CTR066290_-_AO_AI.pdf
PDF 9 KB Posted
- Attached to
- Master Agreement AZ|CTR066290
- Contract number
- CTR066290
- Issued by
- Arizona
About this file
This document is a Commercial Auto Insurance Endorsement (Policy Number: 47-RWS-261285-03) for an Additional Insured - General Liability Coverage for a Lessor of Leased Equipment. The policy involves Old Concho Community Assistance Center as the Named Insured, with the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees listed as additional insureds.
The endorsement provides liability coverage related to automobiles owned, hired, and/or non-owned by the Contractor, specifically addressing potential bodily injury, property damage, or personal and advertising injury arising from the maintenance, operation, or use of leased equipment. The policy has specific exclusions, including incidents occurring after equipment lease expiration, damages arising from the sole negligence of the listed organizations, and injuries resulting from work performed on the leased equipment. The endorsement is effective as of 11/12/2023 and modifies an existing Auto Dealers Coverage Form.
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Text version
POLICY NUMBER: COMMERCIAL AUTO
CA 20 47 10 13
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED GENERAL LIABILITY
COVERAGES LESSOR OF LEASED EQUIPMENT
This endorsement modifies insurance provided under the following:
AUTO DEALERS COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below:
Named Insured:
Endorsement Effective Date:
SCHEDULE
Name Of Person(s) Or Organization(s):
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
Paragraph D. Who Is An Insured of Section II General Liability Coverages is amended to include as an "insured" the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" arising out of the maintenance, operation or use by you of equipment leased to you by such person(s) or organization(s), subject to the following additional exclusions:
b. "Bodily injury", "property damage" or "personal and advertising injury" arising out of the sole negligence of the person(s) or organization(s) shown in the Schedule.
c. "Bodily injury", "property damage" or "personal and advertising injury" arising out of "work you performed" in connection with such leased equipment.
This insurance does not apply to:
a. Any "accident" which takes place, or offense which is committed, after the equipment lease expires.
CA 20 47 10 13 Page 1 of 1c Insurance Services Office, Inc., 2011
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor involving automobiles owned, hired and/or non-owned by the Contractor
Old Concho Community Assistance Center
11/12/2023
47-RWS-261285-03
File details come from the government source that posted it. Updated .