EVDS_Statewide_Asb_CTR065793.pdf
PDF 70 KB Posted
- Attached to
- Master Agreement AZ|CTR065793
- Contract number
- CTR065793
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for East Valley Disaster Services, Inc., issued by Insurance Professionals of Arizona on 4/9/2025. The certificate involves multiple insurers, including GuideOne National Insurance Company, Auto Owners Insurance Company, Continental Insurance Company, and Ohio Security and Casualty Insurance Companies. The primary certificate holder is the Arizona Department of Environmental Quality, located in Phoenix, Arizona.
The contract (No. CTR065793) covers Asbestos, Lead and Mold Abatement Services, with comprehensive insurance coverage including commercial general liability, automobile liability, professional liability, and pollution liability. The policies provide various coverage limits, including $1 million/$2 million for professional and pollution liability, with policy periods from 04/15/2025 to 04/15/2026. Property insurance is also included, covering business personal property of $576,118, property of others at $636,078, and lease/rental property at $25,000. The insurance policies list the Arizona Department of Environmental Quality and its associated entities as additional insured, with primary/non-contributory coverage and a waiver of subrogation.
View the file
Other files
Show all 25
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
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
4/9/2025
Insurance Professionals of Arizona
3521 E. Brown Rd., Suite 101
Mesa AZ 85213
Amanda Bouchard
623-440-5497 602-971-4499
Cassy@insuranceproaz.com
East Valley Disaster Services, Inc.
257 W. Broadway Rd.
Mesa AZ 85210
GUIDEONE NATL INS CO 14167
AUTO OWNERS INS CO 18988
CONTINENTAL IND CO 28258
OHIO SECURITY INS CO 24082
OHIO CAS INS CO 24074
A
✘ contr pollution liability(claims made)
$1mil/$2mil
✘ prof liab $1mil/$2mil
Y Y ENV562009458-03 04/15/2025 04/15/2026
1,000,000
100,000
5,000
1,000,000
2,000,000
2,000,000
B
Y Y 5520284400 04/15/2025 04/15/2026
1,000,000
A ✘
Y Y ENV562009459-03 04/15/2025 04/15/2026
5,000,000
5,000,000
C Y 37-649847-01-01 08/10/2024 08/10/2025
1,000,000
1,000,000
1,000,000
D/E
PROPERTY
INLAND MARINE
BFS63027860/BMO63027860 04/15/2025 04/15/2026
BPP $576,118
BPP OF OTHERS $636,078
LEASE/RENTED $25,000
RE: Contract No. CTR065793, Asbestos, Lead and Mold Abatement Services
Arizona Department of Environmental Quality, State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are listed as additional insured in respects to the General Liability, Auto Liability and Excess Liability policies. The coverage provided is Primary/Non-Contributory including
Waiver of Subrogation. 30 day cancellation (10) days for non-payment of premium.
Arizona Department of Environmental Quality
1110 W. Washington Street
Phoenix, AZ 85007
File details come from the government source that posted it. Updated .