STATEOFARIZONA_W41693440.pdf

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Attached to
Master Agreement AZ|CTR079348
Contract number
CTR079348
Issued by
Arizona

About this file

This document is an Evidence of Property Insurance certificate issued by Willis Towers Watson Southeast, Inc. on behalf of Zurich American Insurance Company for QTC Commercial Services, LLC (a wholly owned subsidiary of Leidos Holdings, Inc.). The certificate is issued for the State of Arizona, specifically the Arizona Department of Administration's Office of Special Events, located in Phoenix, Arizona.

The insurance coverage provides comprehensive All Risks Commercial Property Insurance with a $25,000,000 total coverage limit, including business personal property, rented/borrowed equipment, valuable papers and records, improvements and betterments, plate glass, and transit coverage. The policy period runs from 10/01/2025 to 10/01/2026, with coverage provided on a Replacement Cost basis. The contract is associated with Contract Number CTR079348, and the certificate holder is listed as a Loss Payee as their interest may appear. Additional coverage includes a $7,500,000 transit limit and a $25,000,000 time element coverage.

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STATEOFARIZONA_W41693437.pdf PDF

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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.

CANCELLATION

© 1993-2015 ACORD CORPORATION. All rights reserved.ACORD 27 (2016/03)

The ACORD name and logo are registered marks of ACORD

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 EVIDENCE OF PROPERTY INSURANCE 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 INFORMATION

LOCATION/DESCRIPTION

COVERAGE INFORMATION

COVERAGE / PERILS / FORMS AMOUNT OF INSURANCE DEDUCTIBLE

PHONE

(A/C, No, Ext):

(A/C, No):

FAX E-MAIL

ADDRESS:

AGENCY

THIS EVIDENCE OF PROPERTY INSURANCE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE ADDITIONAL INTEREST NAMED BELOW. THIS EVIDENCE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS EVIDENCE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE ADDITIONAL INTEREST.

CUSTOMER ID #:

AGENCY

SUB CODE:CODE:

INSURED LOAN NUMBER POLICY NUMBER

TERMINATED IF CHECKED

CONTINUED UNTIL

EXPIRATION DATEEFFECTIVE DATE

THIS REPLACES PRIOR EVIDENCE DATED:

COMPANY

DATE (MM/DD/YYYY)

EVIDENCE OF PROPERTY INSURANCE

REMARKS (Including Special Conditions)

MORTGAGEE

ADDITIONAL INSURED LOSS PAYEE

ADDITIONAL INTEREST

NAME AND ADDRESS

AUTHORIZED REPRESENTATIVE

LOAN #

PERILS INSURED BASIC BROAD SPECIAL

LENDER'S LOSS PAYABLE

Willis Towers Watson Southeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

Zurich American Insurance Company 1299 Zurich Way Schaumburg, IL 601965870

QTC Commercial Services, LLC a wholly owned subsidiary of Leidos Holdings, Inc.

1750 Presidents Street Reston, VA 20190

All Risks Commercial Property Coverage Business Personal Property Rented Leased or Borrowed Equipment Valuable Papers & Records Improvements and Betterments Plate Glass Transit Time Element

$25,000,000 Included Included Included Included Included

$7,500,000 $25,000,000

Coverage is provided on a Replacement Cost basis.

Certificate Holder is Loss Payee as their interest may appear.

Contract Number: CTR079348

STATE OF ARIZONA,

ARIZONA DEPARTMENT OF ADMINISTRATION,

OFFICE OF SPECIAL EVENTS

100 N. 15111Avenue, Suite 202 Phoenix, AZ 85007

11/06/2025

1-877-945-7378

1-888-467-2378 certificates@wtwco.com

PPR-2501786-07

10/01/2025 10/01/2026

419643228827140 W41693440SR ID: BATCH: CERT:

All Risks

10.0.2.20120224.1.869952

DATE (MM/DD/YYYY): Page 1 of 1
DATE_MMDDYYYY: 11/06/2025
PHONE_NO: 1-877-945-7378
PRODUCER: Willis Towers Watson Southeast, Inc.

c/o 26 Century Blvd P.O. Box 305191 Nashville, TN 372305191 USA

FAX_AC_No: 1-888-467-2378
EMAIL_ADDR: certificates@wtwco.com
COMPANY_NAME_AND_ADDR: Zurich American Insurance Company

1299 Zurich Way Schaumburg, IL 601965870

POLICY_NUMBER_: PPR-2501786-07
INSURED: QTC Commercial Services, LLC

a wholly owned subsidiary of Leidos Holdings, Inc.

1750 Presidents Street Reston, VA 20190

POLICY_EFF: 10/01/2025
POLICY_EXP: 10/01/2026
CONT_UNTIL_TERM_CHECKBOX: Off
LOC_DESC_OF_PROP:
COVERAGE_DESC_1: All Risks Commercial Property Coverage

Business Personal Property Rented Leased or Borrowed Equipment Valuable Papers & Records Improvements and Betterments Plate Glass Transit Time Element

AMT_OF_INS_1: $25,000,000

Included Included Included Included Included $7,500,000 $25,000,000

DED_1:

REMARKS: Coverage is provided on a Replacement Cost basis.

Certificate Holder is Loss Payee as their interest may appear.

Contract Number: CTR079348

OTHER_INTEREST_TYPE_DESC:
VOID_AND_REPLACE:
MTGEE_CHECKBOX: 0
LOAN_NUMBER:
CERT_HOLDER_NAME_AND_ADDR:

STATE OF ARIZONA,

ARIZONA DEPARTMENT OF ADMINISTRATION,

OFFICE OF SPECIAL EVENTS

100 N. 15111Avenue, Suite 202 Phoenix, AZ 85007

AUTHORIZED_REPRESENTATIVE:
ADDITIONAL_INSURED_CHECKBOX: Off
LOSS_PAYEE_CHECKBOX: Off
BATCH_NUMBER: 4196432
SR_NUMBER: 28827140
CERT_NUMBER: W41693440
SRID_label: SR ID:
Batch_label: BATCH:
CERT_No_label: CERT:
OTHER_PERILS_DESC: All Risks
BASIC_PERILS_CHECKBOX: 0
BROAD_PERILS_CHECKBOX: 0
SPECIAL_PERILS_CHECKBOX: 0
OTHER_PERILS_CHECKBOX: Yes
LENEDER_LP_CHECKBOX: Off
OTHER_AI_CHECKBOX: Off

File details come from the government source that posted it. Updated .