ABILITY360_INC_-_COI_2.pdf

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

10/26/2023

Lovitt & Touché A Marsh and McLennan Agency, LLC 8605 E. Raintree Drive, Suite 200 Scottsdale AZ 85260

Lindsey Brundage 602-385-0535 602-956-2258 lbrundage@lovitt-touche.com

Great American Insurance Company 16691 ARIZBRI-C1 Great American Alliance Ins Co 26832

Ability360, Inc.

5025 E Washington St, Ste 200 Phoenix AZ 85034

CopperPoint Indemnity Insurance Company 13928

259678615

A X 1,000,000 X 1,000,000

20,000

1,000,000

3,000,000 X

Y Y PAC435840001 3/1/2023 3/1/2024

3,000,000

A 1,000,000

X

Y Y CAP435840101 3/1/2023 3/1/2024

B X X 4,000,000UMB435840201 3/1/2023 3/1/2024

4,000,000 X 10,000

C X

N

Y 1013351 3/1/2023 3/1/2024

1,000,000

1,000,000

1,000,000 A

Professional Liability Sexual Abuse & Molestation

PAC435840001 3/1/2023 3/1/2024 Per Claim $1,000,000 $1,000,000

Per Aggregate $3,000,000 $3,000,000

The above-indicated Additional Insured and Waiver of Subrogation are provided with respects to General Liability when required in a written and executed contract. Such coverage afforded by these policies (or update as applicable) for the benefit of the additional insured(s) is primary and any other coverage maintained by such additional insured(s) shall be non-contributory when required in a written and executed contract.

The above-indicated Additional Insured and Waiver of Subrogation are provided with respects to Automobile Liability when required in a written and executed contract. Such coverage afforded by these policies (or update as applicable) for the benefit of the additional insured(s) is primary and any other coverage maintained by such additional insured(s) shall be non-contributory when required in a written and executed contract.

See Attached...

The State of Arizona and Dept of Economic Security C/O: myCOI 1075 Broad Ripple Ave, Suite 313 Indianapolis IN 46220

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

ARIZBRI-C1

1 1

Lovitt & Touché A Marsh and McLennan Agency, LLC Ability360, Inc.

5025 E Washington St, Ste 200 Phoenix AZ 85034

25 CERTIFICATE OF LIABILITY INSURANCE

Umbrella Liability, $4,000,000 is excess of General Liability, Automobile Liability, Employers Liability, Professional Liability and Sexual Abuse & Molestation.

ADES - CTR056077

Sexual Abuse and Molestation coverage is included.

General Liability: The State of Arizona and the Department of Economic Security are named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor. Policy contains a waiver of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

Automobile Liability: The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees are additional insured with respect to liability arising out of the activities performed by or on behalf of the Contractor, involving automobiles owned, hired and/or non-owned by the contractor. Policy contains a waiver of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

Workers' Compensation: Policy contains a waiver of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

The Contractor's insurance coverage is primary insurance with respect to all other available sources.

COMMERCIAL AUTO

CA 04 49 11 16

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CA 04 49 11 16 © Insurance Services Office, Inc., 2016 Page 1 of 1

PRIMARY AND NONCONTRIBUTORY –

OTHER INSURANCE CONDITION

This endorsement modifies insurance provided under the following:

AUTO DEALERS COVERAGE FORM

BUSINESS AUTO COVERAGE FORM

MOTOR CARRIER COVERAGE FORM

With respect to coverage provided by this endorsement, the provisions of the Coverage Form apply unless modified by the endorsement.

A. The following is added to the Other Insurance Condition in the Business Auto Coverage Form and the Other Insurance – Primary And Excess Insurance Provisions in the Motor Carrier Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage is primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

B. The following is added to the Other Insurance Condition in the Auto Dealers Coverage Form and supersedes any provision to the contrary:

This Coverage Form's Covered Autos Liability Coverage and General Liability Coverages are primary to and will not seek contribution from any other insurance available to an "insured" under your policy provided that:

1. Such "insured" is a Named Insured under such other insurance; and

2. You have agreed in writing in a contract or agreement that this insurance would be primary and would not seek contribution from any other insurance available to such "insured".

Insurance Services Office, Inc., 2018 CG 20 37 (Ed. 12/19) (Page 1 o f 2)

CG 20 37 (Ed. 12/19)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - OWNERS, LESSEES OR

CONTRACTORS - COMPLETED OPERATIONS

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s) Location And Description Of Completed Operations

Information required to complete this Schedule, i f not shown above, will be shown in the Declarations.

CG 20 37 (Ed. 12/19) (Page 2 o f 2)

A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability f o r "bodily injury" or "property damage" caused, in whole or in part, by "your work" at the location designated and described in the Schedule o f this endorsement performed fo r that additional insured and included in the "products-completed operations hazard".

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. I f coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide f o r such additional insured.

B. With respect to the insurance afforded to these additional insureds, the fol lowing is added to Section III - Limits Of Insurance:

I f coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf o f the additional insured is the amount o f insurance:

1. Required by the contract or agreement; or

2. Available under the applicable limits o f insurance;

whichever is less.

This endorsement shall not increase the applicable limits o f insurance.

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

NOTICE TO DESIGNATED ENTITY OF CANCELLATION

This endorsement modifies insurance provided under the following:

COMMERCIAL AUTOMOBILE COVERAGE PART

COMMERCIAL GENERAL LIABILITY COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

CRIME AND FIDELITY COVERAGE PART

EMPLOYMENT-RELATED PRACTICES LIABILITY COVERAGE PART

INFORMATION SECURITY PROTECTION POLICY

EQUIPMENT BREAKDOWN COVERAGE FORM

FARM COVERAGE PART

FARM CATASTROPHE COVERAGE FORM

LIQUOR LIABILITY COVERAGE PART

MEDICAL PROFESSIONAL LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

SAFEPAK BUSINESSOWNERS POLICY SPECIAL FORM

WORKERS COMPENSATION COVERAGE PART

SCHEDULE

Name of Designated Entity Mailing Address of Designated Entity Number of days advance notice

The State of Arizona 1789 W Jefferson Street Phoenix, AZ 85007

Package: PAC435840001 Auto: CAP43584010100

The following Conditions are added:

1. In the event of a cancellation, we will give written notice of such cancellation to the Designated Entity(s) shown in the above Schedule. Such notice may be delivered or sent by any means of our choosing and may be provided on or after the effective date of the cancellation. The notice to the Designated Entity(s) will state the effective date of the cancellation. However, such notice of cancellation is solely for the purpose of informing the Designated Entity(s) of the effective date of cancellation and does not grant, alter, or extend any rights or obligations under this policy.

2. This endorsement does not entitle the Designated Entity(s) listed or described in the above Schedule any benefit, rights or protection under this policy.

3. This endorsement will only be in effect if required by written contract between the insured and the

Designated Entity(s) listed above.

4. Notices will be sent to the Designated Entity(s) listed above according to the information provided, when applicable. If the information provided for said Designated Entity(s) above is not accurate, we assume no responsibility for the failure to notify. We will assume that all information pertaining to the

Designated Entity(s), including the mailing or email address, is accurate and correct as provided to us.

5. Failure to give notice in accordance with the terms of this endorsement does not:

a. Alter the effective date of policy cancellation, nonrenewal or expiration;

b. Render such cancellation ineffective;

c. Grant, alter, or extend any rights or obligations under this policy; or

d. Extend the insurance beyond the effective date of cancellation or policy expiration, whichever comes first.

e. Impose any obligations or liability of any kind upon us, our agents or representatives.

All other terms and conditions of this policy remain unchanged.

CG 20 26 (Ed. 12/19) (Page 1 o f 2)

CG 20 26 (Ed. 12/19)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

ADDITIONAL INSURED - DESIGNATED

PERSON OR ORGANIZATION

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

SCHEDULE

Name Of Additional Insured Person(s) Or Organization(s):

Information required to complete this Schedule, i f not shown above, will be shown in the Declarations.

A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability f o r "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions o f those acting on your behalf:

1. In the performance o f your ongoing operations; or

2. In connection with your premises owned by or rented to you.

However:

1. The insurance afforded to such additional insured only applies to the extent permitted by law; and

2. I f coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide f o r such additional insured.

B. With respect to the insurance afforded to these additional insureds, the fol lowing is added to Section III - Limits Of Insurance:

I f coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf o f the Additional Insured is the amount o f insurance:

1. Required by the contract or agreement; or

CG 20 26 (Ed. 12/19) (Page 2 o f 2)

2. Available under the applicable limits o f insurance;

whichever is less.

This endorsement shall not increase the applicable limits o f insurance.

CG 24 04 (Ed. 12/19) (Page 1 o f 1)

CG 24 04 (Ed. 12/19)

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

WAIVER OF TRANSFER OF RIGHTS OF RECOVERY

AGAINST OTHERS TO US (WAIVER OF SUBROGATION)

This endorsement modifies insurance provided under the following:

COMMERCIAL GENERAL LIABILITY COVERAGE PART

ELECTRONIC DATA LIABILITY COVERAGE PART

LIQUOR LIABILITY COVERAGE PART

POLLUTION LIABILITY COVERAGE PART DESIGNATED SITES

POLLUTION LIABILITY LIMITED COVERAGE PART DESIGNATED SITES

PRODUCTS/COMPLETED OPERATIONS LIABILITY COVERAGE PART

RAILROAD PROTECTIVE LIABILITY COVERAGE PART

UNDERGROUND STORAGE TANK POLICY DESIGNATED TANKS

SCHEDULE

Name Of Person(s) Or Organization(s):

Information required to complete this Schedule, i f not shown above, will be shown in the Declarations.

The fol lowing is added to Paragraph 8. Transfer Of Rights Of Recovery Against Others To Us o f Section IV - Conditions:

We waive any right o f recovery against the person(s) or organization(s) shown in the Schedule above because o f payments we make under this Coverage Part. Such waiver by us applies only to the extent that the insured has waived its right o f recovery against such person(s) or organization(s) prior to loss. This endorsement applies only to the person(s) or organization(s) shown in the Schedule above.