVERAGE: Ironshore Specialty Insurance Company NAIC#: 25445

POLICY NUMBER: 004443800 EFF DATE: 10/01/2020 EXP DATE: 10/01/2023

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Pollution Liability Each Incident $10,000,000 ������������������� Policy Aggregate $10,000,000 ������������������� Retention $100,000

3 4

Willis Towers Watson Southeast, Inc.

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© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

The GEO Group Inc and All Subsidiaries including GEO Transport, Inc.

4955 Technology Way Boca Raton, FL 33431

INSURER AFFORDING COVERAGE: Berkley National Insurance Company NAIC#: 38911

POLICY NUMBER: CEX09602890-4 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Excess Liability Limit $5M XS $15M

INSURER AFFORDING COVERAGE: Endurance Assurance Corporation NAIC#: 11551

POLICY NUMBER: EXC10005626207 EFF DATE: 10/01/2021 EXP DATE: 10/01/2022

TYPE OF INSURANCE: LIMIT DESCRIPTION: LIMIT AMOUNT:

Excess Liability Limit $5M x $20M

4 4

Willis Towers Watson Southeast, Inc.

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