ADOA_24-25-COI_107928930.pdf
PDF 96 KB Posted
- Attached to
- Master Agreement AZ|CTR071991
- Contract number
- CTR071991
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Arizona Interpreting Service, issued by C.H. Insurance Brokerage Services Co. in Syracuse, NY, with Philadelphia Indemnity Insurance Company as the primary insurer. The certificate involves multiple parties including the City of Phoenix, the Arizona Department of Administration (ADOA), and is associated with Contract #RFP 25-0494.
The insurance policy provides comprehensive coverage including Commercial General Liability with a $1,000,000 per occurrence limit, $2,000,000 aggregate limit, and additional specialized coverages such as Professional Liability ($1,000,000 per claim), Abusive Conduct Liability ($500,000 per claim), and Cyber Liability ($25,000 per claim). The policy is effective from November 1, 2024 to November 1, 2025, with ADOA and the City of Phoenix included as additional insured parties as required by the written contract. The certificate confirms insurance provisions for interpreting services, with specific liability protections and coverage limits across multiple domains.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Arizona_Interpreting_Contract.pdf | ||
| CART-ASL_Comprehensive_Pricing_List.xlsx | XLSX spreadsheet | |
| CART-ASL_Comprehensive_Pricing_List_6-1-25.xlsx | XLSX spreadsheet | |
| State_of_Arizona_Abuse_-_COI_2024.pdf | ||
| State_of_Arizona_COI_-_2024.pdf | ||
| CTR071991_Amendment_1.pdf | ||
| Attachment_13_-_Pricing_Document_Rev01--_05.14.2024.docx | DOCX document |
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Text version
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
3/21/2025
C.H. Ins. Brokerage Serv. Co.
100 S Salina St Ste 370 Syracuse NY 13202
Michele Green 315-234-7500 315-234-7508 mgreen@chinsurance.cc
Philadelphia Ind Ins Co 18058
ARIZINT-01
Arizona Interpreting Service 4601 E Briarwood Terr Phoenix AZ 85048
107928930
A X 1,000,000 X 100,000
5,000
1,000,000
2,000,000 X
Y PHPK2602648-012 11/1/2024 11/1/2025
2,000,000
A 1,000,000
X X
PHPK2602648-012 11/1/2024 11/1/2025
A A A
Professional Liability Abusive Conduct Liability Cyber Liability
PHPK2602648-012
PHPK2602648-012
PHPK2602648-012
11/1/2024 11/1/2024 11/1/2024
11/1/2025 11/1/2025 11/1/2025
Ea. Claim 1,000,000 Ea. Claim 500,000 Ea. Claim 25,000
Agg 2,000,000 Agg 500,000
Continued Certificate holder: City of Phoenix Attn: Finance Dept-Procurement Division 251 W Washington St 8th Floor Phoenix AZ 85003
ADOA and City of Phoenix are included as additional insured as required by written contract.
Re: Contract #RFP 25-0494
ADOA
100 N 15th Ave, Ste 302 Phoenix AZ 85007
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