CTR062317 2025.01.01 COI.pdf

PDF 994 KB Posted

Attached to
Master Agreement AZ|CTR076192
Contract number
CTR076192
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Aon Risk Services Northeast, Inc. for Textron E-Z-GO LLC, with insurance coverage provided by Westminster Insurance Co. and Zurich American Insurance Co. The primary certificate holder is the State of Arizona Department of Transportation, located in Phoenix, AZ. The insurance policies cover commercial general liability, automobile liability, and workers' compensation for the period of 04/01/2024 to 04/01/2025.

The insurance policies provide various liability coverages with standard limits of $1,000,000 per occurrence, including commercial general liability, automobile liability, and workers' compensation. The policies include several endorsements that expand coverage, such as additional insured provisions for entities required by written contract, primary/non-contributory wording, and waivers of subrogation rights. The coverage is specifically designed to meet contractual requirements for the State of Arizona and its departments, agencies, boards, and commissions, with the insurance acting as primary coverage when required by written agreements.

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Text version

G0171 Accepted

Named Insured:

Policy Number:

Effective Date:

Endorsement #:

Textron Inc.

344-1 GLUS-02

01/01/2

COMMERCIAL GENERAL LIABILITY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED ENDORSEMENT

With respect to General Liability Insurance, the following are also insured: Any other person or organization for which the Named Insured has contracted or has been required in writing, or during the currency of this policy may contract or be required in writing, to procure liability insurance with respect to operations performed by or on behalf of the Named Insured or premises used by the Named Insured; but only to the extent and in the amount for which the Named Insured has contracted to procure insurance, and in any event, no broader than the indemnity provided by the Named Insured in any contract, and in no event contrary to the terms and conditions nor exceeding the limits of liability set forth in this policy.

All other terms, conditions and exclusions remain the same.

Effective Date:

Endorsement #:

Textron Inc.

344-1 GLUS-02

01/01/2

COMMERCIAL GENERAL LIABILITY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

Primary/Non-contributory wording

This insurance is primary insurance as respects our coverage to the additional insured organization, where the written contract or written agreement requires that this insurance be primary and non-contributory. In that event, we will not seek contribution from any other insurance policy available to the additional insured on which the additional insured person or organization is a Named Insured.

This insurance is excess over any of the other insurance, whether primary, excess, contingent or on any other basis, available to an additional insured in which the additional insured on our policy is also covered as an additional insured by attachment of an endorsement to another policy providing coverage for the same occurrence, claim or suit.

This endorsement applies to the following:

As required per written contract.

All other terms, conditions and exclusions remain the same.

Effective Date:

Endorsement #:

Textron Inc.

344-1 GLUS-02

01/01/2

COMMERCIAL GENERAL LIABILITY

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US

SCHEDULE

NAME OF PERSON OR ORGANIZATION: AS REQUIRED IN WRITING PRIOR TO THE LOSS

IT IS AGREED THAT THE COMMERCIAL GENERAL LIABILITY INSURANCE PART, SECTION 7.

CONDITIONS, 7.6 SUBROGATION, IS AMENDED BY THE ADDITION OF THE FOLLOWING:

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.

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Policy No. WC 4020210- Endorsement No. Endorsement Effective 04-01-2 Insured TEXTRON INC. Premium $ INCL.

Insurance Company ZURICH AMERICAN INSURANCE COMPANY

Countersigned By

WC 00 03 13

(Ed. 4-84)

1983 National Council on Compensation Insurance.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 4-84)

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

Schedule

ALL PERSONS AND/OR ORGANIZATIONS THAT ARE REQUIRED BY WRITTEN

CONTRACT OR AGREEMENT WITH THE INSURED, EXECUTED PRIOR TO THE

ACCIDENT OR LOSS, THAT WAIVER OF SUBROGATION BE PROVIDED UNDER THIS

POLICY FOR WORK PERFORMED BY YOU FOR THAT PERSON AND/OR ORGANIZATION

File details come from the government source that posted it. Updated .