2025-02-19 TruePani GUWP.pdf

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Attached to
Master Agreement AZ|CTR065678
Contract number
CTR065678
Issued by
Arizona

About this file

This is a Certificate of Liability Insurance issued by Berkshire Hathaway Direct Insurance Company (NAIC #10391) for TruePani Inc, located in Knoxville, TN. The certificate is for the State of Arizona (specifically the State of AZ ISAOA/ITIMA) located at 1110 W Washington St, Phoenix, AZ 85007, with the insurance producer being BIBERK from Stamford, CT.

The policy provides professional liability (errors and omissions) coverage with a claims-made policy effective from 02/19/2024 to 02/19/2025. The policy includes commercial general liability, hired and non-owned auto liability, umbrella liability, and workers' compensation coverage. Key coverage limits include $2,000,000 per occurrence for general liability, $1,000,000 for umbrella liability, and $1,000,000 for workers' compensation. The policy number is N9BP167277, and it includes additional insured endorsements for the State of Arizona, with specific provisions for liability coverage and a waiver of subrogation rights.

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Included

Berkshire Hathaway Direct Insurance Company 10391

07/31/2024

The State of Arizona 1110 W Washington St.

Phoenix, AZ 85007

X X

X

N9BP167277 02/19/2024 02/19/2025A 5,000

2,000,000 50,000

4,000,000 4,000,000

TruePani Inc

9041 Executive Park Dr Ste 125 Knoxville, TN 37923-4637

BIBERK

P.O. Box 113247 Stamford, CT 06911

Professional Liability (Errors & Omissions): Claims-Made

Per Occurrence/ Aggregate

203-654-3613844-472-0967 customerservice@biBERK.com

See attached Acord 101/Additional Remarks

Diana.Zakaria Typewriter X

Diana.Zakaria Rectangle

Diana.Zakaria Typewriter The State of AZ ISAOA/ITIMA is listed as additional insured as it pertains to general liability (see endorsement attached).

Diana.Zakaria

X

Diana.Zakaria Typewriter A

Diana.Zakaria Typewriter A

Diana.Zakaria Typewriter A

Diana.Zakaria Typewriter X

Diana.Zakaria Typewriter X

Diana.Zakaria Typewriter X

Diana.Zakaria Typewriter X

Diana.Zakaria Typewriter

N9UM115201

Diana.Zakaria Typewriter

N9PL115227

Diana.Zakaria Typewriter

N9WC724249

Diana.Zakaria Typewriter 01/01/2025

Diana.Zakaria Typewriter Y

Diana.Zakaria Typewriter 02/19/2025

Diana.Zakaria Typewriter 10,000

Diana.Zakaria Typewriter 1,000,000

Diana.Zakaria Typewriter 1,000,000

Diana.Zakaria Typewriter 02/19/2025

Diana.Zakaria Typewriter 2,000,000/2,000,000

Diana.Zakaria Typewriter 01/01/2024

Diana.Zakaria Typewriter 02/19/2024

Diana.Zakaria Typewriter 02/19/2024

Diana.Zakaria

A Blanket Waiver of Subrogation exists on this policy as it pertains to worker's compensation. (see endorsement attached)

1,000,000

Diana.Zakaria Typewriter 1,000,000

Diana.Zakaria Typewriter 1,000,000

Diana.Zakaria Typewriter X

Diana.Zakaria Typewriter Contract Number: CTR065678

Diana.Zakaria Rectangle

Diana.Zakaria Typewriter The State of AZ ISAOA/ITIMA 1110 W. Washington St.

Phoenix, AZ 85007

X

Diana.Zakaria Typewriter Hired & Non-Owned Auto Only

Diana.Zakaria

Hired And Non-Owned Auto is included in the general liability policy limits (see endorsement attached)

POLICY NUMBER: N9BP167277 BUSINESSOWNERS

BP 04 48 01 06

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

BP 04 48 01 06 ISO Properties, Inc., 2004 Page 1 of 1

ADDITIONAL INSURED – DESIGNATED PERSON

OR ORGANIZATION

This endorsement modifies insurance provided under the following:

BUSINESSOWNERS COVERAGE FORM

SCHEDULE

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

The State of AZ ISAOA/ITIMA

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

The following is added to Paragraph C. Who Is An Insured in Section II – Liability:

3. Any person(s) or organization(s) shown in the

Schedule is also an additional insured, 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 omis-sions or the acts or omissions of those acting on your behalf in the performance of your ongoing operations or in connection with your premises owned by or rented to you.

BP 04 97 01 06

BP 04 97 01 06 © ISO Properties, Inc., 2004 Page 1 of 1

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US

Name Of Person Or Organization:

The State of AZ ISAOA/ITIMA 1110 W Washington St Phoenix AZ 85007

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

Paragraph K. Transfer Of Rights Of Recovery Against Others To Us in Section III – Common Policy 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.

BP 04 04 01 10

BP 04 04 01 10 © Insurance Services Office, Inc., 2009 Page 1 of 2

HIRED AUTO AND NON-OWNED AUTO LIABILITY

Coverage Additional Premium

A. Hired Auto Liability $73.00

B. Non-owned Auto Liability $152.00

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

A. Insurance is provided only for those coverages for which a specific premium charge is shown in the Declarations or in the Schedule.

1. Hired Auto Liability The insurance provided under Paragraph A.1.

Business Liability in Section II – Liability applies to "bodily injury" or "property damage" arising out of the maintenance or use of a "hired auto" by you or your "employees" in the course of your business.

2. Non-owned Auto Liability The insurance provided under Paragraph A.1.

Business Liability in Section II – Liability applies to "bodily injury" or "property damage" arising out of the use of any "non-owned auto" in your business by any person.

B. For insurance provided by this endorsement only:

1. The exclusions under Paragraph B.1. Appli-cable To Business Liability Coverage in Section II – Liability, other than Exclusions a., b., d., f. and i. and the Nuclear Energy Liabil-ity Exclusion, are deleted and replaced by the following:

a. "Bodily injury" to:

(1) An "employee" of the insured arising out of and in the course of:

(a) Employment by the insured; or

(b) Performing duties related to the conduct of the insured's business; or

(2) The spouse, child, parent, brother or sister of that "employee" as a conse-quence of Paragraph (1) above.

This exclusion applies:

(1) Whether the insured may be liable as an employer or in any other capacity; and

(2) To any obligation to share damages with or repay someone else who must pay damages because of injury.

This exclusion does not apply to:

(1) Liability assumed by the insured under an "insured contract"; or

(2) "Bodily injury" arising out of and in the course of domestic employment by the insured unless benefits for such injury are in whole or in part either payable or required to be provided under any work-ers' compensation law.

b. "Property damage" to:

(1) Property owned or being transported by, or rented or loaned to the insured; or

(2) Property in the care, custody or control of the insured.

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