CTR072891_-_Endorsements__1_.pdf

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Attached to
Master Agreement AZ|CTR072891
Contract number
CTR072891
Issued by
Arizona

About this file

The document is a series of insurance policy endorsements for A1 Transit L.L.C., primarily involving the Arizona Department of Economic Security and the State of Arizona. These endorsements include Commercial General Liability, Business Auto Coverage, and Waiver of Transfer of Rights of Recovery documents. The policies provide additional insured status to the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, covering liability arising from activities performed by or on behalf of the contractor.

The insurance policies are effective from 03/10/2024 to 03/10/2025, with policy numbers JTA1200000492 and BRPCLLTAZ011400-081360-01. The endorsements specifically cover liability related to ongoing operations, premises, and activities involving automobiles owned, leased, hired, or borrowed by the contractor. The documents include provisions for waiving subrogation rights, ensuring that the insurance company cannot seek recovery from the State of Arizona for losses arising from the contractor's work. The policies provide primary coverage and limit the insurance company's potential recovery actions against the state and its associated entities.

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CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page 1 of 1

POLICY NUMBER: JTA1200000492 COMMERCIAL GENERAL LIABILITY

CG 20 26 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – DESIGNATED

PERSON OR ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

A. Section II – Who Is An Insured is amended to include as a n additional 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" caused, in whole o r in part, by your act s or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations;

or

2. In connection with your premises owne d by or rented to you.

However:

1. The insuran ce afforded to such additional insured only applies to th e extent permitted by law; and

2. If coverage provided to th e additional insured is required by a contra ct or agree ment, the insurance aff orded to su ch ad ditional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional in sureds, the following is added to Section III – Limits Of Insurance:

If coverage provide d to the additional insure d i s required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available un der the ap plicable Limi ts of

Insurance shown in the De clarations;

whichever is less.

This end orsement shall not incre ase the applicable Li mits of Insuran ce sho wn in the Declaration.

Name Of Additional Insured Person(s) Or Organization(s):

Arizona Department of Economic Security 1789 W Jefferson St, Phoenix, AZ, 85007

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.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

PROFESSIONAL LIABILITY COVERAGE PART

MANUSCRIPT (06/11)

Revised 6/13/12 Page 1 of 1

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED – STATE OF ARIZONA

This endorsement modifies insurance provided under the following:

BUSINESS AUTO COVERAGE FORM

Policy No. BRPCLLTAZ011400-081360-01 Policy Term. 03/10/2024 to 03/10/2025

SCHEDULE

Name of Person or Organization:

Arizona Department of Economic Security, Office of Procurement, 1789 W Jefferson St., Site Code 805Z, Phoenix, AZ

The State of Arizona & the Department of Economic Security shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor; also involving automobiles owned, leased, hired or borrowed by the Contractor.

The following provisions are added to the policy:

1. WHO IS AN INSURED is amended to include as an insured the person or organization shown in the above SCHEDULE, but only with respect to their liability for activities performed by you or on your behalf relating to the conduct of your business;

2. The coverage provided by this endorsement includes the assumption of liability in a written or oral contract between the named insured and the person or organization shown in the above SCHEDULE for work performed by you or on your behalf relating to the conduct of your business;

3. The coverage provided by this endorsement only is primary. Any other applicable insurance will apply as excess; and

4. We agree to waive any right of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed on behalf of Contractor.

POLICY NUMBER: BRPCLLTAZ011400-081360-01 COMMERCIAL AUTO

CA 04 44 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER 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: A1 Transit L.L.C.

Endorsement Effective Date: 03/10/2024

SCHEDULE

Name(s) Of Person(s) Or Organization(s): Arizona Department of Economic Security 1789 W Jefferson St

Phoenix, AZ 85007

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.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

POLICY NUMBER: BRPCLLTAZ011400-081360-01 COMMERCIAL AUTO

CA 04 44 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER 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: A1 Transit L.L.C.

Endorsement Effective Date: 03/10/2024

SCHEDULE

Name(s) Of Person(s) Or Organization(s): Arizona Department of Economic Security 1789 W Jefferson St, Phoenix, AZ, 85007 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.

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY

CG 24 04 05 09

CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

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 we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.

JTA1200000492

Name Of Person Or Organization:

Arizona Department of Economic Security 1789 W Jefferson St,Phoenix, AZ, 85007 The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor

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