ACORD_Form_20240212-121837_Redacted.pdf

This document is an ACORD Certificate of Liability Insurance dated 02/12/2024, issued by Corporate Insurance, LLC in Phoenix, Arizona. The certificate covers Empowerment Life Services, LLC, with Philadelphia Insurance Companies as the primary insurer and National Liability & Fire Insurance Company as the secondary insurer. The certificate involves multiple parties, including Gold Star Mortgage Financial Group Corp, PENNYMAC Loan Services, LLC, and the State of Arizona Department of Child Safety, which are listed as certificate holders or additional insureds.

The insurance policy provides comprehensive commercial general liability and automobile liability coverage with policy limits of $1,000,000 per occurrence, $3,000,000 general aggregate, and $5,000 medical expense coverage. The policies are effective from 02/11/2024 to 02/11/2025, with policy numbers PHPR638363 for general and auto liability and A9WC516704 for workers' compensation. The coverage extends to the State of Arizona and the Arizona Department of Child Safety, naming them as additional insureds for liability arising from the contractor's activities, including work performed by or on behalf of the contractor involving various owned, leased, hired, or borrowed vehicles.