2025_Arizona_Department_of_Child_Safety_COI_Holder_16828701.pdf

PDF 531 KB Posted

Attached to
Master Agreement AZ|CTR070548
Contract number
CTR070548
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Lockton Companies, LLC for Avertest, LLC DBA Averhealth, covering the Arizona Department of Child Safety. The certificate involves multiple insurers, including Evanston Insurance Company (Insurer A), Trumbull Insurance Company (Insurer B), and Twin City Fire Insurance Company (Insurer C). The insurance period runs from 5/1/2025 to 5/1/2026, with coverage across multiple liability categories including commercial general liability, automobile liability, umbrella liability, and workers' compensation.

The insurance certificate provides various liability coverages with significant limits, including $1,000,000 per occurrence for commercial general liability, $1,000,000 combined single limit for automobile liability, and $5,000,000 aggregate for umbrella liability. The policy covers the Arizona Department of Child Safety's Office of Contracts, located in Phoenix, AZ, and includes additional insureds. The document specifically notes coverage for general liability, automobile liability, and workers' compensation, with provisions for professional liability and abuse molestation. The certificate serves as a proof of insurance for the state agency, detailing the scope of insurance protection for the specified period.

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Other files

File Type Posted
CTR070548_COI_2024-05-01.pdf PDF
2-Attachment 5 Proposed Subcontractors.pdf PDF
CTR070548_Forced Labor of Ethnic Uyghurs Ban.pdf PDF
2-Attachment 4 Facility Location Chart.pdf PDF
Attachment 1 ADCS Business Associate Agreement with HITECH.docx DOCX document
2-Attachment 2 Laboratory_Services_Pricing_Sheet Revised 2.16.2024.xlsx XLSX spreadsheet
Contract_Amendment_3_Additional_Service_Fee.pdf PDF
CTR070548_Exhibits & Attachments Revised 2.16.2024.zip ZIP file
2-Attachment 9 Conformance Statements.pdf PDF
CTR070548_ Boycott of Israel Disclosure.pdf PDF
2-Attachment 1 Offer and Acceptance Form.pdf PDF
CTR070548_Executed Contract.pdf PDF
2-Attachment 1 ADCS Business Associate Agreement with HITECH.pdf PDF
Contract_Amendment_4_Extension.pdf PDF
2-Attachment 10 Forced Labor of Ethnic Uyghurs Ban.pdf PDF
2-Technical Envelope-Proposal-prop_answer.xls XLS spreadsheet
Exhibit 2 Quarterly Report Template.xlsx XLSX spreadsheet
Exhibit 4 DCS 06-01 Limited English Proficiency.pdf PDF
Contract_Amendment_2_Drug_Endangered_Child_Panel_Addition.docx DOCX document
2024-2025_COI.pdf PDF
Contract_Amendment_1_Additional_County_Award___Tele-Collection_Fee.pdf PDF
Attachment 2 Laboratory_Services_Pricing_Sheet Revised 2.16.2024.xlsx XLSX spreadsheet
2-Attachment 3 Organization Profile.pdf PDF
2-Attachment 8 Confidential Information Designation.pdf PDF
2-Averhealth Proposal ADCS.pdf PDF
Exhibit 1 Significant Incident Report CSO-1151A_UIR.pdf PDF
2-Attachment 6 Statewide Coverage.pdf PDF
2-Attachment 7 Boycott of Israel Disclosure.pdf PDF
CTR070548_ADCS Business Associate Agreement with HITECH_SIGNED.pdf PDF
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