2023-10-31_COI.pdf

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

6/21/2023

Crest Insurance Group, LLC 5285 E. Williams Circle Suite 4500 Tucson AZ 85711

Patty Foley 480-689-5338 480-839-2272 pfoley@crestins.com

Philadelphia Indemnity Ins Co 18058 JEWIFAM-01 CopperPoint Indemnity Insurance Company 13928

Jewish Family & Children's Service 4747 N 7th Street #100 Phoenix AZ 85014

1565913560

A X 1,000,000 X 100,000

5,000

1,000,000

3,000,000 X

Y Y PHPK2482281 10/31/2022 10/31/2023

3,000,000

A 1,000,000

X

X X

Y Y PHPK2482281 10/31/2022 10/31/2023

A X X 5,000,000PHUB838459 10/31/2022 10/31/2023

5,000,000 X 10,000

B X

N

Y 1020185-5 1/1/2023 1/1/2024

1,000,000

1,000,000

1,000,000 A A

Professional Liability Sexual Abuse and Molestation

PHPK2482281

PHPK2482281

10/31/2022 10/31/2022

10/31/2023 10/31/2023

Ea. Occurrence: $1M Ea. Occurrence: $1M

Aggregate: $3M Aggregate: $3M

Additional Insured applies as respects to General Liability per attached form PI-GLD-HS (10/11), when required by written contract. Additional Insured applies with respects to Automobile Liability per attached form PI-CA-001 (09/15). Waiver of Subrogation applies as respects General Liability per attached form PI-GLD-HS (10/11), Automobile Liability per attached form PI-CA-001 (09/15) and Workers Compensation per form WC000313. Subject to all policy terms, conditions and exclusions.

RE: Solicitation #BPM005148/Contract No. CTR066210 Domestic Violence - Statewide Additional Insured - officials, agents, and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor. The policy shall be endorsed, as required by this written agreement, to include the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, See Attached...

Arizona Department of Economic Security 1789 W Jefferson St Mail Drop 1541 Phoenix AZ 85007

D053873 Highlight

D053873 Highlight

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

JEWIFAM-01

1 1

Crest Insurance Group, LLC Jewish Family & Children's Service 4747 N 7th Street #100 Phoenix AZ 85014

25 CERTIFICATE OF LIABILITY INSURANCE

Waiver of Subrogation - Policy shall contain a waiver of subrogation endorsement, as required by this written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

POLICY CHANGE DOCUMENT

POLICY NO.:

CHANGE EFFECTIVE CHANGE # REVISION #

DESCRIPTION

PHPK2482281

407/01/2023

06/23/2023____________________ Issue Date

Amended:

Additional Insured Arizona Department of Economic Security as follows:

Additional Insured per CG2026 to read as follows:

Arizona Department of Economic Security Additional Insured - officials, agents, and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor. The policy shall be endorsed, as required by this written agreement, to include the State of Arizona, and its departments, agencies, boards, commissions, universities, officers 1789 W Jefferson St Mail Drop 1541 Phoenix, AZ 85007-3202

CG2024 - Waiver of Transfer of Rights of Recovery Against Others to Us to read as follows:

Arizona Department of Economic Security, as required by this written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and

Philadelphia Indemnity Insurance Company

NAMED INSURED

2857 Crest Insurance Group LLC

Jewish Family & Children's Service, Inc.

(and per named insured schedule)

MAILING ADDRESS 4747 N 7th St Ste 100 Phoenix, AZ 85014-3654

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

Path ID 16654427

0.00

NO CHANGE

COUNTERSIGNED BY

(Date) (Authorized Representative)

10/31/2022 10/31/2023

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

407/01/2023

06/23/2023____________________ Issue Date employees for losses arising from work performed by or on behalf of the Contractor

Additional Insured per CA2048 to read as follows:

Arizona Department of Economic Security Additional Insured - The policy shall be endorsed, as required by this written agreement, to include the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor 1789 W Jefferson St Mail Drop 1541 Phoenix, AZ 85007-3202

CA0444 - Waiver of Transfer of Rights of Recovery Against Others to Us (Waiver of Subrogation) to read as follows:

Arizona Department of Economic Security, as required by this written agreement in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and

(Continued)

407/01/2023

06/23/2023____________________ Issue Date employees for losses arising from work performed by or on behalf of the Contractor

Added:

Manuscript Endorsement - CG2024 - Waiver of Transfer of Rights of Recovery Against Others to Us

Per attached.

(Continued)

PI-AI-SCH (08/20)

Page of

Additional Insured Schedule

Policy Number:

Philadelphia Indemnity Insurance Company

Melissa Magallanez

Additional Insured

200 W Washington St Fl 19 Phoenix, AZ 85003-1611

State of Arizona, DES/DDD

Additional Insured

City of Phoenix, Community & Economic Development Department

1789 W Jefferson St

CG2026 - General Liability

Site Code 791

With respect to Contract #123801-WIA Youth Services

CA2048 - Commercial Automobile

CG2026 - General Liability

Phoenix, AZ 85007-3202

Additional Insured

PI-HS-011 - Professional Liability

Fenway Asset Management, LLC

Additional Insured

(See Manuscript Endorsement) 30 Days Notice of Cancellation

State of Arizona, DES/DDD

3721 Valley Centre Dr Ste 100

1789 W Jefferson St

San Diego, CA 92130-3330

Site Code 791 Phoenix, AZ 85007-3202

CG2011 - AZ - Loc #4

1 7

Page of

Saddle Brook, NJ 07663-5832

Additional Insured

CG2028 - AZ - Loc #4

AZPB Limited Partnership, AZPB FM

Additional Insured

NEC Financial Services, LLC, ISAOA 250 Pehle Ave Ste 309

See attached for full name

Additional Insured

401 E Jefferson St

CG2026 - General Liability

Phoenix, AZ 85004-2438

Area Agency on Aging, Region One & (See attached for full name)

CA2048 - Commercial Automobile

1366 E Thomas Rd Ste 108 Phoenix, AZ 85014-5739

Additional Insured

CA2048 - Commercial Automobile

AZPB Limited Partnership, AZPB FM See attached for full name 401 E Jefferson St Phoenix, AZ 85004-2438

3 7

Page of

Additional Insured

Health Choice Integrated Care 1300 S Yale St

State of Arizona, its departments, Flagstaff, AZ 86001-6328

3003 N Central Ave

Phoenix, AZ 85012-2902

CG2026 - General Liability

Additional Insured agencies, boards, commissions, "See Manuscript -Full Name"

CG2026 - General Liability

Site Code CH0110-20

550 N. 3rd Street Phoenix, AZ 85004-2154

CG2026 - General Liability

Additional Insured

Arizona Department of Child Safety Office of Contracts (see manuscript)

4 7

Page of

CG2026 - General Liability

Additional Insured

Arizona Department of Economic Security

Additional Insured

AHCCCS Contracts Unit, Mail Drop 5700, Division of Business and Finance 701 E Jefferson St Phoenix, AZ 85034-2215

Additional Insured - officials, agents, and employees as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor. The policy shall be endorsed, as required by this written agreement, to include the State of Arizona, and its departments, agencies, boards, commissions, universities, officers 1789 W Jefferson St Mail Drop 1541 Phoenix, AZ 85007-3202

CG2026 - General Liability

5 7

Page of

2700 N Central Ave Ste 1100

Additional Insured

Phoenix, AZ 85004-1149

CPSA

CG2005 - General Liability

State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees

4575 E Broadway Blvd Tucson, AZ 85711-3509

Additional Insured

Additional Insured

CG2026 - General Liability

The State of Arizona, it's Departments Agencies,Boards, Commisions,Universities

Additional Insured and it's Officers,Agents and Employees 3003 N Central Ave

Mercy Maricopa Integrated Care

Phoenix, AZ 85012-2902

4350 E Cotton Center Blvd Bldg D Phoenix, AZ 85040-8852

CA2048 - Commercial Automobile

CG2026 - General Liability

6 7

Page of

Additional Insured

CA2048 - Commercial Automobile

The State of Arizona, it's Departments agreement, to include the State of Arizona, and its departments, agencies, as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor 1789 W Jefferson St Mail Drop 1541 Phoenix, AZ 85007-3202

Agencies,Boards, Commisions,Universities and it's Officers,Agents and Employees boards, commissions, universities, officers, officials, agents, and employees

3003 N Central Ave Phoenix, AZ 85012-2902

CG2026 - General Liability

Additional Insured

Arizona Department of Economic Security Additional Insured - The policy shall be endorsed, as required by this written

7 7

POLICY NUMBER: COMMERCIAL GENERAL LIABILITY

CG 20 26 04 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 20 26 04 13 © Insurance Services Office, Inc., 2012 Page of

ADDITIONAL INSURED – DESIGNATED

PERSON OR ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Section II – Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations;

or

2. In connection with your premises owned by or rented to you.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of

Insurance shown in the Declarations;

whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

PHPK2482281

AHCCCS Contracts Unit, Mail Drop 5700, Division of Business and Finance

1 12

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations;

or

2. In connection with your premises owned by or rented to you.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of

Insurance shown in the Declarations;

whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

PHPK2482281

Arizona Department of Economic Security Additional Insured - officials, agents, and employees as additional insureds

3 12

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations;

or

2. In connection with your premises owned by or rented to you.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of

Insurance shown in the Declarations;

whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

PHPK2482281

State of Arizona, its departments, agencies, boards, commissions, "See Manuscript -Full Name"

11 12

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:

1. In the performance of your ongoing operations;

or

2. In connection with your premises owned by or rented to you.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.

B. With respect to the insurance afforded to these additional insureds, the following is added to Section III – Limits Of Insurance:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of

Insurance shown in the Declarations;

whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

PHPK2482281

The State of Arizona, it's Departments Agencies,Boards, Commisions,Universities and it's Officers,Agents and Employees

12 12

CG 24 04 10 93

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CG 24 04 10 93 Copyright, Insurance Services Office, Inc., 1992 Page 1 of 1 oo

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name of Person or Organization:

(If no entry appears above, information required to complete this endorsement will be shown in the Declarations as applicable to this endorsement.)

The TRANSFER OF RIGHTS OF RECOVERY AGAINST OTHERS TO US Condition (Section IV – COMMER- CIAL GENERAL LIABILITY CONDITIONS) is amended by the addition of the following:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard".

This waiver applies only to the person or organization shown in the Schedule above.

PHPK2482281

State of Arizona, DES/DDD, 1789 W Jefferson St Site Code 791, Phoenix, AZ 85007 Fenway Asset Management, LLC (Per Manuscript Endorsement)

CG 24 04 05 09

CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

Name Of Person Or Organization:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.

PHPK2482281

The State of Arizona, its departments, agencies, boards, commissions, universities, and its officers, officials, agents, and employees.

3003 N. Central Avenue, Phoenix, AZ, 85012

CG 24 04 05 09

CG 24 04 05 09 © Insurance Services Office, Inc., 2008 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

Name Of Person Or Organization:

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The following is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us of Section IV – Conditions:

We waive any right of recovery we may have against the person or organization shown in the Schedule above because of payments we make for injury or damage arising out of your ongoing operations or "your work" done under a contract with that person or organization and included in the "products-completed operations hazard". This waiver applies only to the person or organization shown in the Schedule above.

PHPK2482281

Arizona Department of Economic Security, as required by this written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses

PI-MANU-1 (01/00)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY

All other terms and conditions of this Policy remain unchanged.

ADDITIONAL INSURED - ABUSIVE CONDUCT LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

ABUSIVE CONDUCT LIABILITY COVERAGE FORM - CLAIMS MADE DEFENSE WITHIN LIMITS

ABUSIVE CONDUCT LIABILITY COVERAGE FORM - CLAIMS MADE

ABUSIVE CONDUCT LIABILITY COVERAGE FORM

SCHEDULE

Name of Additional Insured Person(s) or Organization(s):

Contract Workers

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Who Is An Insured

SECTION II - WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE above, but only with respect to "damages" because of "bodily injury" to which this insurance applies; caused in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. If coverage provided to the additional insured is required by contract or agreement, the insurance afforded to such additional

PI-SAM-010

insured will not be broader than that which you are required by contract or agreement to provide for such additional insured.

B. Limits of Insurance

With respect to the insurance provided to these additional insureds, the following is added to SECTION III - LIMITS OF INSURANCE:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of Insurance shown in the

Declarations;

Whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

C. Primary and Non-Contributory Condition

This provision applies to any person or organization who qualifies as an additional insured under this endorsement under this policy.

The following is added to SECTION V - ABUSIVE CONDUCT LIABILITY

CONDITIONS, D. Other Insurance:

If you have agreed in a written contract or agreement to provide the additional insured coverage on a primary and non-contributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for "damages" we cover.

When a written contract or agreement between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a named insured.

Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies.

D. Waiver of Transfer of Rights of Recovery Against Others to Us

The following is added to SECTION V - ABUSIVE CONDUCT LIABILITY

CONDITIONS, G. Transfer of Rights of Recovery Against Others To Us:

However, we will waive any right of recovery if you have agreed in a written contract or agreement to waive any right of recovery we have for payment we have made for "damages" arising out of your operations under a contract for that person or organization shown in the SCHEDULE because of any "bodily injury" to which this insurance applies, provided that the

"damages" occur subsequent to the execution of the written contract or agreement.

All other terms and conditions of the Coverage Part apply.

ADDITIONAL INSURED - ABUSIVE CONDUCT LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

ABUSIVE CONDUCT LIABILITY COVERAGE FORM - CLAIMS MADE DEFENSE WITHIN LIMITS

ABUSIVE CONDUCT LIABILITY COVERAGE FORM - CLAIMS MADE

ABUSIVE CONDUCT LIABILITY COVERAGE FORM

SCHEDULE

Name of Additional Insured Person(s) or Organization(s):

Contract Workers

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

A. Who Is An Insured

SECTION II - WHO IS AN INSURED is amended to include as an additional insured the person(s) or organization(s) shown in the SCHEDULE above, but only with respect to "damages" because of "bodily injury" to which this insurance applies; caused in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

PI SAM 010

2. If coverage provided to the additional insured is required by contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by contract or agreement to provide for such additional insured.

B. Limits of Insurance

With respect to the insurance provided to these additional insureds, the following is added to SECTION III - LIMITS OF INSURANCE:

If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:

1. Required by the contract or agreement; or

2. Available under the applicable Limits of Insurance shown in the

Declarations;

Whichever is less.

This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.

C. Primary and Non-Contributory Condition

This provision applies to any person or organization who qualifies as an additional insured under this endorsement under this policy.

The following is added to SECTION V - ABUSIVE CONDUCT LIABILITY

CONDITIONS, D. Other Insurance:

If you have agreed in a written contract or agreement to provide the additional insured coverage on a primary and non-contributory basis, this policy shall be primary and we will not seek contribution from the additional insured's policy for "damages" we cover.

When a written contract or agreement between you and an additional insured does not require this insurance to be primary or primary and non-contributory, this insurance is excess over any other insurance for which the additional insured is designated as a named insured.

Regardless of the written agreement between you and an additional insured, this insurance is excess over any other insurance whether primary, excess, contingent or on any other basis for which the additional insured has been added as an additional insured on other policies.

D. Waiver of Transfer of Rights of Recovery Against Others to Us

The following is added to SECTION V - ABUSIVE CONDUCT LIABILITY

CONDITIONS, G. Transfer of Rights of Recovery Against Others To Us:

However, we will waive any right of recovery if you have agreed in a written contract or agreement to waive any right of recovery we have for payment we have made for "damages" arising out of your operations under a contract for that person or organization shown in the SCHEDULE because of any "bodily injury" to which this insurance applies, provided that the

"damages" occur subsequent to the execution of the written contract or agreement.

All other terms and conditions of the Coverage Part apply.

The following applies to CG2404 - Waiver of Transfer of Rights of Recovery

Against Others to Us:

Arizona Department of Economic Security, as required by this written agreement, in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the

Contractor

CG2404 - Waiver of Transfer of Rights of Recovery Against Others to Us

POLICY NUMBER: COMMERCIAL AUTO

CA 04 44 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 44 10 13 © Insurance Services Office, Inc., 2011 Page of

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured:

Endorsement Effective Date:

SCHEDULE

Name(s) Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

The Transfer Of Rights Of Recovery Against Others To Us condition does not apply to the person(s) or organization(s) shown in the Schedule, but only to the extent that subrogation is waived prior to the "accident" or the "loss" under a contract with that person or organization.

PHPK2482281

07/01/2023

Jewish Family & Children's Service, Inc.

Arizona Department of Economic Security, as required by this written agreement in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor

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CA 20 48 10 13

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page of

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured:

Endorsement Effective Date:

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form.

PHPK2482281

07/01/2023

Jewish Family & Children's Service, Inc.

Area Agency on Aging, Region One & (See attached for full name)

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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page of

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured:

Endorsement Effective Date:

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form.

PHPK2482281

07/01/2023

Jewish Family & Children's Service, Inc.

Arizona Department of Economic Security Additional Insured - The policy shall be endorsed, as required by this written

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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page of

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured:

Endorsement Effective Date:

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form.

PHPK2482281

07/01/2023

Jewish Family & Children's Service, Inc.

AZPB Limited Partnership, AZPB FM See attached for full name

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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page of

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured:

Endorsement Effective Date:

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form.

PHPK2482281

07/01/2023

Jewish Family & Children's Service, Inc.

State of Arizona, DES/DDD

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THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 20 48 10 13 © Insurance Services Office, Inc., 2011 Page of

DESIGNATED INSURED FOR

COVERED AUTOS LIABILITY COVERAGE

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by this endorsement.

This endorsement identifies person(s) or organization(s) who are "insureds" for Covered Autos Liability Coverage under the Who Is An Insured provision of the Coverage Form. This endorsement does not alter coverage provided in the Coverage Form.

This endorsement changes the policy effective on the inception date of the policy unless another date is indicated below.

Named Insured:

Endorsement Effective Date:

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, if not shown above, will be shown in the Declarations.

Each person or organization shown in the Schedule is an "insured" for Covered Autos Liability Coverage, but only to the extent that person or organization qualifies as an "insured" under the Who Is An Insured provision contained in Paragraph A.1. of Section II – Covered Autos Liability Coverage in the Business Auto and Motor Carrier Coverage Forms and Paragraph D.2. of Section I – Covered Autos Coverages of the Auto Dealers Coverage Form.

PHPK2482281

07/01/2023

Jewish Family & Children's Service, Inc.

The State of Arizona, it's Departments Agencies,Boards, Commisions,Universities and it's Officers,Agents and Employees

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