21-22 AI-State of Arizona-GL-PL-SAM1.pdf

This document is an insurance policy endorsement for additional insured status, specifically for the State of Arizona. The policy covers multiple named insureds including Intermountain Centers for Human Development, Intermountain Health Center, Behavioral Consultation Services, Community Partners, Community Partners Integrated Healthcare, Assurance Assertive Community Treatment, and Pinal Hispanic Council. The policy number is PHPK2328758 and is effective from 10/1/2021 to 10/1/2022, with the State of Arizona listed at 1789 W Jefferson St, Mail Drop 5112, Phoenix, AZ 85007.

The endorsement extends commercial general liability coverage to the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. It provides additional insured status for liability arising from activities performed by or on behalf of the contractor, including owned, hired, or borrowed automobiles. The coverage is primary, with key provisions including liability assumption for work performed under written or oral contracts, and a waiver of subrogation rights for payments made for injury or damage arising from ongoing operations or contracted work.