Encyclopaedia_Britannica_Inc_COI_-_Expires_5-15-2024.pdf
PDF 90 KB Posted
- Attached to
- Master Agreement AZ|CTR057659
- Contract number
- CTR057659
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Hylant - Chicago for Encyclopaedia Britannica, Inc. and Merriam-Webster, Inc. The certificate is specifically related to a solicitation (No. BPM002821) for the Arizona Department of Administration, which includes its departments, agencies, boards, commissions, universities, and associated entities. The insurance is provided by multiple insurers, including Hartford Fire Insurance Company, Travelers Casualty & Surety Co, Twin City Fire Insurance Company, Trumbull Insurance Company, and Hartford Casualty Insurance Company.
The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella Liability, Workers' Compensation, Crime/Fidelity, Professional Liability, and Cyber/Media insurance. The policy period runs from 5/15/2023 to 5/15/2024, with various coverage limits. Notable limits include $1,000,000 for General Liability, $1,000,000 for Automobile Liability, $15,000,000 for Umbrella Liability, and $5,000,000 for Professional and Cyber/Media Liability. The certificate includes retentions for Professional Liability ($200,000), Crime/Fidelity ($100,000), and Cyber-Media ($100,000). The Arizona Department of Administration is listed as the certificate holder, with provisions for additional insured status and waiver of subrogation when required by written agreement.
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Text version
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
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
8/15/2023
Hylant - Chicago 300 S. Wacker Dr, Ste 650 Chicago IL 60606
Katie Hughes 317-817-5181 317-817-5151 katie.hughes@hylant.com
License#: 23894 Hartford Fire Insurance Company 19682 ENCYBRI-01 Travelers Casualty & Surety Co 19038
Encyclopaedia Britannica, Inc.
Merriam-Webster, Inc.
325 N. LaSalle St., Suite 200 Chicago IL 60654
Twin City Fire Insurance Co 29459 Trumbull Insurance Company 27120 Hartford Casualty Insurance Co 29424
2101399532
C X 1,000,000 X 300,000
10,000
1,000,000
2,000,000 X
Y Y 83UUNAF4401 5/15/2023 5/15/2024
2,000,000
D 1,000,000
X X
Y Y 83UENAF4371 5/15/2023 5/15/2024
E X X 15,000,00083XHUAF3043 5/15/2023 5/15/2024
15,000,000 X 10,000
C X
N
83WEAF8ETC 5/15/2023 5/15/2024
1,000,000
1,000,000
1,000,000 B B A
Crime//Fidelity Professional Cyber/Media
107254573 107254573
83TE035088022
5/15/2023 5/15/2023 5/15/2023
5/15/2024 5/15/2024 5/15/2024
Limit Limit Limit
3,000,000 5,000,000 5,000,000
Retentions: Professional - $200,000/ Crime/Fidelity - $100,000 / Cyber-Media - $100,000 Re: Solicitation No. BPM002821
Arizona Department of Administration, its departments, agencies, boards, commissions, universities and its departments, districts, officials, agents and employees are Additional Insureds under the General Liability and Automobile coverage on a primary basis when required by written contract. A Waiver of Subrogation applies with regard to the General Liability, Automobile and Workers' Compensation coverages when required by written agreement.
Arizona Department of Administration Services State Procurement Office 100 N 15th Ave., Suite 402 Phoenix AZ 85007
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