CTR078009_COI_2026-02-01.pdf

08/01/2025

Strong Tower Insurance Group Inc 3325 E Baseline Rd

Gilbert AZ 85234-2633

Strong Tower Insurance Group Inc

(480) 926-9011 (877) 464-6442 debbie@strongtowerig.com

Nesbitt Investment Company Nesbitt Contracting Co., Inc 100 S Price Rd Tempe AZ 85288-3118

Alaska National Insurance Company 38733 CopperPoint Indemnity Insurance Company 13928 Westchester Surplus Lines Insurance Company 10172 Nesbitt Investment Company

25-26 ADOT w CPL

A PD $2500 ded

25BPS13199 02/01/2025 02/01/2026

1,000,000 100,000 5,000 1,000,000 2,000,000 2,000,000

A 25BAS13199 02/01/2025 02/01/2026

1,000,000

A 10,000

25BLU13199 02/01/2025 02/01/2026

5,000,000 5,000,000

B N 1029648 02/01/2025 02/01/2026 1,000,000 1,000,000 1,000,000

C Pollution Liability

G7167213A 001 01/01/2025 01/01/2026 Each Pollution Condition 1,000,000 Aggregate 2,000,000

NCC No: 125084 ADOT No: CTR078009 On-Call Milling & Asphalt Replacement Services Insurance applies to any and all work performed for or on behalf of the State of Arizona / ADOT. The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees is included as additional insured with respects to the general, auto and umbrella liability if required or agreed to in a written contract subject to all provisions and limitations of the policy. General and Auto liability coverage is primary and non-contributory. A waiver of subrogation in favor of Certificate Holder applies to the general and auto liability and employers liability / workers compensation if required or agreed to in a written contract subject to all provisions and limitations of the policy. Per attached forms ANIC GL 1187 08/21; ANIC CA 1264

02/21; WC 000313 04/84;ENV3250 12/18; ENV3251 12/18; ENV3143 03/05

The State of Arizona / ADOT 206 S 17th Ave

Phoenix AZ 85007

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

Cindy Lewis Accepted

Insured Nesbitt Investment Company

Nesbitt Investment Company Company 25B AS 13199 02/01/25 - 02/01/26

Nesbitt Investment Company 25B AS 13199 02/01/25 - 02/01/26

Nesbitt Investment Company Company 25B AS 13199 02/01/25 - 02/01/26