CTR062307 2024.11.01 COI.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR062307
- Contract number
- CTR062307
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for Deere & Company, issued by National Union Fire Insurance Company of Pittsburgh and AIU Insurance Company. The primary certificate holder is the State of Arizona Department of Transportation (ADOT), located in Phoenix, AZ. The insurance covers Deere & Company and its subsidiaries, with policies effective from 11/01/2023 to 11/01/2024. The insurance includes Commercial General Liability, Automobile Liability, and Workers' Compensation coverage, with various endorsements that provide additional insured status and waiver of subrogation rights.
The contract references Contract #CTR062307 for Landscape & Utility Vehicles, Trailers & Equipment. The insurance policies provide coverage with limits ranging from $2,000,000 to $4,000,000 per occurrence. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insureds. The documentation includes a Self-Insured Retention (SIR) letter detailing Deere & Company's self-insurance practices, which covers up to $10 Million on a per-occurrence basis for vehicle and general liability risks. The policies are primary and non-contributory, with specific provisions for work performed within ADOT's right-of-way.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR062307 Usage Report 1st Quarter 2024.xlsx | XLSX spreadsheet | |
| CTR062307 Usage report 2nd quarter 2023.xlsx | XLSX spreadsheet | |
| Usgae Report 4th quarter 2023.xlsx | XLSX spreadsheet | |
| 2023.11.01 COI.pdf | ||
| AZ CTR062307_Usage Report_Jul-Sept2023.xlsx | XLSX spreadsheet | |
| CTR062307 Usage Report 3rd quarter 2024.xlsx | XLSX spreadsheet | |
| CTR062307_Contract_Amendment_Summary_Three__3_.pdf | ||
| CTR062307_Contract_Amendment_Summary_One__1_.pdf | ||
| CTR062307_Contract_Amendment_Summary_Two__2_.pdf | ||
| CTR062307_Contract_Documents.pdf | ||
| CTR062307_Pricing.xls | XLS spreadsheet | |
| 2022-11-01 COI.pdf | ||
| CTR062307 4th quarter 2022.xlsx | XLSX spreadsheet | |
| CTR062307 Usage Report 4th quarter 2024.xlsx | XLSX spreadsheet |
Show all 14
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Text version
COMP/OP
X
4,000,000
X
19445
A
X
GOV
11/01/2024 X
N/A
CN102618652---23-24
X
2,000,000
19399
CHI-010141551-11
11/01/2023
X
04/30/2024
AGMKT
2,000,000
YES
2,000,000
2,000,000
A
11/01/2024
4,000,000
11/01/2023
N/A
CA 2936009
EXCLUDED
WC 49154464
2,000,000 insureds as described on the Additional Remarks Schedule and attached endorsements.
Re: Contract #CTR062307 - Landscape & Utility Vehicles, Trailers & Equipment The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents and employees are included as additional and Its Subsidiaries and Their Subsidiaries Deere & Company
One John Deere Place World Headquarters
Moline, IL 61265 8010
2,000,000
National Union Fire Insurance Company of Pittsburgh
X
155 N. WACKER, SUITE 1200
MARSH USA LLC.
CHICAGO, IL 60661
GL 5196514
AIU Insurance Company
N
Phoenix, AZ 85009
The State of Arizona or ADOT 1324 N 22nd Ave
11/01/2023
B
3,000,000X 11/01/2024
X e6906 Accepted
MARSH USA LLC.
Where required by written contract, should any of the referenced policies be cancelled before the expiration date thereof the producer will endeavor to mail 30 required by written contract and subject to all the terms, conditions, exclusions and definitions of the above referenced policies and where allowed by law.
agents or representatives.
days written notice to the certificate holder named herein, but failure to do so shall impose no obligation or liability of any kind upon the producer, its
Moline,IL 61265 8010
Additional Insured Designated Person or Organization (except Workers Compensation), Primary and Non-Contributory, and Waiver of Subrogation are included where and Its Subsidiaries and Their Subsidiaries Deere & Company
World Headquarters One John Deere Place
Date: ___________________________
The State of Arizona Arizona Department of Transportation 1324 N. 22nd Avenue, MD 128A Phoenix, AZ 85009
RE: Product Liability Self-Insured Retention (SIR) Practices for Deere & Company
Deere & Company, hereinafter referred to as "The Company", is a business with operations in Arizona. Based on its financial condition, The Company utilizes an SIR mechanism as an equivalent to third-party provided insurance for portions of its aggregate general liability risk. Auto liability self-insurance has been approved by MVD via self-insurance application process, and an official MVD issued self-insurance certificate is attached. Workers' compensation self-insurance coverage has been approved according to all applicable statutory requirements and can be verified through the Arizona Industrial Commission.
Under the SIR, The Company self-insures for these risks at the level and dollar amounts, up to $10 Million, on a per occurrence basis, as specified under the Agreement between The Company and ADOT for permitted and non-public use of the State of Arizona's and/or ADOT's right-of-way.
The Company maintains adequate levels of retained earnings or revenue to meet these self-insuring obligations.
Copies of the Annual Report are available and electronic copies will be provided upon request.
The Company agrees to waive its rights of recovery in subrogation as to ADOT, its officials and employees for all claims, damages, losses, liabilities, or expenses relating to, arising from, or resulting from The Companies sole negligence while work performed by or on behalf of The Company within the ADOT right-of-way.
ADOT shall have additional insured status with respect to The Company's self-insured vehicle liability and general liability insurance to the scope and extent of ISO Form CG20101185; and with all stated coverages limited to the amounts specified in the ADOT Permit Insurance Matrix.
Deere & Company's self-insurance shall be primary and any insurance maintained by ADOT shall not contribute to, or be excess of, Deere & Company’s self-insurance.
As part of the SIR, The Company assumes responsibility to respond to any loss or risk relating to, arising from, or resulting from work performed by or on behalf of The Company within the ADOT right-of-way, to the extent that standard insurer policies would respond to an insurable loss.
Sincerely, May 2, 2024
Contract Administrator Deere & Company
File details come from the government source that posted it. Updated .