_10ReLicensingAriseHomesWorkersComp_Thru10-30-25_Redacted.pdf

This document is a Certificate of Liability Insurance issued by Gary A Davis Insurance for Arise Homes, LLC, with The Pine Insurance Company as the insurer. The certificate is dated 11/7/2024 and is specifically issued for the Arizona Department of Child Safety, Office of Procurement and Contracts, located in Phoenix, Arizona. The document includes a waiver of subrogation endorsement in favor of the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

The insurance policy covers workers' compensation and employers' liability, with policy number WC PI 516482-001, effective from 10/30/2024 to 10/30/2025. The policy provides statutory coverage with limits of $1,000,000 for each accident, $1,000,000 for employee disease, and a $1,000,000 policy limit for disease. The certificate indicates that no other insurance coverages are detailed, and it serves as a matter of information only, not extending or altering the coverage afforded by the underlying policies.