2026__1__Redacted.pdf

PDF 193 KB Posted

Attached to
Master Agreement AZ|CTR071412
Contract number
CTR071412
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Casa D'Diamore Family Care LLC, issued by United Risk & Insurance Services LLC. The certificate names the State of Arizona Department of Child Safety as the certificate holder, with primary insurers being SCIP and AmTrust North America Insurance Company. The insurance covers multiple liability types including commercial general liability, automobile liability, workers' compensation, and professional liability.

The contract appears to be for Parenting Time Services, with a policy period from 10/01/2025 to 10/01/2026. The insurance provides coverage with various limits, including $1,000,000 per occurrence for commercial general liability, $1,000,000 for bodily injury, and $3,000,000 aggregate. Workers' compensation coverage includes $1,000,000 per each accident and disease limits. The policy includes additional insured provisions for the State of Arizona, its departments, commissions, agencies, officers, and employees, with a sexual abuse and molestation coverage of 1,000,000 each claim and 3,000,000 aggregate.

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Other files

File Type Posted
COI_Workman_s_comp_2023-2024_Redacted.pdf PDF
Casa_D_Amore_FC_COI_2024-2025.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Offer_and_Acceptance_Redacted.pdf PDF
2-Attachment_3-E_Forced_Labor_of_Ethic_Uyghurs_Ban_Casa_D_Amore_Family_Care_Redacted.pdf PDF
COI_SSCIPWC_DCS_2023-2024_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Contract_Extension.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit IV - Medication Error Report.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Exhibit XI One on One Supervision.pdf PDF
Exhibit XV Discharge Summary.pdf PDF
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
2-Attachment_3-D_Boycott_of_Isreal_Disclosure_Casa_D_Amore_FC_Redacted.pdf PDF
Complete_with_Docusign_Casa_DAmore_FC_HITEC.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Congregate_Care_Services_Amendment_4.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Exhibit III - Medication Log.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit XII Bed Hold.pdf PDF
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
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