CTR063876_COI_2026.pdf
PDF 21 KB Posted
- Attached to
- Master Agreement AZ|CTR063876
- Contract number
- CTR063876
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Yingling Aircraft, Inc., issued by Lockton Companies, LLC, covering multiple insurance providers including Starr Indemnity & Liability Company, New Hampshire Insurance Company, and Old Republic Insurance Company. The certificate is specifically related to a contract (CTR063876) for Aircraft Parts and Accessories with the Arizona Game and Fish Department, located in Phoenix, Arizona. The State of Arizona is included as an additional insured party.
The insurance certificate provides coverage across multiple policy types, including commercial general liability with a $25,000,000 each occurrence limit, hangarkeepers coverage of $25M, automobile liability with a $1,000,000 combined single limit, and workers' compensation with $1,000,000 limits for each accident and disease. The policies are effective from various dates in 2025, with expiration dates in 2026. The coverage includes a waiver of subrogation in favor of the State of Arizona and the Arizona Game and Fish Department, and the insurance is provided on a primary and non-contributory basis.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
DATE (MM/DD/YYYY)
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTED
CLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-
POLICY LOC PRODUCTS - COMP/OP AGG $JECT
OTHER: $
COMBINED SINGLE LIMIT $(Ea accident) ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED BODILY INJURY (Per accident) $
AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE $
AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE $
CLAIMS-MADE AGGREGATE $
DED RETENTION $ $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT $
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMIT $DESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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.
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
Lockton Companies, LLC
DBA Lockton Insurance Brokers, LLC in CA
CA license #0F15767
3280 Peachtree Rd. NE, Ste. 1000
Atlanta GA 30305
(404) 460-3600
Yingling Aircraft, Inc.
2010 Airport Rd.
Wichita KS 67209
New Hampshire Insurance Company 23841 Old Republic Insurance Company 24147
Starr Indemnity & Liability Company 38318
X X
X Hangarkeepers $25M
25,000,000 500,000 50,000 25,000,000 Not Applicable 5,000,000
X X
X X
1,000,000
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
N
X
1,000,000 1,000,000 1,000,000
B 01-CA-069968844-9 4/1/2025 4/1/2026
A 1000189506-03 6/15/2025 6/15/2026
C OCAD06364800 1/1/2025 1/1/2026
NOT APPLICABLE
1/1/2026
1539763
Y Y
Y Y
Y
11/25/2025
22658106
22658106 XXXXXXX
Arizona Game and Fish Department Attn: Purchasing 5000 W. Carefree Hwy Phoenix AZ 85086
RE: CTR063876 - Aircraft Parts and Accessories The State of Arizona and the Arizona Game and Fish Department is included as an additional insured. A waiver of subrogation applies in favor of The State of Arizona and the Arizona Game and Fish Department. Coverage is on a primary and non-contributory basis.
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