PCG_COI_-_AZ_-_CTR053242_-_4.2.2025.pdf
PDF 177 KB Posted
- Attached to
- Master Agreement AZ|CTR053242
- Contract number
- CTR053242
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance issued on 3/27/2025 by Brown & Brown Insurance Services, Inc. for Public Consulting Group LLC. The certificate involves multiple insurance carriers including Great Northern Insurance Company, Federal Insurance Company, ACE American Insurance Company, and Allied World National Assurance Company. The certificate holder is the Arizona Department of Health Services, located in Phoenix, Arizona, and the contract is referenced as Contract #CTR053242.
The insurance coverage includes Commercial General Liability with $1,000,000 per occurrence and $2,000,000 aggregate limits, Automobile Liability with $1,000,000 combined single limit, Umbrella/Excess Liability with $9,000,000 each occurrence/aggregate, Workers' Compensation, and Professional/Cyber Liability with $10,000,000 each claim/aggregate and a $500,000 retention. The policy period runs from 4/1/2025 to 4/1/2026. The State of Arizona and its departments are included as Additional Insured under the General Liability and Auto Liability policies, with a waiver of subrogation granted where required by written contract.
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Text version
3/27/2025
Brown & Brown Insurance Services, Inc.
980 Washington Street Suite 325 Dedham MA 02026
Rich Camelio
Rich.Camelio@bbrown.com
Public Consulting Group LLC Attn: Michael Marotta 148 State St., 10th Floor Boston MA 02109
Great Northern Insurance Company 20303 Federal Insurance Company 20281 ACE American Insurance Company 22667 Allied World National Assurance Company 10690
25-26 GL Auto UMB WC
A
X
X
X
X Y 35855036 4/1/2025 4/1/2026
1,000,000
1,000,000
10,000
1,000,000
2,000,000
Included
Employee Benefits 1,000,000
B
X X X Y (26)73540440 4/1/2025 4/1/2026
1,000,000
B
D
X
X
X
X Y
5672-10-14 4/1/2025 4/1/2026
0311-2674 4/1/2025 4/1/2026
1,000,000
1,000,000 Each Occurrence/Aggregate 9,000,000
C N
(26)71724811 4/1/2025 4/1/2026
X
1,000,000
1,000,000
1,000,000
C Professional/Cyber Liability/ D97157753 4/1/2025 4/1/2026 Each Claim/Aggregate: $10,000,000
Technology E&O: Claims Made Retention: $500,000
RE: CONTRACT # CTR053242
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as Additional Insured under the General Liability and Auto Liability policies where required by written contract. A waiver of subrogation is granted to the Additional Insured under the General Liability, Auto Liability, and Workers Compensation policies where required by written contract. 30 day notice of cancellation as per poilicy provisions.
ARIZONA DEPARTMENT
OF HEALTH SERVICES
150 N 18th Avenue Suite 530 Phoenix, AZ 85007
Owen Callaghan/RASTAP
Y
The ACORD name and logo are registered marks of ACORD
CERTIFICATE HOLDER
© 1988-2014 ACORD CORPORATION. All rights reserved.
ACORD 25 (2014/01)
AUTHORIZED REPRESENTATIVE
CANCELLATION
DATE (MM/DD/YYYY)CERTIFICATE OF LIABILITY INSURANCE
LOCJECT
PRO-
POLICY
GEN'L AGGREGATE LIMIT APPLIES PER:
OCCURCLAIMS-MADE
COMMERCIAL GENERAL LIABILITY
PREMISES (Ea occurrence) $
DAMAGE TO RENTED
EACH OCCURRENCE $
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GENERAL AGGREGATE $
PRODUCTS - COMP/OP AGG $
$RETENTIONDED
CLAIMS-MADE
OCCUR
AGGREGATE $
EACH OCCURRENCE $UMBRELLA LIAB
EXCESS LIAB
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
INSR
LTR TYPE OF INSURANCE POLICY NUMBER
POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY) LIMITS
PER
STATUTE
OTH-
ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE
E.L. DISEASE - POLICY LIMIT
ANY PROPRIETOR/PARTNER/EXECUTIVE
If yes, describe under DESCRIPTION OF OPERATIONS below
(Mandatory in NH)
OFFICER/MEMBER EXCLUDED?
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY Y / N
AUTOMOBILE LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
HIRED AUTOS
NON-OWNED
AUTOS AUTOS
AUTOS
COMBINED SINGLE LIMIT
BODILY INJURY (Per person)
BODILY INJURY (Per accident)
PROPERTY DAMAGE $
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.
INSD
ADDL
WVD
SUBR
N / A
(Ea accident)
(Per accident)
OTHER:
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 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:
INSURED
PHONE
(A/C, No, Ext):
PRODUCER
ADDRESS:
FAX
(A/C, No):
CONTACT
NAME:
NAIC #
INSURER A :
INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
INSURER(S) AFFORDING COVERAGE
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INS025 (201401)
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