2026-03-04 Truepani PU.pdf
PDF 128 KB Posted
- Attached to
- Master Agreement AZ|CTR065678
- Contract number
- CTR065678
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for TruePani Inc, issued by BTJ Insurance on 04/11/2025. The certificate involves multiple insurers, including Old Republic Union Insurance, Convex Insurance UK Limited, and Travelers Casualty and Surety Co. of America. The certificate holder is The State of Arizona, located in Phoenix, with a specific reference to Contract #CTR065678.
The insurance certificate covers two primary types of insurance: Professional Liability (E&O) and Crime insurance. The Professional Liability policy has a $2,000,000 limit with a $2,500 deductible, effective from 03/04/2025 to 03/04/2026. The Crime insurance policy provides a $1,000,000 single loss limit with a $10,000 retention, also valid from 03/04/2025 to 03/04/2026. An excess liability policy is also included with a $3,000,000 aggregate limit. The document serves to certify the insurance coverage for TruePani Inc in relation to their contract with the State of Arizona, providing details of the insurance policies' scope, limits, and periods of coverage.
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Text version
04/11/2025
BTJ Insurance 1500 Simpson Rd W
Lenoir City TN 37771
Amy Hall
(865) 986-2121
CommService@btjinsurance.com
TruePani Inc 9041 Executive Park Dr Apt 125 Knoxville TN 37923
Old Republic Union Insurance 31143 Convex Insurance UK Limited 116603 Travelers Casualty and Surety Co. of America 25674
CL2531107270
A Professional Liability (E&O)
ORDUPL000103-00 03/04/2025 03/04/2026
2,000,000 2,000,000
DEDUCTIBLE 2,500
A 0.00
CPLXS00011-00 03/04/2025 03/04/2026
3,000,000 3,000,000
B Crime
108228976 03/04/2025 03/04/2026
SINGLE LOSS LIMIT 1,000,000
RETENTION 10,000
Contract # CTR065678
The State of Arizona 1110 W Washington St
Phoenix AZ 85007
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
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