2022-06-30 COI CTR063969.pdf
PDF 115 KB Posted
- Attached to
- Master Agreement AZ|CTR063969
- Contract number
- CTR063969
- Issued by
- Arizona
About this file
This document is a Certificate of Insurance issued by the Arizona Department of Administration's Risk Management Department, covering the State of Arizona and Arizona State University. The certificate confirms insurance coverage for various state departments, agencies, boards, commissions, and employees in accordance with Arizona Revised Statutes §41-621 and §41-622.
The insurance coverage includes Commercial General Liability with a $3,000,000 combined single limit for bodily injury and property damage, Commercial Auto Liability with a $1,000,000 combined single limit, Statutory Workers' Compensation, and Professional Liability with a $1,000,000 limit. The coverage is effective from 4/14/2021 to 6/30/2023 and is described as a "Master certificate of Insurance" with no specific location or special provisions noted. The certificate is issued solely as a matter of information and does not confer any additional rights or modify existing coverage.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR063969_A2_Executed_final.pdf | ||
| CTR063969_Contract_Docs.pdf | ||
| CTR063969_Pricing.xlsx | XLSX spreadsheet | |
| CTR063969 Contract Amendment 3.pdf | ||
| CTR063969_A4_FE.pdf | ||
| 2025-01-25 COI.pdf | ||
| CTR063969_A1_executed_with_debarment_checks.pdf |
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Text version
Certificate of Insurance This is to certify that the State of Arizona and
Arizona State University
1130 E. University Drive Tempe, Arizona 85281 are covered parties for the following coverages:
This certifies that the State of Arizona maintains for all its departments, agencies, boards, commissions and employees, insurance and self-insurance of the types and amounts specified below in accordance with Arizona Revised Statutes §41-621 and §41-622.
This certificate is issued as a matter of information only and confers no rights upon the certificate holder. It neither affirmatively nor negatively amends, extends, nor alters the coverage afforded by Arizona Revised Statutes.
This certificate is issued by: Arizona Department of Administration, Risk Management Department, 100 North 15th Avenue, Phoenix, Arizona 85007 (602) 542-2182.
Coverage Effective Date
Expiration Date Limits of Coverage
Commercial General Liability Including:
1 Premises/Operations Liability 2 Products and Completed Operations 3 Blanket Contractual 4 Personal Injury 5 Broad Form Property Damage
4/14/2021 6/30/2023
Bodily Injury and Property Damage Combined Single Limit
$3,000,000
Commercial Auto Liability Including:
1 Owned Vehicles
2 Non-owned Vehicles
3 Hired Vehicles
4/14/2021 6/30/2023
Bodily Injury and Property Damage Combined Single Limit
$1,000,000
Workers' Compensation 4/14/2021 6/30/2023 Statutory Professional Liability 4/14/2021 6/30/2023 $1,000,000 All Risk Real Property: Replacement Cost
All Risk Personal Property: Actual Cash Value
Other:
Description of Event/Property/Contract:
Master certificate of Insurance
Location:
N/A
Special Provisions:
Date:
4/16/2021
RM Claims Manager
COI #14382
RM-VIP1 (Rev 8/98) IPS 3687
Certificate Holder:
Attn: Insurance Representative N/A N/A N/A, Arizona N/A
This certificate supersedes any previously issued certificates.
File details come from the government source that posted it. Updated .