07.01.26_COI_GL.pdf

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).

PRODUCER: Coverage is independently procured by the Insured

For questions related to this certificate contact:

Strategic Risk Solutions (Cayman) LTD Caribbean Plaza, 2nd Floor, North Building 878 West Bay Rd P.O. Box 1159 Grand Cayman KY1‐1102 Cayman Islands

CONTACT SRS Cayman

NAME:

PHONE

(A/C, No, Ext):

FAX

(A/C, No):

E-MAIL

ADDRESS:

SRSCayman.Certs@strategicrisks.com

PRODUCER

CUSTOMER ID #:

INSURER(S) AFFORDING COVERAGE NAIC #

INSURED

Banner Health Attn: Risk Management 2901 N Central Avenue Suite #160 Phoenix, AZ 85012 Tel: 602 747-4799

INSURER A: Banner Indemnity Ltd.

INSURER B:

INSURER C:

INSURER D:

INSURER E:

INSURER F:

CERTIFICATE OF LIABILITY INSURANCE

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

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.

INSR

LTR TYPE OF INSURANCE

ADDL

INSR

SUBR

WVD

POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

GENERAL LIABILITY

BIL 2025 - CM 07/01/2025 07/01/2026

EACH CLAIM $

COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED

PREMISES (Each occurrence)

X CLAIMS-MADE OCCUR MED EXP (Any one person) $

PERSONAL & ADV INJURY $

PROFESSIONAL LIABILITY GENERAL AGGREGATE $ 4,000,000

GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS/COMP/OP AGG $

POLICY PROJECT LOC $

AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT

(Each accident)

ANY AUTO BODILY INJURY (Per person)

ALL OWNED AUTOS BODILY INJURY (Per accident)

SCHEDULED AUTOS PROPERTY DAMAGE (Per accident)

HIRED AUTOS $

NON-OWNED AUTOS $

UMBRELLA

LIAB

OCCUR EACH OCCURRENCE $

EXCESS LIAB CLAIMS-MADE AGGREGATE $

DEDUCTIBLE $ $

RETENTION $ $

WORKERS COMPENSATION AND

EMPLOYERS' LIABILITY Y/N

WC STATU-

TORY LIMITS

OTH-

ER

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

E.L. EACH ACCIDENT $

(Mandatory in NH) E.L. DISEASE - EA

EMPLOYEE $

If yes, describe under DESCRIPTION OF OPERATIONS below

E.L. DISEASE - POLICY LIMIT $

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (Attach ACORD 101, Additional Remarks Schedule, if more space is required): Banner Health has arranged to extend coverage to

Banner University Medical Group - ADES Contract No.: CTR073226 - Statewide Employee Medical Exam Services.

- With respect to the coverage of commercial general liability, The State of Arizona, its departments, agencies, boards, commissions, universities, and its officers, officials, agents, and employees shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor

- Subrogation is waived in favor of The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor

- Sexual Abuse and Molestation coverage is not excluded.

CERTIFICATE HOLDER CANCELLATION

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE

THEREOF, NOTICE WILL BE DELIVERED IN ACCPRDANCE WITH THE POLICY PROVISIONS

. Arizona Department of Administration State Procurement Office 1802 W. Jackson, #100 Phoenix, AZ 85007

AUTHORIZED REPRESENTATIVE

ACORD 25 (2014/01) The ACORD name and logo are registered marks of ACORD © 1988-2014 ACORD CORPORATION. All rights reserved.

3,000,000

X

A

3,000,000

3,000,000

50,000

Date: 08/11//25 mailto:isabel.mettetal@srsmail.com