CTR074088.M24-0024_Certificate_of_Insurance_CN_Railroad_Tools.pdf

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Attached to
Master Agreement AZ|CTR074088
Contract number
CTR074088
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Railroad Tools and Solutions, Inc., issued by Marsh & McLennan Agency LLC. The certificate involves multiple insurance carriers, including American Casualty Company of R, Continental Insurance Company, and Valley Forge Insurance. The primary certificate holder is the Arizona Department of Emergency and Military Affairs (DEMA), located in Phoenix, AZ. The insurance policies are effective from 4/30/2024 to 4/30/2025 and cover various types of liability including commercial general liability, automobile liability, umbrella liability, and workers' compensation.

The insurance coverage includes comprehensive protection for all work performed by the named insured on behalf of the certificate holder. The policy provides multiple coverage limits, with commercial general liability set at $1,000,000 per occurrence and $2,000,000 aggregate, automobile liability at $1,000,000, and an umbrella liability of $10,000,000. The certificate specifically adds the Arizona Department of Emergency and Military Affairs as an additional insured when required by written contract, on a primary and non-contributory basis for operations performed by the named insured. A waiver of subrogation is also included for worker's compensation, general liability, and automobile liability policies, where allowed by law and required by written contract.

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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

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

10/14/2024

Marsh & McLennan Agency LLC 20 North Martingale Road Suite 100 Schaumburg IL 60173

Angela Manfredini

(847) 463-7855

Angela.Manfredini@MarshMMA.com

American Casualty Company of R 20427 RAILSUP-01 Continental Insurance Company 35289

Railroad Tools and Solutions, Inc.

577 W Lamont Rd Elmhurst IL 60126

Valley Forge Insurance 20508

1106257584

A X 1,000,000 X 300,000

15,000

1,000,000

2,000,000

7091978759 4/30/2024 4/30/2025

2,000,000

B 1,000,000

X

X X

7091978731 4/30/2024 4/30/2025

B X 10,000,0007091978745 4/30/2024 4/30/2025

10,000,000 X 10,000

C X

N

7091978762 4/30/2024 4/30/2025

1,000,000

1,000,000

1,000,000

RE: All work performed by the Named Insured on behalf of the Certificate Holder.

It is agreed that the following are added as Additional Insureds, when required by written contract, on the General Liability and Automobile Liability on a primary and non-contributory basis with respect to operations performed by the Named Insured in connection with this project:

- The Arizona Department of Emergency and Military Affairs, agencies, boards, commissions, universities, officers, officials, agents and employees.

See Attached...

The Arizona Department of Emergency and Military Affairs DEMA Procurement Office, Building #M5800 5636 East McDowell Road Phoenix AZ 85008-3495

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:

RAILSUP-01

1 1

Marsh & McLennan Agency LLC Railroad Tools and Solutions, Inc.

577 W Lamont Rd Elmhurst IL 60126

25 CERTIFICATE OF LIABILITY INSURANCE

A Waiver of Subrogation in favor of the Additional Insureds applies to the Worker’s Compensation, General Liability and Automobile Liability policies, when required by written contract and where allowed by law.

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