ERG GL Endorsement ARIZONA.pdf
PDF 85 KB Posted
- Attached to
- Master Agreement AZ|CTR070398
- Contract number
- CTR070398
- Issued by
- Arizona
About this file
This document is a Liability Insurance Endorsement issued by Federal Insurance Company (now Chubb) for Eastern Research Group, with a policy period from January 1, 2021 to January 1, 2022. The endorsement specifically adds the Arizona Department of Environmental Quality (located in Phoenix, AZ) as an additional insured party under the general liability insurance policy.
The endorsement outlines the terms of additional insured status, specifying that the Arizona Department of Environmental Quality is covered under the policy, but only to the extent required by a contract or agreement. The insurance is primary and noncontributory, meaning Chubb will not seek contribution from other insurance sources. The policy provides coverage for damages, losses, and expenses related to injury or damage, with specific limitations on the scope of insured activities and timing of coverage relative to contract execution.
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Text version
Additional Insured - Scheduled Person Or Organization continued
80-02-2367 (Rev. 5-07) Endorsement 1
Liability Insurance
Form Page
3603-28-85 BOS
FEDERAL INSURANCE COMPANY
JANUARY 1, 2021 TO JANUARY 1, 2022
JANUARY 14, 2021
JANUARY 1, 2021
EASTERN RESEARCH GROUP
This Endorsement applies to the following forms:
Name of Company
Endorsement
Policy Number
Effective Date
Policy Period
Date Issued
Liability Insurance
Insured
GENERAL LIABILITY
Who Is An Insured the following provision only:
them but they are insuredAdditional Insured - you are
Scheduled Person Or Organization by this policy.
Is An Insured, However, the person or organization is an insured is added withobligated pursuant to a to shown or agreement to are insureds is� if or organizations the extent the person or organ
Persons and then only contract in the Schedule provide
Under Who ization described in the Schedule;
such insurance s only if as is afforded for eement; and did not occur, in whole requires the person or agr act an insured loss, cost or expense for injury or to� status as to damages, or agreement or in part, before the of with respect that contract damage which this insurance applies.
such execution the be affordedto the extent organization to contract orivities person is more specifically identified under this provision:
of the
No section organization is an insured under any other provision Whothat or
(regardless of any limitation applicable thereto).
Is An Insured expense for injury absence of
, to which this insurance person would have in the or contr or agreement. This limitation does not apply cost or with act to any assumption of liability (of another applies, that the respect damage such contract or agreement.
liability for damages organization in to the or organization) by them a person or , loss, Additional Insured - Scheduled Person Or Organization last page
80-02-2367 (Rev. 5-07) Endorsement 2
Liability Insurance
Form Page
Liability Endorsement (continued)
Conditions from insurance available to such
Other Insurance � person Primary, Noncontributory case Insurance � Scheduled Person Or Organization this insurance is primary and we a contract or added to the th shown are obligated, pursuant to will not seek contribution or you
Conditions, the following provision is agreement, afforded by
If organization.
with
Schedule
Schedule
Under in the primary insurance such as is to condition provide titled policy, then in suchthis
Other Insurance.
e person or organization
ARIZONA DEPARTMENT OF ENVIRONMENTAL QUALITY
1110 W WASHINGTON ST.
PHOENIX, AZ 85007
UVWX
All other terms and conditions remain unchanged.
Authorized Representative
80-02-2367 ADDL INSURED-SCHEDULED PERSON OR ORGANIZATION
File details come from the government source that posted it. Updated .