1-1-25_COI_GL_AL.pdf

PDF 115 KB Posted

Attached to
Master Agreement AZ|CTR073227
Contract number
CTR073227
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by PIMS Insurance Services, LLC for MBI Industrial Medicine, Inc., with Fidelity & Guaranty Insurance Company as the primary insurer. The certificate is for the State of Arizona, specifically the ADOA/State Procurement Office, and covers a statewide contract for Employee Medical Exam Services. The insurance provides coverage for the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

The insurance policy provides commercial general liability coverage with policy limits of $2,000,000 per occurrence, $4,000,000 general aggregate, and $10,000 for medical expenses. The policy is effective from 01/01/2024 to 01/01/2025 and includes automobile liability with a combined single limit of $1,000,000. The certificate specifically references Contract #CTR073227 for Statewide Employee Medical Exam Services, which appears to be a comprehensive contract covering medical examination services across various state entities, with additional insured status and waiver of subrogation provisions included in the policy.

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