BDreams_COI_Accord_DEC24_Redacted.pdf

PDF 244 KB Posted

Attached to
Master Agreement AZ|CTR071411
Contract number
CTR071411
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance dated 12/13/2024, issued for Building Dreams LLC by Liberty State Insurance (DBA Copper Silver Insurance PHX) located in Phoenix, AZ. The certificate involves multiple insurers including Hartford Insurance Company and United Financial/Progressive, with the certificate holder being the Child Welfare Licensing Unit/Office of Licensing and Regulation, Department of Child Safety in Phoenix, Arizona.

The insurance certificate provides commercial general liability coverage with policy limits of $1,000,000 per occurrence and $2,000,000 aggregate, effective from 09/23/2024 to 09/23/2025. The policy includes automobile liability for scheduled autos, workers' compensation with statutory limits of $1,000,000 per accident/disease, and professional liability coverage of $1,000,000 per occurrence with a $3,000,000 aggregate limit. Notable provisions include a waiver of subrogation for commercial general liability and workers' compensation policies, with specific mentions that department of child safety services are listed as additional insureds.

View the file

Other files

File Type Posted
Amend.Lic.HouseofDivneHealing.11.13.2024_Redacted.pdf PDF
Amend.Opert.CertHouseofDivineHealing.11.13.2024_Redacted.pdf PDF
BDreams_COI_20240923_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Contract_Amendment1.pdf PDF
Contract_Amendment_5.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit XI One on One Supervision.pdf PDF
Exhibit XV Discharge Summary.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
Opert.Cert.2.13.2025.HouseofAnyah.Amed.Shelter_Redacted.pdf PDF
Amend.License_-_Building_Dreams_Effective_10-02-2025_Age_Increase.pdf_2_Redacted.pdf PDF
BUILDING_DREAMS_COI_RENEWAL_09242025_Redacted.pdf PDF
Amended_Op.Cert_House_of_Jarlean_Redacted.pdf PDF
Contract_Amendment_3.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Contract_Amendment__4.pdf PDF
Contract_Extension.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit XII Bed Hold.pdf PDF
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
Boycott_of_Israel_Redacted.pdf PDF
Congregate_Care_Services_Amendment_9.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit III - Medication Log.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Opert.Cert.2.10.2025.House_of_Pamela.Amend_Redacted.pdf PDF
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
HITECH_AGREEMENT_signed.pdf PDF
Amended.Lic._Building_Dreams_10-28-2024_Redacted.pdf PDF
Amended_Op.Cert_House_of_Divine_Healing_Redacted.pdf PDF
Amended_Op._Cert._House_of_Sabrina_Redacted.pdf PDF
Building_Dreams_Offer_and_Acceptance_Redacted.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
Contract_Amendment_6.pdf PDF
Exhibit IV - Medication Error Report.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
Forced_Labor_of_Ethnic_Uyghurs_Ban_Redacted.pdf PDF
Show 40 more

50 files listed here. See the rest on GovTribe.

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

File details come from the government source that posted it. Updated .