2024_04_01_COI_CL_AL_UL_PL_SAM_WC.pdf

PDF 1 MB Posted Jul 8, 2021

Attached to: Master Agreement AZ|CTR056121
Contract number: CTR056121
Issued by: Arizona

About this file

Written by GovTribe AI · Oct 9, 2025

This document is a comprehensive insurance certificate and associated endorsements for The Centers for Habilitation, covering multiple liability insurance policies issued by AMCO Insurance Company, Nationwide Mutual Insurance Company, CopperPoint Indemnity Insurance Company, and Pacific Compensation Insurance Company. The policies are for the Arizona Department of Economic Security's Rehabilitation Services Administration, located in Phoenix, Arizona, and provide coverage for various liability types including commercial general liability, automobile liability, umbrella liability, workers' compensation, and employers' liability.

The insurance policies provide extensive coverage with significant limits, including $1,000,000 per occurrence for commercial general liability, $5,000,000 in umbrella liability, and workers' compensation coverage. The policies include multiple endorsements that add the State of Arizona, its departments, agencies, boards, commissions, universities, and employees as additional insured parties, with waivers of subrogation. The coverage is effective from 4/1/2023 to 4/1/2024 and protects against potential losses arising from the contractor's operations, including professional liability, sexual abuse and molestation coverage, and liability related to owned, hired, and non-owned automobiles. The policies are designed to provide comprehensive protection for activities performed by or on behalf of the contractor.

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File	Type	Posted
Amendment_3.pdf	PDF	Jul 8, 2021
CTR056121_Debarment_Checks.pdf	PDF	Jul 8, 2021
Exhibit_J_-_Service_Closure_Report.docx	DOCX document	Jul 8, 2021
CTR056121_-_COI_and_Endorsements.pdf	PDF	Jul 8, 2021
CTR056121_Certificate_of_Insurance_2023-04-01.pdf	PDF	Jul 8, 2021
CTR056121_Contract_Amendment_Summary__1.pdf	PDF	Jul 8, 2021
CTRO56121_Contract_Documents.pdf	PDF	Jul 8, 2021
Exhibit_D_-_PRE-ETS_Service_Summary_and_Invoice.doc	DOC document	Jul 8, 2021
CTR056121_Contract_Amendment_5.pdf	PDF	Jul 8, 2021
CTR056121_Contract_Amendment_6.pdf	PDF	Jul 8, 2021
Exhibit_E_-_Participant_Satisfaction_Survey.doc	DOC document	Jul 8, 2021
Exhibit_H_-_Curriculum_Checklist_.docx	DOCX document	Jul 8, 2021
2022-04-01_GL_AL_U_WC_PL_SAM.pdf	PDF	Jul 8, 2021
CTR056121_-_COI_and_Endorsement__1_.pdf	PDF	Jul 8, 2021
CTR056121_Contract_Amendment_4.pdf	PDF	Jul 8, 2021
CTR056121_Contract_Amendment_Summary_2_FINAL.pdf	PDF	Jul 8, 2021
Debarment_Check_6.5.2023.pdf	PDF	Jul 8, 2021
Exhibit_B_-_Pre-Employment_Transition_Services_Request_for_Students_with_Disabilities.pdf	PDF	Jul 8, 2021
Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx	DOCX document	Jul 8, 2021
Exhibit_G_-_Affirmation_of_Qualifications_-_Pre-ETS.docx	DOCX document	Jul 8, 2021
Exhibit_I_-_PRE-ETS_COORDINATION_OUTCOMES_Summary___Invoice_.doc	DOC document	Jul 8, 2021

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File details come from the government source that posted it. Updated Oct 9, 2025.