CTR071289.M24-0005_Certificate_of_Insurance_Pest_Control.pdf

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

4/18/2024

TruView Insurance Group, Inc.

6424 East Greenway Parkway Suite 100 Scottsdale AZ 85254

Rochelle Ryan 480-398-8297 rryan@truviewinsurance.com

License#: 3000188136 West Bend Mutual Insurance Com 15350

CITYWID-01

City Wide Pest Control, Inc.

22405 N. 18th Dr.

Phoenix AZ 85027

2091803242

A X 1,000,000 X 300,000

5,000

1,000,000

2,000,000 X

Y Y B563499 2/1/2024 2/1/2025

2,000,000

A 1,000,000

X

X X

Y B563499 2/1/2024 2/1/2025

A X 2,000,000 X

B563499 2/1/2024 2/1/2025

2,000,000

A Pollution Liability Professional/E&O Liability

B563499 2/1/2024 2/1/2025 Each Occurrence Limit Aggregate Limit

1,000,000 2,000,000

Contract# BMP006073/M24-0005

State of Arizona Department of Emergency and Military Affairs 5636 E McDowell Rd, Bldg M5800 Phoenix AZ 85008

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WB 1482 07 17 West Bend Mutual Insurance Company Page 1 of 2 West Bend, Wisconsin 53095

ADDITIONAL INSURED – CONTRACTOR'S BLANKET

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

A. WHO IS AN INSURED (Section II) is amended to include as an additional insured any person or organization whom you are required to add as an additional insured on this policy under a written contract or written agreement.

The written contract or written agreement must be:

1. Currently in effect or becoming effective dur-ing the term of this policy; and

2. Signed by all parties to the written contract or written agreement prior to the "bodily injury," "property damage," "personal injury and ad-vertising injury."

B. The insurance provided to the additional insured is limited as follows:

1. That person or organization is only an addi-tional insured with respect to liability for "bodi-ly injury", "property damage' or "personal and advertising injury" caused in whole or in part, by:

a. Your premises; or

b. Your negligent acts or omissions in con-nection with "Your work" for that additional insured.

However:

a. The insurance afforded to such additional insured only applies to the extent permit-ted by law; and

b. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the written contract or written agreement to provide such additional insured.

2. The Limits of Insurance applicable to the additional insured are those specified in the written contract or written agreement or in the Declarations for this policy, whichever is less.

These Limits of Insurance are inclusive and not in addition to the Limits of Insurance shown in the Declarations.

3. Except when required by written contract or written agreement, the coverage provided to the additional insured by this endorsement does not apply to:

a. "Bodily injury" or "property damage" oc-curring after:

(1) All work on the project (other than service, maintenance or repairs) to be performed by or on behalf of the addi-tional insured at the site of the covered operations has been completed; or

(2) That portion of "your work" out of which the injury or damage arises has been put to its intended use by any person or organization other than an-other contractor or subcontractor en-gaged in performing operations for a principal as part of the same project.

b. "Bodily injury" or "property damage" aris-ing out of acts or omissions of the addi-tional insured other than in connection with the general supervision of "your work."

4. The insurance provided to the additional insured does not apply to "bodily injury," "property damage," "personal injury and ad-vertising injury" arising out of an architect's, engineer's, or surveyor's rendering of or fail-ure to render any professional services in-cluding;

a. The preparing, approving, or failing to prepare or approve maps, shop drawings, opinions, reports, surveys, field orders, change orders or drawings and specifica-tions; and

b. Supervisory, or inspection activities per-formed as part of any related architectural or engineering activities.

This exclusion applies even if the claims against any insured allege negligence or other wrongdo-ing in the supervision, hiring, employment, train-ing or monitoring of others by that insured, if the "occurrence" which caused the "bodily injury" or "property damage", or the offense which caused the "personal and advertising injury", involved the rendering of, or the failure to render, any profes-sional architectural, engineering or surveying services.

Page 2 of 2 West Bend Mutual Insurance Company WB 1482 07 17

C. As respects the coverage provided under this endorsement, Paragraph 4.b. SECTION IV –

COMMERCIAL GENERAL LIABILITY CONDI-

TIONS is amended with the addition of the fol-lowing:

4. Other insurance

b. Excess insurance

This insurance is excess over:

Any other valid and collectible insurance procured by or on behalf of the additional insured whether primary, excess, contin-gent or on any other basis unless a written contract specifically requires that this in-surance be either primary or primary and noncontributing. Where required by writ-ten contract, we will consider any other in-surance procured by the additional in-sured for injury or damage covered by this endorsement to be excess and noncon-tributing with this insurance.

If no written contract specifically requires primary or noncontributory coverage, then this insurance is excess and as a condi-tion of coverage, the additional insured shall be obligated to tender the defense and indemnity of every claim or suit to all other insurers that may provide coverage to the additional insured, whether on a contingent, excess or primary basis.

When this insurance is excess, we will have no duty under Coverage A. and Coverage B. to defend the insured against any "suit" if any other insurer has a duty to defend the insured against that "suit". If no other insurer defends, we will undertake to do so, but we will be entitled to the in-sured's rights against all those other in-surers.

COMMERCIAL GENERAL LIABILITY

CG 24 53 12 19

CG 24 53 12 19 © Insurance Services Office, Inc., 2018 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION) –

AUTOMATIC

COMMERCIAL GENERAL LIABILITY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:

We waive any right of recovery against any person or organization, because of any payment we make under this Coverage Part, to whom the insured has waived its right of recovery in a written contract or agreement. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person or organization prior to loss.

WB 1135 11 22 West Bend Mutual Insurance Company

PLUS PAK – COMMERCIAL AUTO

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modi-fied by the endorsement.

A. Changes In Covered Autos Liability Coverage

1. Paragraph A.1. Who Is An Insured is amend-ed by the addition of the following:

Newly Acquired Organizations Any organization you newly acquire or form, other than a partnership, joint venture or limited liability company, and over which you maintain ownership or majority interest, will qualify as a Named Insured if there is no other similar in-surance available to that organization. Howev-er:

a. Coverage under this provision is afforded only until the 180th day after you acquire or form the organization or the end of the poli-cy period, whichever is earlier;

b. This coverage does not apply to “bodily injury” or “property damage” that occurred before you acquired or formed the organi-zation;

c. No person or organization is an insured with respect to the conduct of any current or past partnership, joint venture or limited lia-bility company that is not shown as a named Insured in the Declarations.

Employees As Insureds Any "employee" of yours is an "insured" while using a covered "auto" you don't own, hire or borrow in your business or your personal af-fairs.

Employee Hired Autos An "employee" of yours is an "insured" while operating an "auto" hired or rented under a contract or agreement in an "employee's" name, with your permission, while performing duties related to the conduct of your business.

If Employee Hired Autos CA 20 54 is attached to this policy, the Employee Hired Autos cover-age described above does not apply.

Additional Insured By Written Contract Any person or organization for whom you have agreed to add under a written contract or agreement. Such person or organization is an additional "insured" only with respect to your ownership, maintenance or use of a covered "auto".

This coverage is primary to and will not seek contribution from any other insurance available to an "insured" provided that:

a. Such "insured" is a Named Insured under such other insurance; and

b. You have agreed in a written contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

2. Increased Supplementary Payments Paragraph A.2.a.(4) is replaced by:

(4) All reasonable expenses incurred by the "insured" at our request, including actual loss of earnings up to $300 a day because of time off from work.

3. Fellow Employee Paragraph B.5. Fellow Employee does not apply to claims for "bodily injury" resulting from the use of a covered "auto" where the fellow "employee" is not immune from "suit" or civil li-ability for "bodily injury" by reason of Workers Compensation laws or other similar laws.

Coverage is excess over any other collectible insurance.

This amendment is not applicable in Virginia.

See applicable Virginia Changes endorsement.

Page 4 of 4 West Bend Mutual Insurance Company

WB 1135 11 22

7. Paragraph C. Limits of Insurance is amended by the addition of the following:

Waiver of Depreciation – Private Passenger Vehicle If we deem a covered “auto”, of the private passenger type, to be a total loss, within 180 days of your purchase of the “auto”, and it has not been previously titled under the motor ve-hicle laws of any state, at our option, we may:

a. Replace the covered “auto” with a new "auto" of like make, model and year or

b. Pay you an amount equal to the cost of the covered “auto” new, including taxes.

This coverage does not apply to a leased "au-to".

No one will be entitled to receive duplicate payments for the same elements of “loss” un-der this endorsement and this Coverage Form’s Physical Damage Coverage If Replacement Cost Coverage - Private Pas-senger Types CA 04 41 is attached to this poli-cy, the waiver described above does not apply.

8. Paragraph D. Deductible is amended by the addition of the following:

Attached Autos If you have a loss to more than one covered “auto” when such covered “autos” are attached to one another at the time of “loss”, then our obligation to pay will be reduced by the single highest applicable deductible.

Auto and Other Property Loss If you have a covered “loss” to Covered Prop-erty under a Commercial Property or Inland Marine Coverage Part under this policy and a covered “loss” to a covered “auto” or more than one covered “autos” that are attached to one another at the time of “loss”, then our obligation to pay will be reduced by the single highest applicable deductible.

Glass Repair – Waiver Of Deductible If the Declarations indicates that Comprehen-sive Coverage applies, no Comprehensive Coverage deductible applies to the cost of re-pairing damaged glass on the covered "au-to(s)".

C. Changes in Business Auto Conditions and Motor Carrier Conditions

1. Paragraph A.2.a. Duties In The Event Of Accident, Claim, Suit Or Loss is amended by the addition of the following:

This duty applies only when the “accident” or “loss” is known to:

(1) You, if you are an individual,

(2) A partner, if you are a partnership.

(3) A member or manager, if you are a limited liability company or

(4) An executive officer or insurance man-ager, if you are a corporation.

2. Paragraph A.5. Transfer of Rights of Recov-ery Against Others To Us is amended by the addition of the following:

This condition does not apply to any person(s) or organization(s) for whom you are required to waive subrogation with respect to the coverage provided under this Coverage Form, but only to the extent that subrogation is waived:

a. Under a written contact or agreement with such person(s) or organization(s); and

b. Prior to the "accident" or the "loss."

3. Paragraphs B.5.b. in the Business Auto Cov-erage Form and B.5.f. in the Motor Carrier Coverage Form are deleted.

If symbol 08 or 68 is listed in the Covered Au-tos section of the Declarations as applying to any Physical Damage Coverages, this item does not apply.

4. Paragraph B.5 is amended by the addition of the following:

Employee Hired Autos For Hired Auto Physical Damage Coverage, any covered "auto" hired or rented by your "employee" under a contract in an "employ-ee's" name, with your permission, while per-forming duties related to the conduct of your business is deemed to be a covered "auto" you own.

If Employee Hired Autos Endorsement CA 20 54 is attached to this policy, the Employee Hired Autos coverage described above does not apply.

D. Changes in Definitions

1. Paragraph C. is replaced by the following:

C. “Bodily injury” means bodily injury, sick-ness or disease sustained by a person in-cluding mental anguish or death resulting from any of these.

2. The following definition is added:

"Light or medium truck" means a truck of 20,000 lbs. or less gross vehicle weight.

04/18/2024

AssuredPartners of Arizona, LLC

14805 N 73rd St.

Scottsdale AZ 85260

Sandie Yarnal

(602) 230-7726 (602) 230-7836

Sandie.Yarnal@assuredpartners.com

City Wide Pest Control, Inc.

22405 North 18th Drive

Phoenix AZ 85027

Security National Insurance Company 19879

23-24 wc

A Y Y SWC1452351 08/01/2023 08/01/2024

1,000,000

1,000,000

1,000,000

Re: Contract # BMP006073/M24-0005.

Waiver of Subrogation applies in favor of Workers Compensation policy per form WC000313 0484.

State of Arizona Department of Emergency and Military Affairs

5636 E McDowell Rd Bldg M5800

Phoenix AZ 85008

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

WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT

We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us.)

This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13

(Ed. 04-84)

Schedule

Any person or organization as required by written contract

This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.

(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)

Endorsement Effective 8/1/2023 Policy No. KWC1327463 Endorsement No. 0 Insured City Wide Pest Control, Inc. Premium $ 18,619 Insurance Company AmTrust Insurance Company

Countersigned by

WC 00 03 13

(Ed. 04-84)