2025_11-16_WC___Endorsement.pdf

This document is an ACORD Certificate of Liability Insurance dated 06/25/2025, issued by Pie Insurance Services, Inc. in Denver, CO, for JW Builders Inc., located in Gilbert, AZ. The certificate is issued for the State of Arizona and the Department of Economic Security, with a contract number CTR077219. The primary insurer is The Pie Insurance Company, with a NAIC number of 21857.

The insurance policy includes Workers' Compensation and Employers' Liability coverage with a policy number WC PI 1651369-000, effective from 11/16/2024 to 11/16/2025. The policy provides statutory workers' compensation coverage with limits of $1,000,000 per accident, $1,000,000 for disease - each employee, and $1,000,000 for disease - policy limit. The certificate holder is listed as the State of Arizona and Department of Economic Security, located in Indianapolis, IN, with the insurance serving as a matter of information and potentially extending rights upon the certificate.