2022-06-30 GL AL WC PL.pdf
PDF 123 KB Posted
- Attached to
- Master Agreement AZ|CTR051841
- Contract number
- CTR051841
- Issued by
- Arizona
About this file
This document is a Certificate of Insurance (COI) issued by the Arizona Department of Administration's Risk Management Department for the State of Arizona and the University of Arizona, located at 220 W. Sixth Street in Tucson. The certificate verifies insurance coverage for state departments, agencies, boards, commissions, and employees in accordance with Arizona Revised Statutes §41-621 and §41-622.
The insurance coverage is effective from July 1, 2021, to June 30, 2022, and includes Commercial General Liability with a $1,000,000 per occurrence/$3,000,000 annual aggregate limit, Commercial Auto Liability with a $1,000,000 combined single limit per occurrence, Workers' Compensation at statutory levels, and Professional Liability with a $1,000,000 limit. Additionally, the certificate covers All Risk Real Property at replacement cost and All Risk Personal Property at actual cash value. The document is labeled as a "Generic COI for FY22, University of Arizona" and serves as evidence of coverage only.
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Text version
Certificate of Insurance This is to certify that the State of Arizona and
University Of Arizona
220 W. Sixth Street, Univ. Svcs.
Annex, East Building, 300b Tucson, Arizona 85701-1014 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
7/1/2021 6/30/2022
Bodily Injury and Property Damage Combined Single Limit
$1,000,000 per occurrence/$3,000,000 annual aggregate
Commercial Auto Liability Including:
1 Owned Vehicles
2 Non-owned Vehicles
3 Hired Vehicles
7/1/2021 6/30/2022
Bodily Injury and Property Damage Combined Single Limit
$1,000,000 combined single limit per occurrence
Workers' Compensation 7/1/2021 6/30/2022 Statutory Professional Liability 7/1/2021 6/30/2022 $1,000,000 All Risk Real Property: Replacement Cost 7/1/2021 6/30/2022 Replacement Cost
All Risk Personal Property: Actual Cash Value 7/1/2021 6/30/2022 Actual Cash Value
Other:
Description of Event/Property/Contract:
Generic COI for FY22, University of Arizona
Location:
Non Applicable
Special Provisions:
Date:
5/11/2021
RM Claims Manager
COI #14425
RM-VIP1 (Rev 8/98) IPS 3687
Certificate Holder:
Attn: Insurance Representative Attn: Insurance Representative Evidence Of Coverage Only Evidence Of Coverage Only, Arizona 85701
This certificate supersedes any previously issued certificates.
File details come from the government source that posted it. Updated .