2025-01-25 COI.pdf
PDF 116 KB Posted
- Attached to
- Master Agreement AZ|CTR063969
- Contract number
- CTR063969
- Issued by
- Arizona
About this file
This document is a Certificate of Insurance issued by the Arizona Department of Administration's Risk Management Department, covering the State of Arizona and Arizona State University. The certificate confirms that the state maintains insurance and self-insurance for all its departments, agencies, boards, commissions, and employees in accordance with Arizona Revised Statutes §41-621 and §41-622.
The insurance coverage is effective from 1/24/2023 to 1/24/2025 and includes Commercial General Liability with a combined single limit of $1,000,000/$2,000,000 aggregate, Commercial Auto Liability with a $1,000,000 combined single limit, Statutory Workers' Compensation, and Professional Liability with a $1,000,000 limit. The certificate is a master certificate of insurance, with no specific event, property, or contract detailed, and serves as a matter of information only, conferring no rights upon the certificate holder.
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Other files
| File | Type | Posted |
|---|---|---|
| CTR063969 Contract Amendment 3.pdf | ||
| CTR063969_A4_FE.pdf | ||
| 2022-06-30 COI CTR063969.pdf | ||
| CTR063969_A2_Executed_final.pdf | ||
| CTR063969_Contract_Docs.pdf | ||
| CTR063969_Pricing.xlsx | XLSX spreadsheet | |
| CTR063969_A1_executed_with_debarment_checks.pdf |
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Text version
Certificate of Insurance This is to certify that the State of Arizona and
Arizona State University
1130 E. University Drive Tempe, Arizona 85281 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
1/24/2023 1/24/2025
Bodily Injury and Property Damage Combined Single Limit
$1,000,000/$2,000,000 aggregate
Commercial Auto Liability Including:
1 Owned Vehicles
2 Non-owned Vehicles
3 Hired Vehicles
1/24/2023 1/24/2025
Bodily Injury and Property Damage Combined Single Limit
$1,000,000 CSL
Workers' Compensation 1/24/2023 1/24/2025 Statutory Professional Liability 1/24/2023 1/24/2025 $1,000,000 All Risk Real Property: Replacement Cost
All Risk Personal Property: Actual Cash Value
Other:
Description of Event/Property/Contract:
Master certificate of Insurance
Location:
N/A
Special Provisions:
Date:
1/24/2023
RM Claims Manager
COI #14382
RM-VIP1 (Rev 8/98) IPS 3687
Certificate Holder:
Attn: Insurance Representative Master Certificate N/A N/A, Arizona N/A
This certificate supersedes any previously issued certificates.
File details come from the government source that posted it. Updated .