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.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment_08_Organization_Profile.pdf | ||
| CTR073227_Contract_Amendment__2.pdf | ||
| 07.01.26_COI_WC.pdf | ||
| 11.01.25_COI_PL.pdf | ||
| CTR073227_Contract_Amendment__1.pdf | ||
| CTR073227_MBI_Industrial_Employee_Med_Exam_Svcs.pdf | ||
| Listing_of_all_Service_Locations.xlsx | XLSX spreadsheet | |
| 11-1-24_COI_Med_Liability.pdf | ||
| 01.01.26_COI_GL_AL.pdf | ||
| 1-10-25_COI_Cyber.pdf | ||
| 7-1-25_COI_WC.pdf | ||
| AZ_All_Locations_Map.pdf | ||
| Attachment_09.xlsx | XLSX spreadsheet | |
| MBI_Attachment_13_Pricing_Document_rev_8-22-24.xlsx | XLSX spreadsheet |
Show all 14
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