State_of_Arizona_Email_-_COI_for_Prentke_Romich_Company_BPM005390___Award_2.pdf
PDF 339 KB Posted
- Attached to
- Master Agreement AZ|CTR073462
- Contract number
- CTR073462
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance and an email chain regarding a Contract of Interest (COI) for Prentke Romich Company (PRC-Saltillo) with the State of Arizona Department of Administration State Procurement Office. The insurance certificate is issued by Hummel Group, Inc. on behalf of The Cincinnati Insurance Company and The Cincinnati Indemnity Company, covering Prentke Romich Company located in Wooster, OH. The certificate holder is the Arizona Department of Administration State Procurement Office in Phoenix, AZ.
The contract appears to be for Auditory, Low Vision, Technological and Other Assistive Devices, with discussions around specific insurance requirements. The email chain reveals negotiations about waiving certain insurance requirements, specifically SAM (State Authorized Manufacturer) coverage and subrogation. The insurance certificate provides comprehensive coverage including commercial general liability, automobile liability, umbrella liability, workers' compensation, and professional liability, with policy limits ranging from $1,000,000 to $10,000,000 across different coverage types. The policies are effective from 12/31/2023 to 12/31/2024, indicating a one-year contract period with potential for renewal.
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01/04/2024
Hummel Group, Inc.
461 Wadsworth Rd PO Box 3 Orrville OH 44667
Stephanie Pearson CISR
(330) 683-1050 (330) 683-1169 spearson@hummelgrp.com
Prentke Romich Company, DBA: PRC-Saltillo 1022 Heyl Rd
Wooster OH 44691
The Cincinnati Insurance Company The Cincinnati Indemnity Company 23280
Master 23-24
A Manufacturers E&O Inc.
Worldwide GL Incl. EPP0597785 12/31/2023 12/31/2024
1,000,000 500,000 10,000 1,000,000 2,000,000 2,000,000
A EPP0597785 12/31/2023 12/31/2024
1,000,000
A EPP0597785 12/31/2023 12/31/2024
10,000,000 10,000,000
B N EWC0462239 12/31/2023 12/31/2024
1,000,000 1,000,000 1,000,000
A Professional Liability Speech Therapist EPP0597785 12/31/2023 12/31/2024
Each Claim $2,000,000 Aggregate $4,000,000
Arizona Department of Administration State Procurement Office 1802 W Jackson, #100
Phoenix AZ 85007
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
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