CTR075185_COI.pdf
PDF 101 KB Posted
- Attached to
- Master Agreement AZ|CTR075185
- Contract number
- CTR075185
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Roach Howard Smith & Barton for Sellmark Corporation, located in Mansfield, Texas. The certificate lists multiple insurers including Zurich American Insurance Co, Scottsdale Insurance Company, and Texas Mutual Insurance Company. The certificate holder is the Arizona Game and Fish Department, located in Phoenix, Arizona, with a certificate date of 12/3/2025.
The insurance coverage includes Commercial General Liability with a $1,000,000 each occurrence limit, a $2,000,000 general aggregate limit, and additional umbrella/excess liability coverage of $5,000,000. The policies provide comprehensive protection, including blanket automatic additional insured endorsements, primary and non-contributory status, and a waiver of subrogation. The policies are effective from 7/19/2025 to 7/19/2026, with a 30-day notice of cancellation provision. The insurance certificates cover various liability aspects, including general liability, automobile liability, umbrella liability, and workers' compensation.
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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)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
12/3/2025
Roach Howard Smith & Barton 1320 South University Drive, Suite 1000 Fort Worth TX 76107
Michelle Broome 817-390-3517 mbroome@rhsb.com
Zurich American Insurance Co 16535 SELLCOR-01 Scottsdale Insurance Company 41297
Sellmark Corporation 2201 Heritage Pkwy Mansfield TX 76063
Texas Mutual Ins Co 22945
1893006965
A X 1,000,000 X 100,000
1,000,000
2,000,000 X
CPO093082001 7/19/2025 7/19/2026
2,000,000
A X X 5,000,000AUC091200701 7/19/2025 7/19/2026
5,000,000
C X0001242689 9/25/2025 9/25/2026
1,000,000
1,000,000
1,000,000 B Excess $5M x $5M XLS2007773 7/19/2025 7/19/2026 EACH OCCURENCE
AGGREGATE
5,000,000 5,000,000
General liability policy includes blanket automatic additional insured endorsement or provision that provides additional insured status to any person or organization the Named Insured is required by written contract to add as an additional insured. General Liability policy includes Primary and Non-Contributory status in favor of Additional Insureds when there is a written contract or agreement requiring such status. General liability and Workers Compensation policies includes blanket automatic waiver of subrogation endorsement or provision that provides this feature to any person or organization the Named Insured is required by written contract to provide a waiver of subrogation.
30 Day Notice of Cancellation in favor of the certificate holder
Arizona Game and Fish Department 5000 W Carefree Highway Phoenix AZ 85086
File details come from the government source that posted it. Updated .