2022_03_10_COI_CL_AL_UL_PL_SAM_WC.pdf

PDF 916 KB Posted

Attached to
Master Agreement AZ|CTR058022
Contract number
CTR058022
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package comprising multiple certificates of liability insurance for Odyssey Services Corporation, issued by Philadelphia Indemnity Insurance Company and Wesco Insurance Company, with Pinnacle Insurance Consultants as the producer. The policies cover various liability types for Odyssey Services Corporation and specifically name the State of Arizona, its departments, agencies, boards, commissions, universities, and employees as additional insureds. The policy period runs from 01/29/2022 to 01/29/2023.

The insurance coverage includes Commercial General Liability, Commercial Auto Liability, Professional Liability, and Workers Compensation, with each type having specific coverage limits. The policies cover services related to Career Exploration (CTR049906), Pre-Employment Transition Services (CTR056119-2), Tutoring Service (CTR044676), Supported Education Services for Vocational Rehabilitation Clients (CTR051931), and Small Business Consultation (CTR058022). The Commercial Umbrella Liability Insurance has a retained limit of $10,000 and provides aggregate liability coverage of $1,000,000 per occurrence, with a total premium of $3,240.00. The policies include waivers of subrogation and transfer of rights of recovery, primarily benefiting the State of Arizona and its various entities.

View the file

Other files

File Type Posted
Amendment_1 (1).pdf PDF
CTR058022_-_PNC_Endorsement__1_.pdf PDF
CTR058022_-_WOS_Endorsement__1_.pdf PDF
CTR058022_ODYSSEY_SERVICES_CORP_CGL_Auto_PL_SAM_COI_exp4.18.26.pdf PDF
CTR058022_Primary.pdf PDF
Exhibit_B_-_VR_Client_Service_Plan.pdf PDF
Exhibit_D_-_Proposed_Business_Concept_Overview.pdf PDF
2023_03_10_COI_CL_AL_UL_PL_WC_SAM.pdf PDF
BPM003842_Offer_and_Attachment.pdf PDF
CTR058022_-_Cancellation_Endorsement__1_.pdf PDF
CTR058022_Certificate_of_Insurance_Exp_2024.4.18.pdf PDF
CTR058022_Contract_Amendment_2.pdf PDF
Debarment_Check_9.5.2024.pdf PDF
Exhibit_E_-__Business_Plan_Outline.pdf PDF
ODYSSEY_SERVICES_CORP_Additonal_Insured_Endorsements.pdf PDF
BPM003842_Offer_and_Attachment (3).pdf PDF
CTR058022_-_AI_Endorsement__1_.pdf PDF
CTR058022_-_AO_AI__1_.pdf PDF
CTR058022_-_Ao_Statement__1_.pdf PDF
CTR058022_-_PNC__1_.pdf PDF
CTR058022_-_WC_COI__1_.pdf PDF
CTR058022_Certificate_of_Insurance.pdf PDF
CTR058022_Contract_Amendment_4.pdf PDF
CTR058022_Contract_Amendment_Summary_1_FINAL.pdf PDF
CTR058022_Debarment_Checks.pdf PDF
CTR058022_OdysseyServicesCorp-Waiver25__2_.pdf PDF
2022_03_10_CL_AL_UL_PL_SAM_WC.pdf PDF
Amendment_1.pdf PDF
Amendment_3.pdf PDF
BAFO_BPM003842_Small_Busines_Consultation (3).pdf PDF
CTR058022_-_Endorsements__1_.pdf PDF
CTR058022_-_WC_WOS__1_.pdf PDF
CTR058022_Contract_Documents.pdf PDF
CTR058022_OdysseyServicesCorp-Waiver.pdf PDF
Exhibit_C_-_Self-Employment_Readiness_Questionnaire.pdf PDF
Exhibit_F_-_Progress_Report.pdf PDF
Exhibit_G_-_Contractor_Invoice_Form.pdf PDF
ODYSSEY_SERVICES_CORP_Waiver_of_Subrogation_Endorsements.pdf PDF
Show all 38

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

POLICY CHANGE DOCUMENT

POLICY NO.:

CHANGE EFFECTIVE CHANGE # REVISION #

DESCRIPTION

PHPK2227220

102/03/2021

02/05/2021____________________ Issue Date

Amended:

Manuscript- Addl Insured Full Name-State of Arizona

Per attached Form

Philadelphia Indemnity Insurance Company

NAMED INSURED

25827 Pinnacle Insurance Consultants

Odyssey Services Corporation

MAILING ADDRESS 8947 E Quill St Mesa, AZ 85207-9724

POLICY PERIOD: FROM TO at 12:01 A.M. Standard Time at your mailing address shown above.

Path ID 14437737

0.00

NO CHANGE

COUNTERSIGNED BY

(Date) (Authorized Representative)

01/29/2021 01/29/2022

In consideration of the premium reflected, the policy is amended as indicated below:

Total Annual 0.00Additional/Return Premium $ Additional/Return Premium $

Total Prorate

NO CHANGE

Insurance Policy

PI-MANU-1 (01/00)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

All other terms and conditions of this Policy remain unchanged.

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

Policy Number: PHPK2227220

Addl Insured Full Name-State of Arizona

2022 03 10 CL AL UL PL SAM WC.pdf
COI thru 012923.pdf
CGL-AL - same policy number - Addnl Insured END EXP 1-29-22
Insurance Policy
Policy Change Document
Manuscript Endorsement

Waiver (1).pdf

File details come from the government source that posted it. Updated .