CTR076391_COI_GLALWC8-12-26.pdf
PDF 437 KB Posted
- Attached to
- Master Agreement AZ|CTR076391
- Contract number
- CTR076391
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for University Termite And Pest Control Inc & Horn Pest Management PLC, issued by NFP Property & Casualty Services, Inc. The certificate is for the Arizona Department of Transportation Procurement and the State of Arizona, with insurance coverage provided by SECURA Insurance Company and AmTrust Insurance Company. The insurance policies cover commercial general liability, automobile liability, umbrella liability, and workers' compensation for the period of 8/12/2025 to 8/12/2026.
The insurance provides various coverage limits, including $2,000,000 for commercial general liability, $1,000,000 for automobile liability, and $2,000,000 for umbrella liability. The policies include additional insured provisions for the Arizona Department of Transportation, primary and non-contributory coverage, and waivers of subrogation. Notable exclusions include Krista Horn and Ryan Horn from the workers' compensation policy, and Horn Pest Management PLC is named insured only on the auto, general liability, and umbrella policies. The certificate demonstrates comprehensive insurance coverage for the company's operations, with protections for both the insured and the certificate holder.
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ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N N / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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.
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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
8/7/2025
(520) 467-6091 (520) 571-9667
22543
University Termite And Pest Control Inc & Horn Pest Management PLC 3930 E Tennessee Tucson, AZ 85714-2148
15954
A 2,000,000
X X 20-CP-003346174-5 8/12/2025 8/12/2026 100,000
10,000
2,000,000 4,000,000 4,000,000
1,000,000A
X X 20-A-003346175-5 8/12/2025 8/12/2026
2,000,000A
X 20-CU-003346176-5 8/12/2025 8/12/2026 2,000,000
10,000 B
X KWC1402204 8/12/2025 8/12/2026 1,000,000
1,000,000 1,000,000
A Rented/Leased Equip 20-CP-003346174-5 8/12/2025 Limit 100,000
Subject to Policy Terms, Conditions and Exclusions.
Krista Horn & Ryan Horn are excluded from the Workers Compensation policy;
Horn Pest Management PLC is a named insured on the Auto, General Liability and Umbrella policies only.
Certificate Holder is Additional Insured with respects to General Liability per endorsement CG2010 07-04 attached. Ongoing and Completed operations applies
SEE ATTACHED ACORD 101
Arizona Dept. of Transportation Procurement & The State of Arizona 1739 W Jackson St Suite A Phoenix, AZ 85007
UNIVTER-01 BRITTANYKOCIS
NFP Property & Casualty Services, Inc.
6992 East Broadway Boulevard Tucson, AZ 85710
CynDee Graves cyndee.graves@nfp.com
SECURA Insurance Company AmTrust Insurance Company
X
8/12/2026
X X
X
X
X
X
X
Cindy Lewis Accepted
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ACORD 101 (2008/01)
AGENCY CUSTOMER ID:
LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
NFP Property & Casualty Services, Inc.
UNIVTER-01
SEE PAGE 1
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
SEE P 1
University Termite And Pest Control Inc & Horn Pest Management PLC 3930 E Tennessee Tucson, AZ 85714-2148 Pima
SEE PAGE 1
BRITTANYKOCIS
Description of Operations/Locations/Vehicles:
per endorsements CG2010 07-04 and CG2037 07-04 attached. Primary and Non-Contributory applies per endorsement CGE2266 2402 attached. Waiver of Subrogation applies with respects to General Liability per endorsement CG2404 12-19 attached.
Certificate Holder is Additional Insured with respects to Auto Liability per endorsement CAE0131 1508 attached. Primary and Non-Contributory applies per endorsement CAE0131 1508 attached. Waiver of Subrogation applies with respects to Auto Liability per endorsement CAE0131 1508 attached.
Waiver of Subrogation applies with respects to Workers Compensation per endorsement WC000313 04-84 attached.
POLICY NUMBER: 20-CP-003346174-5 COMMERCIAL GENERAL LIABILITY
CG 20 10 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 10 07 04 © ISO Properties, Inc., 2004 Page 1 of 1
– ADDITIONAL INSURED OWNERS, LESSEES OR
– CONTRACTORS SCHEDULED PERSON OR
ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s): Location(s) Of Covered Operations
Any entity required to be added as addition-al insured in a written agreement signed prior to a loss, for all jobs completed on or after the inception of this policy
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
– A. Section II Who Is An Insured is amended to include as an 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 or in part, by:
1. Your acts or omissions; or
2. The acts or omissions of those acting on your behalf;
in the performance of your ongoing operations for the additional insured(s) at the location(s) desig-nated above.
B. With respect to the insurance afforded to these additional insureds, the following additional exclu-sions apply:
This insurance does not apply to "bodily injury" or "property damage" occurring after:
1. All work, including materials, parts or equip-ment furnished in connection with such work, on the project (other than service, maintenance or repairs) to be performed by or on behalf of the additional insured(s) at the location 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 in-tended use by any person or organization other than another contractor or subcontractor en-gaged in performing operations for a principal as a part of the same project.
CG 20 37 07 04
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 20 37 07 04 © ISO Properties, Inc., 2004 Page 1 of 1
– ADDITIONAL INSURED OWNERS, LESSEES OR
– CONTRACTORS COMPLETED OPERATIONS
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s): Location And Description Of Completed Operations
Any entity required to be added as addi-tional insured in a written agreement signed prior to a loss, for all jobs completed on or after the inception of this policy
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
– Section II Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury" or "property dam-age" caused, in whole or in part, by "your work" at the location designated and described in the sched-ule of this endorsement performed for that additional insured and included in the "products-completed operations hazard".
CG 24 04 12 19
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CG 24 04 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)
This endorsement modifies insurance provided under the following:
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
SCHEDULE
Name Of Person(s) Or Organization(s):
Blanket as required by written contract
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 against the person(s) or organization(s) shown in the Schedule above because of payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right of recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.
CGE 2266 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 1 of 1 2402 © 2024 SECURA Insurance Company
THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY.
PRIMARY AND NONCONTRIBUTORY –
OTHER INSURANCE CONDITION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
With respect to coverage provided by this endorsement, the provisions of the Coverage Part apply unless modified by this endorsement.
SCHEDULE
Designated Additional Insured:
Any person or organization when required in a written agreement between you and such person or organization
Information required to complete this Schedule, if not shown above, will be shown on the Declarations.
The following is added to SECTION IV- COMMERCIAL GENERAL LIABILITY CONDITIONS, 4. Other Insurance, and supersedes any provision to the contrary:
Primary And Noncontributory Insurance
This insurance is primary to and will not seek contribution from any other insurance available to the Designated Additional Insured shown in the Schedule provided that:
1. The Designated Additional Insured is a Named Insured under such other insurance; and
2. You have agreed in a written agreement that this insurance would be primary and would not seek contribution from any other insurance available to the Designated Additional Insured.
Other insurance means a policy of insurance providing coverage for any portion of liability alleged against the additional insured for a claim that this policy also covers. Other insurance includes any type of self-insurance or other mechanisms by which an insured arranges for funding of legal liabilities.
All other terms and conditions of this policy not in conflict with the terms and conditions of this endorsement shall continue to apply.
CAE 0131 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 1 of 2 1508 © 2015, SECURA Insurance Companies
THIS ENDORSEMENT CHANGES YOUR POLICY. PLEASE READ IT CAREFULLY.
AUTO ADDITIONAL INSURED WRAP
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.
A. AUTOMATIC ADDITIONAL INSURED – PRIMARY AND NONCONTRIBUTORY
SECTION II – COVERED AUTOS LIABILITY COVERAGE, subsection A. Coverage, paragraph 1. Who Is An Insured is amended to add:
d. (1) Automatic Additional Insured – Primary And Noncontributory
Any person or organization is an additional insured when you and such person or organization have agreed in writing prior to a loss that such person or organization be added as additional insured on your policy. Such person or organization is an additional insured only with respect to liability for “bodily injury” or “property damage” resulting from the ownership, maintenance or use of a covered “auto”, provided the “bodily injury” or “property damage” is caused, in whole or in part, by you or by those acting on your behalf.
This insurance is primary and is not contributing with any other insurance carried by the additional insured.
(2) Blanket Lessor Additional Insured Provisions
If the additional Insured is a lessor of a “leased auto”;
(a) Coverage
i. Any “leased auto” that is a covered “auto” will be considered a covered “auto” you own and not a covered “auto” you hire or borrow.
For a covered “auto” that is a “leased auto” Who Is An Insured is changed to include as an “Insured” the lessor.
ii. The coverages provided under this endorsement apply to any “leased auto” until the policy expiration date, or when the lessor or his or her agent takes possession of the “leased auto”, whichever occurs first.
(b) Loss Payable Clause
i. We will pay, as interest may appear, you and the lessor for “loss” to a “leased auto”.
ii. The insurance covers the interest of the lessor unless the “loss” results from fraudulent acts or omissions on your part.
iii. If we make any payment to the lessor, we will obtain his or her rights against any other party.
(c) The lessor is not liable for payment of your premiums.
(d) Additional Definition
As used in this endorsement:
“Leased auto” means an “auto” leased or rented to you including any substitute, replacement or extra “auto” needed to meet seasonal or other needs, under a leasing or rental agreement that required you to provide direct primary insurance for the lessor.
Policy No. A3346175
CAE 0131 Includes copyrighted material of Insurance Services Offices, Inc., with its permission. Page 2 of 2 1508 © 2015, SECURA Insurance Companies
B. WAIVER -- TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US
SECTION IV – BUSINESS AUTO CONDITIONS, subsection A. Loss Conditions, paragraph 5. Transfer Of Rights Of Recovery Against Others To Us is amended to add:
We waive any right of recovery we may have against any person or organization when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be waived from recovery because of payments we make for injury or damage arising out of an "accident" and resulting from the ownership, maintenance or use of a covered "auto". However, our rights may only be waived prior to the “accident” for which we make payment under this Coverage Part. The insured must do nothing after a loss to impair our rights.
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