CTR076711__CGL_Auto_SAM_PL_WC_Exp_7_01_2026.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR076711
- Contract number
- CTR076711
- Issued by
- Arizona
About this file
This is an insurance policy certificate and endorsement package for the Western Arizona Council of Governments, issued by Philadelphia Insurance Company, CopperPoint Mutual Insurance, and The Hartford. The primary policy (number PHPK2569170) covers commercial general liability, commercial auto liability, and workers' compensation for the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The insurance was brokered through A.T.P. and Associates, LLC, located in Yuma, Arizona.
The insurance policy provides comprehensive coverage with various endorsements, including waivers of subrogation and transfer of rights of recovery. The policy includes commercial auto liability with coverage effective from 07/01/2025, commercial general liability with additional insured provisions for the State of Arizona, and workers' compensation insurance with a blanket waiver for losses arising from work performed by or on behalf of the contractor. The policy includes liability limits such as $1,000,000 per occurrence for commercial general liability, $3,000,000 aggregate limits, and specific provisions for bodily injury, property damage, and other standard insurance protections. The policy is designed to provide broad protection for governmental operations and contractor activities across various state and local government entities.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR076711_myCOI_Instructions.pdf | ||
| CTR076711_Contract_Document.pdf | ||
| CTR076711_Pre_Contract_Documents.pdf | ||
| CTR076711_Contract_Amendment_1.pdf |
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Text version
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
WC 00 03 13
(Ed. 4-84)
© 1983 National Council on Compensation Insurance.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us).
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule
State Blanket/Schedule/State
AZ State of Arizona. Policy shall contain a waiver of subrogation endorsement as required by written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commission, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.
AZ BLANKET
Blanket Waiver: Anyone for whom you have agreed to provide this Waiver subject to the terms of this endorsement
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
07/01/2021Endorsement Effective 1007044Policy No. 9Endorsement No.
Western AZ Council of GovernmentsInsured Premium $
CopperPoint Indemnity Insurance CompanyInsurance Company Countersigned by
This document may have been uploaded to the CopperPoint Portal.
| COI State of AZ-Contract CTR076711 |
| CTR076711 Auto Waiver |
| CTR076711 CGL Waiver |
| CTR076711 ENDT Auto |
| CTR076711 ENDT completed ops |
| CTR076711 ENDT scheduled |
| CTR076711 WC WOS State of AZ |
File details come from the government source that posted it. Updated .