CTR074453_Certificate_of_Insurance_-_Expires_7-24-2025.pdf

PDF 46 KB Posted

Attached to
Master Agreement AZ|CTR074453
Contract number
CTR074453
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued by Newfront Insurance Services, LLC for Skydio, Inc., with the Arizona Department of Administration listed as the certificate holder. The insurance coverage involves multiple insurers, including ACE Property and Casualty Insurance Company, Federal Insurance Company, Hartford Accident and Indemnity Company, and Westchester Fire Insurance Company.

The certificate provides evidence of various insurance coverages, including commercial general liability, automobile liability, umbrella/excess liability, workers' compensation, and aviation liability with worldwide coverage. The policies are effective from various dates in 2024 to 2025, with coverage limits ranging from $1,000,000 to $15,000,000 across different policy types. The aviation liability specifically has an each occurrence limit of $3,000,000. The insurance appears to be comprehensive, covering multiple risk areas for Skydio, Inc., with the primary purpose of providing proof of insurance to the Arizona Department of Administration.

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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

ACORD 0025 2016-03 Acroform

11/07/2024

Newfront Insurance Services, LLC

450 Sansome Street

Suite 300

San Francisco CA 94111

Sven Cederwall

(415) 754-3635 sven.cederwall@newfront.com

Skydio,Inc

3000 CLEARVIEW WAY, BLDG E&F

SAN MATEO CA 94402

ACE Property and Casualty Insurance Company 20699

Federal Insurance Company 20281

Hartford Accident and Indemnity Company 22357

Westchester Fire Insurance Company 10030

A AAP N1673388A 008 07/24/2024 07/24/2025

15,000,000

200,000

10,000

15,000,000

15,000,000

15,000,000

B (24)7359-68-66 02/18/2024 07/24/2025

1,000,000

B 5672-32-66 07/15/2024 07/15/2025

1,000,000

1,000,000

C 57WECGI2803 11/28/2023 11/28/2024

1,000,000

1,000,000

1,000,000

D Aviation Liability - Worldwide Coverage AAC N16740391 007 07/24/2024 07/24/2025

Each Occurrence $3,000,000

Evidence of Coverage

Arizona Department of Administration

1802 West Jackson Street ? Number 100

Phoenix AZ 85007

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