2025.06.30_COI.pdf

PDF 192 KB Posted

Attached to
Master Agreement AZ|CTR074350
Contract number
CTR074350
Issued by
Arizona

About this file

This document is a Certificate of Insurance issued by Maricopa County, Arizona, for the Maricopa County Risk Management Department. The certificate is addressed to the Arizona Department of Health Services and covers insurance and self-insurance for all county departments, boards, committees, and employees in accordance with the Declaration of Trust for Maricopa County, Arizona Self-Insured Trust Fund and Arizona Revised Statutes.

The insurance certificate covers multiple liability types for the HRPP Community Health Services Grant, effective from 7/1/2024 to 6/30/2025, with substantial coverage limits. Key coverage includes $5,000,000 per occurrence for Public Entity Liability, $5,000,000 for Automobile Liability, $2,000,000 for Workers' Compensation, and additional coverage for Medical Malpractice, Professional Liability, Sexual Abuse Molestation, and Cyber Coverage. The document specifies that any liability is limited to Maricopa County's sole negligence, and the certificate is issued as a matter of information without conferring specific rights to the certificate holder.

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Text version

Risk Management

301 W. Jefferson St., 910

Phoenix, Arizona 85003

Maricopa.gov

CERTIFICATE OF INSURANCE

This certifies that Maricopa County, Arizona, maintains for all its departments, boards, committees and employee’s insurance and self-insurance of the types and amounts specified below in accordance with the Declaration of Trust for Maricopa County, Arizona Self-Insured Trust Fund and ARS 11-981. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. It neither affirmat ively amends, extends, nor alters the self-insurance or coverage cited below. This certificate supersedes any previously issued certificates. This certificate is issued by the Maricopa County, Arizona, Risk Management Department.

COVERAGE LIMITS OF COVERAGE

Public Entity Liability including:

1. Premises/Operations Liability

2. Products/Completed Operations

Bodily Injury and Property

Damage $5,000,000 per occurrence, General aggregate is covered under the $5,000,000

3. Blanket Contractual

4. Personal Injury

5. Broad Form Property Damage

Automobile Liability including:

1. Owned Autos

2. Non-Owned Autos

Bodily Injury and Property

Damage $5,000,000 per combined single limit

3. Hired Autos

Workers' Compensation: $2,000,000

Employer's Liability: each accident, disease each employee, disease-policy limit:

All Risk Real Property, Replacement Cost

All Risk Personal Property, Actual Cash Value

Medical Malpractice Liability $5,000,000

Other: Professional Liability

Sexual Abuse Molestation

$5,000,000

$5,000,000

Cyber Coverage $5,000,000

Description of Event/Property/Contract: HRPP Community Health Services Grant Effective Dates: 7/1/2024 - 6/30/2025 Location:

Special Provisions:

Any liability by Maricopa County in the event of a claim for loss, damage or injury is limited to its sole negligence.

Arizona Department of Health Services

Chris Capels 8/7/2024

CERTIFICATE HOLDER Chris Capels, Risk Management Director DATE ISSUED

File details come from the government source that posted it. Updated .