CTR062830-PNC.pdf
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- Attached to
- Master Agreement AZ|CTR062830
- Contract number
- CTR062830
- Issued by
- Arizona
About this file
This document is a Policy Change Document from Philadelphia Indemnity Insurance Company for a policy issued to Arizona Youth Partnership Inc, with Delta Insurance Agency Ltd as the agency of record. The policy is located in Tucson, Arizona, and covers the period from 03/01/2023 to 03/01/2024. The specific change being implemented is the addition of endorsement PI-CA-023, which relates to Primary and Noncontributory-Other Insurance Condition.
The endorsement modifies insurance coverage for Auto Dealers, Business Auto, and Garage Coverage Forms. It establishes that the policy's Covered Autos Liability Coverage and General Liability Coverages will be primary and will not seek contribution from other insurance, provided that the insured is a Named Insured under the other insurance and has agreed in writing that this insurance would be primary. The policy change was effective 11/03/2023 and issued on 11/08/2023, with no additional or return premium associated with this modification.
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Text version
POLICY CHANGE DOCUMENT
POLICY NO.:
CHANGE EFFECTIVE CHANGE # REVISION #
DESCRIPTION
PHPK2511241
611/03/2023
11/08/2023____________________ Issue Date
Added:
PI-CA-023 - Primary And Noncontributory-Other Insurance Condition
Per attached
Philadelphia Indemnity Insurance Company
NAMED INSURED
109525 Delta Insurance Agency Ltd
Arizona Youth Partnership Inc
MAILING ADDRESS 7575 W Twin Peaks Rd. Ste 165 Tucson, AZ 85743-1538
POLICY PERIOD: FROM TO at 12:01 A.M. Standard Time at your mailing address shown above.
Path ID 17051200
0.00
NO CHANGE
COUNTERSIGNED BY
(Date) (Authorized Representative)
03/01/2023 03/01/2024
In consideration of the premium reflected, the policy is amended as indicated below:
Total Annual 0.00Additional/Return Premium $ Additional/Return Premium $
Total Prorate
NO CHANGE
Insurance Policy
PI-CA-023 (07/19)
PI-CA-023 (07/19)
Includes copyrighted material of Insurance Services Office, Inc., with permission.
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY – OTHER INSURANCE
CONDITION
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
GARAGE COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and supersedes any provision to the contrary:
This Coverage Form’s Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an “insured” under your policy provided that:
1. Such “insured” is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such “insured”.
B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and the Garage Coverage Form and supersedes any provision to the contrary:
This Coverage Form’s Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an “insured” under your policy provided that:
1. Such “insured” is a Named Insured under such other insurance; and
2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such “insured”.
| Insurance Policy |
| Policy Change Document |
| Primary And Noncontributory-Other Insurance Condition |
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