2026-03-01 Truepani GAUW.pdf
PDF 577 KB Posted
- 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
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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