The_Webmethod_LLC_-_COI.pdf
PDF 205 KB Posted
- Attached to
- Master Agreement AZ|CTR078124
- Contract number
- CTR078124
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for The Webmethod LLC, issued by LeBaron & Carroll LLC, with Valley Forge Insurance Co, Continental Casualty Company, and Hanover Insurance Company as insurers. The certificate is issued for the State of Arizona Department of Administration, located in Phoenix, AZ, and provides proof of insurance coverage for the company.
The insurance coverage includes Commercial General Liability with a $1,000,000 per occurrence limit, Automobile Liability also at $1,000,000, Umbrella Liability with a $5,000,000 limit, Workers' Compensation with $1,000,000 coverage, and a Crime policy with a $1,000,000 limit. The policies are effective from 5/25/2025 to 5/25/2026, with the Crime policy running from 5/11/2025 to 5/11/2026. The insured is The Webmethod LLC, located at 2328 N Glenview in Mesa, AZ, and the certificate holder is the State of Arizona Department of Administration.
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Text version
ANY PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
INSR ADDL SUBR
LTR INSD WVD
PRODUCER CONTACT
NAME:
FAXPHONE
(A/C, No):(A/C, No, Ext):
ADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER
POLICY EFF POLICY EXP
TYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $
DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $
PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $
COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $
OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOS
HIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
OCCUR EACH OCCURRENCE
CLAIMS-MADE AGGREGATE $
DED RETENTION $
PER OTH-
STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $
If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / N
N / A (Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
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.
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 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).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
The ACORD name and logo are registered marks of ACORD
9/5/2025
(480) 739-9159
20508
The Webmethod LLC 2328 N Glenview Mesa, AZ 85213
20443 22292
A 1,000,000
B7013659764 5/25/2025 5/25/2026 1,000,000
10,000
1,000,000
2,000,000
2,000,000
1,000,000A
B7013659764 5/25/2025 5/25/2026
5,000,000B B7013659778 5/25/2025 5/25/2026 5,000,000
10,000 A
WC739650212 5/25/2025 5/25/2026 1,000,000
1,000,000
1,000,000
C Crime (Includes Burg BDWJ41566602 5/11/2025 Limit: 1,000,000
Proof of Insurance
State of Arizona Department of Administration 1802 West Jackson Street - Number 100 Phoenix, AZ 85007
THEWEBM-01 TRUFFONI
LeBaron & Carroll LLC 1350 E Southern Avenue Mesa, AZ 85204
Vanessa Barba vanessa@lebaroncarroll.com
Valley Forge Insurance Co Continental Casualty Company Hanover Insurance Company
X
5/11/2026
X X
X
X X
X
X
X
File details come from the government source that posted it. Updated .