2025.12.04 COI.pdf

PDF 1 MB Posted

Attached to
Master Agreement AZ|CTR063729
Contract number
CTR063729
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued by USI Insurance Services LLC for the Arizona Chapter of the American Academy of Pediatrics, with Philadelphia Indemnity Insurance Co. as the primary insurer. The certificate is dated 3/04/2025 and covers a contract (#BPM004592) for a Hearing and Vision Screening Training Program. The additional insured entities include the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, with the Arizona Department of Health Services listed as the certificate holder.

The insurance policy provides comprehensive commercial general liability coverage with policy limits of $1,000,000 per occurrence and $2,000,000 aggregate. The policy covers various liability types including commercial general liability, automobile liability, umbrella liability, and workers' compensation, with effective dates ranging from 02/28/2025 to 02/28/2026. The policy includes provisions for bodily injury, property damage, personal and advertising injury, and medical expenses. The contract specifically relates to a hearing and vision screening training program, with the insurance extending to the Arizona Department of Health Services located at 150 N. 18th Avenues, Suite 530 in Phoenix, Arizona.

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Other files

File Type Posted
CTR063729 A2.pdf PDF
CTR063729_Contract_A1_Executed_PDF.pdf PDF
CTR063729_2023.02.28_COI.pdf PDF
CTR063729_Contract_Docs.pdf PDF
CTR063729_Contract_Pricing.xlsx XLSX spreadsheet

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