CTR065895_-COI_GAUWProPol_Exp_10-3-2024__1_.pdf

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Master Agreement AZ|CTR065895
Contract number
CTR065895
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by AssuredPartners Design Professionals Insurance Services, LLC for Ninyo & Moore Geotechnical & Environmental Sciences Consultants, with insurance provided by Travelers Property Casualty Company of America and Admiral Insurance Company. The certificate covers multiple insurance policies for the company, including Commercial General Liability, Automobile Liability, Umbrella Liability, Workers' Compensation, and Professional Liability. The certificate holder is the Arizona Department, with the insurance valid from October 3, 2023, to October 3, 2024.

The contract appears to be for Asbestos/Lead Services under Contract No. CTR065895, with a total insurance coverage spanning multiple policies: $1,000,000 for Commercial General Liability, $1,000,000 for Automobile Liability, $9,000,000 in Umbrella Liability, $1,000,000 for Workers' Compensation, and $5,000,000 for Professional Liability and Contractor's Pollution Liability. The policies include additional insured provisions for the City, its agents, representatives, officers, directors, officials, and employees. The insurance is primary and includes a waiver of subrogation, with a 30-day cancellation notice requirement.

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SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

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).

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

4/24/2024

AssuredPartners Design Professionals Insurance Services, LLC 3697 Mt. Diablo Blvd., Suite 230 Lafayette CA 94549

Jennifer Aguirre 510-465-3070

DesignProCerts@AssuredPartners.com

License#: 6003745 Travelers Property Casualty Company of America 25674 NINY&MO-01 Admiral Insurance Company 24856

Ninyo & Moore Geotechnical & Environmental Sciences Consultants 3202 E. Harbour Drive Phoenix AZ 85034

1106906009

A X 1,000,000 X 1,000,000

X Contractual Liab 10,000

X OCP / XCU 1,000,000

2,000,000 X

Y Y 6308986R247 10/3/2023 10/3/2024

2,000,000

A 1,000,000

X

X X

Y Y 8107N033091 10/3/2023 10/3/2024

A X X 9,000,000Y CUP9J428527 10/3/2023Y 10/3/2024

9,000,000

A X

N

Y UB6P428399 5/1/2024 5/1/2025

1,000,000

1,000,000

1,000,000 B Professional Liab. &

Contractor's Pollution Liab.

Claims - Made

Y Y Y EO00006094101 10/3/2023 10/3/2024 Per Claim

Annual Aggregate 5,000,000 5,000,000

Umbrella Liability policy is a follow-form to underlying General Liability/Auto Liability/Employers Liability.

REF: FY23/FY24 Asbestos/ Lead Services / Contract No. CTR065895 --

The City, its agents, representatives, officers, directors, officials and employees are named as Additional Insured on General Liability and Auto Liability, per policy forms, with respect to the operations of the Named Insured as required by written contract or agreement. Insurance is Primary per policy form wording.

Insurance coverage includes waiver of subrogation per attached.

30 Day Notice of Cancellation

Arizona Department Attn: Patricia Lorenzen 1110 W. Washington Street Phoenix AZ 85007-2935

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COMMERCIAL GENERAL LIABILITY

ISSUED DATE:

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Any person or organization that you agree in a written contract to include as an additional insured on this Coverage Part for "bodily injury" or "property damage" included in the "products-completed operations hazard", provided that such contract was signed and executed by you before, and is in effect when, the bodily injury or property damage occurs.

Any project to which an applicable contract described in the Name of Additional Insured Person(s) or Organization(s) section of this Schedule applies.

4/24/20246308986R247

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ISSUED DATE:

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Any person or organization that you agree in a written contract, on this Coverage Part, provided that such written contract was signed and executed by you before, and is in effect when the "bodily injury" or "property damage" occurs or the "personal injury" or "advertising injury" offense is committed.

Any project to which an applicable written contract with the described in the Name of Additional Insured Person(s) or Organization(s) section of this Schedule applies.

6308986R247 4/24/2024

c. Method Of Sharing

If all of the other insurance permits contribution by equal shares, we will follow this method also.

Under this approach each insurer contributes equal amounts until it has paid its applicable limit of insurance or none of the loss remains, whichever comes first.

If any of the other insurance does not permit contribution by equal shares, we will contribute by limits. Under this methoo, each insurer's share is based on the ratio of its applicable limit of insurance to the total applicable limits of insurance of all insurers.

d. Primary And Non-Contributory Insurance If Required By Written Contract

If you specifically agree in a written contract or agreement that the insurance afforded to an insured under this Coverage Part must apply on a primary basis, or a primary and non contributory basis. this insurance is primary to other insurance that is available to such insured which covers such insured as a named insured, and we will not share with that other insurance, provided that:

(1) The "bodily injury'' or "property damage" for which coverage is sought occurs; and

(2) The "personal and advertising injury" for which coverage is sought is caused by an offense that is committed;

subsequent to the signing of that contract or agreement by you.

5. Premium Audit

a. We will compute all premiums for this Coverage Part in accordance with our rules and rates.

b. Premium shown in this Coverage Part as advance premium is a deposit premium only. At the close of each audit perioo we will compute the earned premium for that period and send notice to the first Named Insured. The due date for audit and retrospective premiums is the date shown as the due date on the bill. If the sum of the advance and audit premiums paid for the policy period is greater than the earned premium, we will return the excess to the first Named Insured.

c. The first Named Insured must keep records of the information we need for premium computation, and send us copies at such times as we may request.

6. Representations

By accepting this policy, you agree:

a. The statements in the Declarations are accurate and complete;

b. Those statements are based upon representations you made to us; and

c. We have issued this policy in reliance upon your representations.

The unintentional omission of, or unintentional error in, any information provided by you which we relied upon in issuing this policy will not prejudice your rights under this insurance. However, this provision does not affect our right to collect additional premium or to exercise our rights of cancellation or nonrenewal in accordance with applicable insurance laws or regulations.

7. Separation Of Insureds

Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies:

a. As if each Named Insured were the only Named Insured; and

b. Separately to each insured against whom claim is made or "suit" is brought.

8. Transfer Of Rights Of Recovery Against Others To Us

If the insured has rights to recover all or part of any payment we have made under this Coverage Part, those rights are transferred to us. The insured must do nothing after loss to impair them. At our request, the insured will bring "suit" or transfer those rights to us and help us enforce them.

9. When We Do Not Renew

If we decide not to renew this Coverage Part, we will mail or deliver to the first Named Insured shown in the Declarations written notice of the nonrenewal not less than 30 days before the expiration date.

If notice is mailed, proof of mailing will be sufficient proof of notice.

SECTION V - DEFINITIONS

1. "Advertisement" means a notice that is broadcast or published to the general public or specific market segments about your goods, products or services for the purpose of attracting customers or supporters. For the purposes of this definition:

a. Notices that are published include material placed on the Internet or on similar electronic means of communication; and

b. Regarding websites, only that part of a website that is about your goods, prooucts or services for the purposes of attracting customers or supporters is considered an advertisement.

Page 16 of 21 © 2017 The Travelers Indemnity Company. All rights reserved. CG T1000219 Includes copyrighted material of Insurance Services Office, Inc. with its permiss ion.

Policy # 6308986R247 that is available to any of your "employees"occupational therapist or occupational for "bodily injury" that arises out of providingtherapy assistant, physical therapist or or failing to provide "incidental medicalspeech-language pathologist; or services" to any person to the extent not

(b) First aid or "Good Samaritan services" subject to Paragraph 2.a.(1) of Section II –by any of your "employees" or "volunteer Who Is An Insured.workers", other than an employed or volunteer doctor. Any such "employees" K. MEDICAL PAYMENTS – INCREASED LIMIT or "volunteer workers" providing or failing

The following replaces Paragraph 7. of to provide first aid or "Good Samaritan

SECTION III – LIMITS OF INSURANCE:

services" during their work hours for you

7. Subject to Paragraph 5. above, the Medicalwill be deemed to be acting within the scope of their employment by you or Expense Limit is the most we will pay under performing duties related to the conduct Coverage C for all medical expenses of your business. because of "bodily injury" sustained by any one person, and will be the higher of:3. The following replaces the last sentence of Paragraph 5. of SECTION III – LIMITS OF a. $10,000; or

INSURANCE:

b. The amount shown in the Declarations of For the purposes of determining the this Coverage Part for Medical Expenseapplicable Each Occurrence Limit, all related Limit.acts or omissions committed in providing or failing to provide "incidental medical L. AMENDMENT OF EXCESS INSURANCE services", first aid or "Good Samaritan CONDITION – PROFESSIONAL LIABILITY services" to any one person will be deemed

The following is added to Paragraph 4.b.,to be one "occurrence".

Excess Insurance, of SECTION IV –

4. The following exclusion is added to COMMERCIAL GENERAL LIABILITY Paragraph 2., Exclusions, of SECTION I – CONDITIONS:

COVERAGES – COVERAGE A – BODILY

This insurance is excess over any of the otherINJURY AND PROPERTY DAMAGE insurance, whether primary, excess, contingentLIABILITY:

or on any other basis, that is Professional

Sale Of Pharmaceuticals Liability or similar coverage, to the extent the

"Bodily injury" or "property damage" arising loss is not subject to the professional services out of the violation of a penal statute or exclusion of Coverage A or Coverage B.

ordinance relating to the sale of

M. BLANKET WAIVER OF SUBROGATION –pharmaceuticals committed by, or with the WHEN REQUIRED BY WRITTEN CONTRACTknowledge or consent of the insured.

OR AGREEMENT

5. The following is added to the DEFINITIONS The following is added to Paragraph 8., TransferSection:

Of Rights Of Recovery Against Others To Us, "Incidental medical services" means:

of SECTION IV – COMMERCIAL GENERAL

a. Medical, surgical, dental, laboratory, x- LIABILITY CONDITIONS:

ray or nursing service or treatment, If the insured has agreed in a written contract or advice or instruction, or the related agreement to waive that insured's right offurnishing of food or beverages; or recovery against any person or organization, we

b. The furnishing or dispensing of drugs or waive our right of recovery against such person medical, dental, or surgical supplies or or organization, but only for payments we make appliances. because of:

6. The following is added to Paragraph 4.b.,

a. "Bodily injury" or "property damage" that

Excess Insurance, of SECTION IV – occurs; or

COMMERCIAL GENERAL LIABILITY

b. "Personal and advertising injury" caused byCONDITIONS:

an offense that is committed;This insurance is excess over any valid and subsequent to the signing of that contract orcollectible other insurance, whether primary, excess, contingent or on any other basis, agreement.

CG D3 79 02 19 ú 2017 The Travelers Indemnity Company. All rights reserved. Page 5 of 6 Includes copyrighted material of Insurance Services Office, Inc. with its permission.

Policy # 6308986R247

POLICY NUMBER: 8107N033091

Jennifer.Aguirre Highlight

Jennifer.Aguirre_1 Highlight

POLICY NUMBER: 8107N033091

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Any Person or organization for which the insured has agreed by written contract executed prior to loss to furnish this waiver.

UB6P428399

4/24/2024 Travelers Property Casualty Company of America

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