CTR069972_COI_Exp_5.1.25.pdf
PDF 655 KB Posted
- Attached to
- Master Agreement AZ|CTR069972
- Contract number
- CTR069972
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Marsh USA, LLC for Equifax Inc. and its subsidiary Kount, Inc., with the State of Arizona listed as the certificate holder. The insurance policies cover multiple lines of coverage including Commercial General Liability, Automobile Liability, Umbrella Liability, Workers' Compensation, Professional Liability, and Cyber/Media Liability. The primary insurers include Zurich American Insurance Company and Syndicates at Lloyd's, with policy periods spanning from 12/15/2023 to 05/01/2025.
The insurance provides comprehensive coverage with various policy limits, including $1,000,000 for Commercial General Liability, $25,000,000 Umbrella Liability, $1,000,000 for Automobile Liability, and $15,000,000 for Cyber/Media Liability. The State of Arizona is specifically named as an additional insured on the general liability and auto liability policies where required by written contract, with a waiver of subrogation applicable where contractually mandated. The policies cover Kount, Inc. and Equifax Inc. & All Subsidiaries, located in Boise, Idaho, with the insurance extending to their operations, departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.
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Text version
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
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
05/01/2025
X
2,000,000
16535
W20485231201
25,000,000
A
A
05/01/2025 X
Professional Liability/
05/01/2024
CN101920890-EQUIF-50e&o-24-25
1,000,000
37540
12/15/2024
ATL-005690727-11
05/01/2024
X
2,000,000
06/05/2024
15,000,000Cyber/Media Liability
1,000,000
X
1,000,000 1,000,000
A
05/01/2025
12/15/2023
05/01/2024
X
GLA 3906538-01
10,000
WC 4257158-01 (AOS)
AUC 3850189-01
1,000,000
RE: Co #: 039 - Kount, Inc.
State of Arizona is included as additional insured on the general liability and auto liability policies where required by written contract. Waiver of subrogation is applicable where required by written contract.
Kount, Inc.
Equifax Inc. & All Subsidiaries
Boise, ID 83702 1005 W Main St
1,000,000
Zurich American Insurance Company
X
TWO ALLIANCE CENTER
MARSH USA, LLC.
ATLANTA, GA 30326
3560 LENOX ROAD, SUITE 2400
Attn: Atlanta.CertRequest@marsh.com / Fax: 212-948-4321
GLA 3906538-01
Syndicates 2623/623 at Lloyd's
N
Phoenix, AZ 85007
State of Arizona
1110 W Washington, Suite 230, 05/01/2024
A
1,000,000
X
B
25,000,000
05/01/2025
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
MARSH USA, LLC.�
Policy # EO5NABWNRT005�
Carrier: HCC �
Effective Date: 12/15/23 – 12/15/24� Carrier: Berkshire �
Limit: $10M po $35M xs $15M� Policy # 42-EPP-304290-07�
Excess Professional Liability�
1st Excess Layer $35M xs $15M �
Policy # XMS2301550�
Effective Date: 12/15/23 – 12/15/24 �
Effective Date: 12/15/23 – 12/15/24�
Limit: $10M po $35M xs $15M �
Atlanta
Certificate of Liability Insurance
Limit: $10M po $35M xs $15M �
Carrier: Nationwide �
Policy # 14-MG-23-A16293�
Effective Date: 12/15/23 – 12/15/24 �
Limit: $5M po $35M xs $15M �
Kount, Inc.� Equifax Inc. & All Subsidiaries�
1005 W Main St�
Carrier: Ironshore �
CN101920890
Boise, ID 83702
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