2023-06-30 COI GL AL WC PL.pdf
PDF 123 KB Posted
- Attached to
- Master Agreement AZ|CTR056040
- Contract number
- CTR056040
- 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, covering the State of Arizona and the University of Arizona located in Tucson. The certificate verifies insurance coverage for various departments, agencies, boards, and commissions in accordance with Arizona Revised Statutes §41-621 and §41-622.
The insurance coverage is effective from July 1, 2022 to June 30, 2023 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, Workers' Compensation at statutory levels, and Professional Liability with a $1,000,000 limit. Additional coverages include All Risk Real Property at replacement cost and All Risk Personal Property at actual cash value. The certificate is designated as a generic COI for Fiscal Year 2023 for the 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 St, University Services Annex 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
7/1/2022 6/30/2023
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
7/1/2022 6/30/2023
Bodily Injury and Property Damage Combined Single Limit
$1,000,000 combined single limit
Workers' Compensation 7/1/2022 6/30/2023 Statutory Professional Liability 7/1/2022 6/30/2023 $1,000,000 All Risk Real Property: Replacement Cost 7/1/2022 6/30/2023 Replacement Cost
All Risk Personal Property: Actual Cash Value 7/1/2022 6/30/2023 Actual Cash Value
Other:
Description of Event/Property/Contract:
Generic COI for FY23, University of Arizona
Location:
N/A
Special Provisions:
Date:
4/21/2022
RM Claims Manager
COI #15215
RM-VIP1 (Rev 8/98) IPS 3687
Certificate Holder:
Attn: Insurance Representative Insurance Representative Evidence Of Coverage Only N/A, Arizona 85701
This certificate supersedes any previously issued certificates.
File details come from the government source that posted it. Updated .