2023-10-18_COI.pdf

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Attached to
Master Agreement AZ|CTR066287
Contract number
CTR066287
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Philadelphia Indemnity Insurance Company and Wesco Insurance Company for Flagstaff Shelter Services, Inc., with Leavitt Group of Northern Arizona, Inc. as the producer. The certificate is for a contract with the State of Arizona, specifically for Housing Support Services in Pima County, and covers Flagstaff Shelter Services, Inc. as the primary insured, with the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees listed as additional insureds.

The insurance policy provides commercial general liability and commercial auto coverage with policy periods from 10/18/2022 to 10/18/2023. The general liability coverage includes a $2,000,000 general aggregate limit and a $1,000,000 per occurrence limit, while the workers' compensation policy covers statutory limits with a $1,000,000 policy limit. The policy specifically covers liability arising from work performed by or on behalf of the contractor, including activities involving automobiles owned, hired, and/or non-owned by the contractor. The contract number is CTR086267, with a solicitation number of BPM05136 for Housing Support Services in Pima County.

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