Certificate_-_AZ_State_CTR071992.pdf
PDF 322 KB Posted
- Attached to
- Master Agreement AZ|CTR071992
- Contract number
- CTR071992
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by Philadelphia Indemnity Insurance Company for AZ Language Solutions, Inc. (DBA: AZITA: AZ Interpretation and Translation Agency), with Inszone Insurance Services, LLC as the producer. The certificate is for a contract with the State of Arizona State Procurement Office, specifically referencing Contract #CTR069842. The insurance provides coverage for commercial general liability, automobile liability, and additional specialized liability protections, including sexual abuse/molestation liability and professional liability.
The insurance policy covers AZ Language Solutions with various coverage limits, including a $2,000,000 general aggregate limit, $1,000,000 automobile liability limit, and additional specific limits for sexual abuse/molestation liability ($1,000,000 aggregate limit, $500,000 each abusive conduct) and professional liability ($2,000,000 aggregate/occurrence). The policy is effective from 10/5/2024 to 10/5/2025 and includes the State of Arizona as an additional insured with a waiver of subrogation on the general liability coverage. The certificate indicates that the insurance is provided for the State of Arizona to the extent specified in the attached policy forms.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| AZ_Language_Solution_Contract.pdf | ||
| CART-ASL_Comprehensive_Pricing_List_6-1-25.xlsx | XLSX spreadsheet | |
| CART-ASL_Comprehensive_Pricing_List.xlsx | XLSX spreadsheet | |
| CTR071992_Amendment_1.pdf | ||
| Supplement_7_-_COI_-_State_of_Arizona.pdf | ||
| Attachment_13_-_Pricing_Document_Rev01BAFO.pdf |
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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
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
10/7/2024
Inszone Insurance Services, LLC 2721 Citrus Road, Suite A Rancho Cordova, CA 95742
Certificate Team 877-308-9663 916-400-2625 certs@inszoneins.com
License#: 0F82764 Philadelphia Indemnity Insurance Company 18058
ZAHROMA-01
AZ Language Solutions, Inc.
DBA: AZITA: AZ Interpretation and Translation Agency 4739 E. Culver Street Phoenix, AZ 85008
1263835473
A X 2,000,000 X 100,000
5,000
2,000,000
4,000,000 X
Y Y PHPK2593123-006 10/5/2024 10/5/2025
4,000,000
A 1,000,000
X X
PHPK2593123-006 10/5/2024 10/5/2025
A A A
Sexual Abuse or Molestation Liab Sexual Abuse or Molestation Liab Professional Liability
PHPK2593123-006
PHPK2593123-006
PHSD1823560-006
10/5/2024 10/5/2024 10/5/2024
10/5/2025 10/5/2025 10/5/2025
Aggregate limit Each Abusive Conduct Aggregate/Occurence
$1000000 $500000 $2000000
State of Arizona State Procurement Office 100 N. 16th Avenue, Ste. 201 Phoenix, AZ 86007
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
RE: Contract #CTR069842
Additional Insured with a Waiver of Subrogation on the General Liability.
The aforementioned coverage is provided to the extent in the attached forms for: State of Arizona
POLICY NUMBER: PHPK2593123-006 COMMERCIAL GENERAL LIABILITY
CG 20 26 0413
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED- DESIGNATED
PERSON OR ORGANIZATION
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
SCHEDULE
Name Of Additional Insured Person(s) Or Organization(s):
State of Arizona State Procurement Office Contract# CTR071992
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
A. Section II - Who Is An Insured is amended to include as an additional insured the person(s) or organization(s) shown in the Schedule, but only with respect to liability for "bodily injury", "property damage" or "personal and advertising injury" caused, in whole or in part, by your acts or omissions or the acts or omissions of those acting on your behalf:
1. In the performance of your ongoing operations;
or
2. In connection with your premises owned by or rented to you.
However:
1. The insurance afforded to such additional insured only applies to the extent permitted by law; and
2. If coverage provided to the additional insured is required by a contract or agreement, the insurance afforded to such additional insured will not be broader than that which you are required by the contract or agreement to provide for such additional insured.
B. With respect to the insurance afforded to these additional insureds, the following is added to Section Ill - Limits Of Insurance:
If coverage provided to the additional insured is required by a contract or agreement, the most we will pay on behalf of the additional insured is the amount of insurance:
1. Required by the contract or agreement; or
2. Available under the applicable Limits of
Insurance shown in the Declarations;
whichever is less.
This endorsement shall not increase the applicable Limits of Insurance shown in the Declarations.
CG 20 26 0413 © Insurance Services Office, Inc., 2012 Page 2 of 3
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