CTR063573 SIR Approved.pdf
PDF 234 KB Posted
- Attached to
- Master Agreement AZ|CTR073960
- Contract number
- CTR073960
- Issued by
- Arizona
About this file
This document is a Self-Insured Retention (SIR) Practices letter from Tartan Oil LLC to the Arizona Department of Transportation (ADOT) dated October 16, 2024. The letter involves Tartan Oil LLC, a subsidiary of Pilot Travel Centers LLC, and outlines the company's self-insurance practices for its operations in Arizona. The document is addressed to ADOT's Risk Management division and provides details about the company's self-insurance mechanisms.
Tartan Oil LLC has established a self-insurance program covering general liability, automobile liability, and workers' compensation/employers' liability, with each category self-insured up to $1 million per occurrence. The company, noted as the fifth-largest privately held company in the U.S., demonstrates financial capability to support these self-insurance limits. The letter specifies that ADOT will have additional insured status for automobile and general liability coverage, with Tartan Oil LLC agreeing to waive subrogation rights and maintain primary self-insurance that will not be supplemented by any ADOT-maintained insurance.
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Text version
Date: October 16, 2024
| The | State | of | Arizona | |||
| Arizona | Department | of | Transportation | |||
| 1324 | N. | 22nd | Avenue, | MD | 128A | Phoenix, |
| AZ | 85009 |
RE: Self-Insured Retention (SIR) Practices for Tartan Oil LLC
| Tartan | Oil | LLC, | hereinafter | referred | to | as | “The | Company”, | is | a | business | with | operations | in | Arizona. | Based | on | its |
| financial | condition, | The | Company | utilizes | a | self-insurance | (“SIR”) | mechanism | as | an | equivalent | to | third-party | provided | ||||
| insurance | for | portions | of | its | insurable | risk. | The | Company | is | authorized | to | self-insure | under | all | applicable | regulations. |
| Under | the | SIR, | The | Company | self-insures | its | general | liability | risks | for | dollar | amounts | up | to | $1 | million, | on | a | per |
| occurrence | basis. |
| Under | the | SIR, | The | Company | self-insures | its | automobile | liability | risks | for | dollar | amounts | up | to | $1 | million, | on | a | per |
| occurrence | basis. |
| Under | the | SIR, | The | Company | self-insures | its | workers’ | compensation | and | employers’ | liability | risks | for | dollar | amounts |
| up | to | $1 | million, | on | a | per | occurrence | basis. |
| The | Company | is | a | subsidiary | of | Pilot | Travel | Centers | LLC; | the | fifth | largest | privately | held | company | in | the | U.S. | and | has |
| the | financial | capability | to | self-insure | at | the | required | limits. | The | Company | is | happy | to | provide | evidence | of | its | strong | ||
| financial | position | in | the | form | of | a | credit | rating | and/or | audited | financial | statements. |
| ADOT | shall | have | additional | insured | status | with | respect | to | The | Company's | self-insured | automobile | and | general | |||
| liability | coverage | to | the | scope | and | extent | of | ISO | Form | CG20101185; | and | with | all | coverage | required | under | the |
| applicable | permit(s), | agreement(s), | or | contract(s). |
| The | Company | agrees | to | waive | its | rights | of | recovery | in | subrogation | as | to | ADOT | and/or | the | State | of | Arizona | and | their |
| officials | and | employees | for | all | claims, | damages, | losses, | liabilities, | or | expenses | relating | to | or | arising | from | The | ||||
| Company’s | activities | under | any | ADOT | permit, | agreement, | or | contract. |
| The | Company's | self-insurance | shall | be | primary | and | any | insurance | maintained | by | ADOT | shall | not | contribute | to, | or | be |
| excess | of, | The | Company’s | self-insurance. |
Sincerely,
| Bill | Beuchat | |||||
| Senior | Director, | Risk | Management, | Safety, | and | Security |
| Pilot | Travel | Centers | LLC | |||
| 5508 | Lonas | Drive | ||||
| Knoxville, | TN | 37909 |
Bill.Beuchat@pilottravelcenters.com
(865) 803-1888
Docusign Envelope ID: 2C79460B-A81E-4256-8171-16D9DB58C662
G0171 Accepted
| 2024-10-16T12:14:51-0700 | |
| Digitally verifiable PDF exported from www.docusign.com |
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