11-1-24_COI_Med_Liability.pdf

PDF 77 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 Holdings, LLC, with Medical Protective Company as the primary insurer. The certificate is for a statewide contract with the State of Arizona, specifically the ADOA/State Procurement Office located in Phoenix, Arizona. The certificate is related to Contract #CTR073227 for Statewide Employee Medical Exam Services.

The insurance policy provides medical malpractice liability coverage with shared limits of $2M per event and $5M aggregate. The policy period runs from 11/01/2023 to 11/01/2024, with a retroactive date of 12/18/2020. The policy has a $0 deductible and covers medical services, specifically employee medical examinations for the state of Arizona. The certificate demonstrates the insurance requirements for the contracted medical services, ensuring appropriate liability protection for the state and the service provider.

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