ARIZONADEPARTMENTOFCHILDSAFETY18048594_Redacted.pdf
PDF 181 KB Posted
- Attached to
- AZ|CTR078811
- Contract number
- CTR078811
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Independence Insurance Group, PLLC for Limitless Youth Care LLC, with coverage provided by Alliance Insurance Company and Progressive Insurance Company. The certificate is for the Arizona Department of Child Safety, located in Phoenix, Arizona, and covers the period from 02/20/2025 to 02/20/2026.
The insurance policy provides commercial general liability and automobile liability coverage, with limits of $1,000,000 per occurrence and $3,000,000 general aggregate. It includes professional liability with a $1 million per occurrence and $3 million general aggregate limit. The policy specifically covers professional and sexual abuse or molestation with a $1 million/3 million claims-made basis. The State of Arizona and the Arizona Department of Child Safety are named as additional insureds, with the policy containing a waiver of subrogation for losses arising from work performed by or on behalf of the contractor.
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Text version
EFFECTIVE DATE:
NAMED INSURED
POLICY NUMBER
NAIC CODECARRIER
AGENCY
LOC #:
AGENCY CUSTOMER ID:
ofPageADDITIONAL REMARKS SCHEDULE
ADDITIONAL REMARKS
FORM TITLE:FORM NUMBER:
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
© 2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
ACORD 101 (2008/01)
1 1
Independence Insurance Group, PLLC
382501 1596840
Unknown
LIMITLESS YOUTH CARE LLC
25 Certificate Of Liability Insurance
Group Home:2830 S CHATSWORTH, MESA, AZ 85212 Professional & Sexual Abuse or Molestation Sub limit: $1 mill/3 mill on claims-made basis. The State of AZ and the AZ Department of Child Safety shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor. The State of Arizona and the AZDCS shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor involving automobiles owned, leased, hired or borrowed 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.
File details come from the government source that posted it. Updated .