CTR078037_COI.pdf
PDF 114 KB Posted
- Attached to
- Master Agreement AZ|CTR078037
- Contract number
- CTR078037
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance dated 02/14/2025 for Chiller Services, Inc., located in Gilbert, Arizona. The insurance is provided by two insurers: Continental Western Insurance (Insurer A) and Zurich American Insurance Co. (Insurer B). The certificate holder is the International School of Arizona, located in Scottsdale, Arizona. The insurance is brokered through Prince Insurance Group in Wheat Ridge, Colorado.
The certificate covers multiple types of insurance including Commercial General Liability, Automobile Liability, Umbrella/Excess Liability, and Workers' Compensation. The policies are effective from 01/01/2025 to 01/01/2026. Key coverage limits include $1,000,000 for each occurrence in General Liability, $1,000,000 for Automobile Liability, $5,000,000 for Umbrella Liability, and $1,000,000 for Workers' Compensation. The policies provide protection for potential damages, injuries, and workplace incidents, with aggregate limits ranging from $2,000,000 to $5,000,000 depending on the specific coverage type.
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Text version
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 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 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
CSGRO-1 OP ID: MA
02/14/2025
Kathy Molliconi Prince Insurance Group 4350 Wadsworth Blvd., Ste 201 Wheat Ridge, CO 80033 James M. Prince
303-991-7227 303-991-7248 kmolliconi@prince-insurance.com
Continental Western Insurance Zurich American Insurance Co.
Chiller Services, Inc.
756 N Monterey St.
Gilbert, AZ 85233
A X 1,000,000
X CPA3323709 01/01/2025 01/01/2026 300,000
10,000
1,000,000
2,000,000
X X 2,000,000
1,000,000A
CPA3323709 01/01/2025 01/01/2026
X
X X
X 5,000,000
X
A
CPA3323709 01/01/2025 01/01/2026 5,000,000
Prod-Comp 5,000,000
XB
WC298303802 01/01/2025 01/01/2026 1,000,000
Y
1,000,000
1,000,000
International School of Arizona 9522 E San Salvador Dr.
Scottsdale, AZ 85258
303-991-7227
10804
16535
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