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

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

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 .