StateofArizona_ClarivateAnalyticsUSLLC__1_.pdf
PDF 104 KB Posted
- Attached to
- Master Agreement AZ|CTR057656
- Contract number
- CTR057656
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Willis Towers Watson Insurance Services West, Inc. for ProQuest LLC, covering insurance policies for the State of Arizona and its departments, agencies, boards, commissions, and universities. The certificate involves multiple insurers including American Guarantee and Liability Insurance, Zurich American Insurance Company, and American Zurich Insurance Company, with the certificate dated 01/29/2025 and referencing Contract CTR057656.
The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella Liability, and Workers' Compensation with various policy limits. The general liability policy has a $1,000,000 each occurrence limit and a $2,000,000 general aggregate limit. The automobile liability is set at $1,000,000 combined single limit, while the umbrella liability provides $10,000,000 in coverage. The Workers' Compensation policy covers $1,000,000 for each accident and per employee. The State of Arizona and its entities are included as additional insured, with the policies being primary and non-contributory, and including a waiver of subrogation as permitted by law.
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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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
Willis Towers Watson Insurance Services West, Inc.
c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA
ProQuest LLC 789 E. Eisenhower Parkway Ann Arbor, MI 48108
This Voids and Replaces Previously Issued Certificate Dated 11/27/2024 WITH ID: W36380537.
Re: Contract CTR057656
THE STATE OF ARIZONA AND ITS DEPARTMENTS, AGENCIES, BOARDS, COMMISSIONS, UNIVERSITIES, OFFICERS, OFFICIALS, AGENTS, AND EMPLOYEES are included as Additional Insured as respects to General Liability where required by written contract
Arizona Department of Administration State Procurement Office 1802 W Jackson Street #100 Phoenix, AZ 85007
01/29/2025
1-877-945-7378 1-888-467-2378 certificates@wtwco.com
American Guarantee and Liability Insurance 26247
Zurich American Insurance Company
American Zurich Insurance Company
16535
40142
W37596474
A
1,000,000
1,000,000
25,000
1,000,000
2,000,000
2,000,000
Y Y GLA-9883701-00 12/01/2024 12/01/2025
B
1,000,000
12/01/202512/01/2024Y Y GLA-9883701-00
A 10,000,000
AUC-9883774-00 12/01/2024 12/01/2025 10,000,000
WC-9883703-00
C Y
1,000,000 No 12/01/2024 12/01/2025
1,000,000
1,000,000
380711327208024SR ID: BATCH:
WTW Certificate Center
ACORD 101 (2008/01)
The ACORD name and logo are registered marks of ACORD
© 2008 ACORD CORPORATION. All rights reserved.
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: FORM TITLE:
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY CUSTOMER ID:
LOC #:
AGENCY
CARRIER NAIC CODE
POLICY NUMBER
NAMED INSURED
EFFECTIVE DATE:
ProQuest LLC 789 E. Eisenhower Parkway Ann Arbor, MI 48108 and Auto Liability.
General Liability shall be Primary and Non-contributory with any other insurance in force for or which may be purchased by Additional Insured where required by written contract and Auto Liability policies.
Waiver of Subrogation applies in favor of THE STATE OF ARIZONA AND ITS DEPARTMENTS, AGENCIES, BOARDS, COMMISSIONS, UNIVERSITIES, OFFICERS, OFFICIALS, AGENTS, AND EMPLOYEES with respects to General Liability where required by written contract, Auto Liability and Workers Compensation as permitted by law.
2 2
Willis Towers Watson Insurance Services West, Inc.
See Page 1
See Page 1 See Page 1 See Page 1
25 Certificate of Liability Insurance
W37596474CERT:3807113BATCH:27208024SR ID:
File details come from the government source that posted it. Updated .