2026-03-01 Truepani GAUW.pdf

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

About this file

This document is a Certificate of Liability Insurance issued by Paradiso Financial and Insurance Services, LLC for TruePani Inc, covering insurance policies for a project with the State of Arizona. The certificate involves two insurance providers: Property and Casualty Insurance Company of Hartford and Hartford Insurance Company of the Southeast. The certificate holder is the State of Arizona, located at 1110 W Washington St in Phoenix, AZ 85007.

The contract (CTR065678) is for Lead Service Line Identification and Inventory Services as part of the Arizona Statewide LCRR (Lead Service Line Replacement) project. The insurance policies provide comprehensive coverage, including commercial general liability with a $1,000,000 per occurrence limit, a $2,000,000 general aggregate, and a $4,000,000 umbrella liability coverage. The policies are effective from 03/01/2025 to 03/01/2026, with workers' compensation coverage also included. The State of Arizona is listed as an additional insured when a written contract is in place.

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Text version

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

TruePani Inc 9041 Executive Park Dr Ste 125

Knoxville

The State of Arizona 1110 W Washington St

Generated using Certificial's Smart COI Network™ – Track your Suppliers in real-time at certificial.com/coi

COI ID: Y8XC3

03/25/2025

Paradiso Financial and Insurance Services, LLC

8 E Main Street

2263223

Stafford Springs CT 06076

Glenn Torres Pilapil, Jr

(860)684-5270 glenn@paradisoinsurance.com

TN 37923

Property and Casualty Insurance Company of Hartford 34690

Hartford Insurance Company of the Southeast 38261

A 02SBMBP3UXM 03/01/2025 03/01/2026

1,000,000

1,000,000

10,000

1,000,000

2,000,000

2,000,000

A 02 SBM BP3UXM 03/01/2025 03/01/2026

1,000,000

A

10,000

02SBMBP3UXM 03/01/2025 03/01/2026

4,000,000

4,000,000

B N 02WECBP3V01 03/01/2025 03/01/2026

1,000,000

1,000,000

1,000,000

Project name: Arizona Statewide LCRR

The State of AZ ISAOA/ITIMA is an additional insured when a written contract is in place.

Contract #CTR065678: Lead Service Line Identification and Inventory Services

Phoenix AZ 85007

COI ID: Y8XC3

Generated using Certificial's Smart COI Network™ – Track your Suppliers in real-time at certificial.com/coi bwadichar Typewritten Text bwadichar Typewritten Text bwadichar Typewritten Text bwadichar Typewritten Text

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