CTR076507-_coi_expires_08-31-25.pdf
PDF 69 KB Posted
- Attached to
- Master Agreement AZ|CTR076507
- Contract number
- CTR076507
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Lockton Companies, LLC for C & W Motors Inc DBA RideNow Powersports Chandler, located in Chandler, Arizona. The certificate is issued for multiple insurance carriers including Berkley National Insurance Company, National Union Fire Insurance Company, Westchester Surplus Lines Insurance Company, and AIU Insurance Company. The certificate holder is the State of Arizona Game and Fish Department, located in Phoenix, Arizona.
The insurance coverage includes Commercial General Liability with a $1,000,000 each occurrence limit, a $2,000,000 general aggregate limit, and a self-insured retention (SIR) of $500,000. Additional coverages include Automobile Liability with a $2,000,000 combined single limit, Garage Keepers coverage with a $250,000 per location limit, Umbrella Liability with a $5,000,000 each occurrence limit, and Workers' Compensation with $1,000,000 limits. The policies are effective from 8/31/2024 to 8/31/2025, and the certificate provides additional insured status and waiver of subrogation for the State of Arizona and its departments, agencies, and employees as required by written contract.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
DATE (MM/DD/YYYY)
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 EXP
TYPE 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 RENTED
CLAIMS-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 AGG $JECT
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 LIMIT $DESCRIPTION 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.
The ACORD name and logo are registered marks of ACORDACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
Lockton Companies, LLC Three City Place Dr., Ste. 900 St. Louis MO 63141-7081
(314) 432-0500 midwestcertificates@lockton.com
C & W Motors Inc DBA RideNow Powersports Chandler 2677 E Willis Rd Chandler AZ 85286-2601 AIU Insurance Company 19399
National Union Fire Ins Co Pitts. PA 19445 Westchester Surplus Lines Insurance Co 10172
Berkley National Insurance Company 38911
X X
X SIR: $500,000
1,000,000 100,000
XXXXXXX
1,000,000 2,000,000 2,000,000
X
X Garage Keepers
2,000,000
XXXXXXX
XXXXXXX
XXXXXXX
XXXXXXX
X X 5,000,000 5,000,000
XXXXXXX
N
X
1,000,000 1,000,000 1,000,000
Errors & Omissions $250,000 Limit per location Acts, Errors or Omissions $250,000 Limit
B 3135701 8/31/2024 8/31/2025
A VGL 9700300 - 10 8/31/2024 8/31/2025
A VGL 9700300 - 10 8/31/2024 8/31/2025
C G48740169 001 8/31/2024 8/31/2025
D 014111778 8/31/2024 8/31/2025
8/31/2025
1518367
Y Y
Y Y
N N
Y
4/16/2025
N N
21636085
21636085 XXXXXXX
The State Of Arizona Game And Fish Department 5000 W Carefree Highway Phoenix AZ 85086-5000
THIS CERTIFICATE SUPERSEDES ALL PREVIOUSLY ISSUED CERTIFICATES FOR THIS HOLDER, APPLICABLE TO THE CARRIERS LISTED AND THE POLICY TERM(S) REFERENCED.
Garage Keepers Coverage: Per Location Limit: $250,000.
X
CONTINUATION DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS (Use only if more space is required)
ACORD 25 (2016/03)
The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents and employees are included as additional insureds on a Primary and Non-contributory basis if required by written contract with respect to General Liability per the terms and conditions of the policy. The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents and employees are included as additional insureds if required by written contract with respect to Automobile Liability per the terms and conditions of the policy. A waiver of subrogation applies in favor of The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents and employees if required by written contract with respect to General Liability, Automobile Liability, and Workers' Compensation per the terms and conditions of the policy where permitted by state law.
Certificate Holder ID: 21636085
File details come from the government source that posted it. Updated .