BETTER_TOGETHER_-_COL_AZ_DCS_060625_Redacted.pdf
PDF 51 KB Posted
- Attached to
- Master Agreement AZ|CTR071409
- Contract number
- CTR071409
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance for Better Together Mesa LLC, issued by Independence Insurance Group, PLLC in Phoenix, Arizona. The certificate involves multiple insurers, including The PIE Insurance Co and GEICO Marine Insurance Co, with the certificate holder being the Arizona Department of Child Safety located in Phoenix. The insurance is dated 6/6/2025 and covers multiple types of insurance.
The insurance policy provides coverage across several areas, including commercial general liability, automobile liability, and workers' compensation, with policy periods from 03/28/2025 to 03/28/2026. The general liability policy has a $1,000,000 per occurrence limit and a $3,000,000 general aggregate limit. The professional liability coverage also includes $1,000,000 per occurrence and $3,000,000 general aggregate. Automobile liability and workers' compensation are similarly structured with $1,000,000 limits. The policy is comprehensive, covering potential risks for Better Together Mesa LLC across multiple operational domains.
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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
6/6/2025
Independence Insurance Group, PLLC
10210 N 32nd St #C-3
Phoenix AZ 85028
IRENE PLOSKI
(480) 656-1036 (480) 656-1046 info@indieinsurance.com
BETTER TOGETHER MESA LLC
THE PIE INS CO 21857
GEICO MARINE INS CO 37923
THE PIE INS CO 21857
A
Y Y 6002726-3 03/28/2025 03/28/2026
1,000,000
1,000,000
10,000
1,000,000
1,000,000
3,000,000
B Y Y 9300132294 03/28/2025 03/28/2026
1,000,000
C Y Y WC PI 1043179-001 03/28/2025 03/28/2026
1,000,000
1,000,000
1,000,000
A Professional Liability
6002726-3 03/28/2025 03/28/2026
Each Occurrence 1,000,000
General Aggregate 3,000,000
Arizona Department Of Child Safety
3003 N Central Ave#2000Ch010-2
Phoenix AZ 85012
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