COI 07.01.2026.pdf
PDF 389 KB Posted
- Attached to
- Master Agreement AZ|CTR063300
- Contract number
- CTR063300
- Issued by
- Arizona
About this file
This document is a Certificate of Insurance issued by Mutual Insurance Company of Arizona (MICA) for Arizona Center for Hematology and Oncology PLC, located in Scottsdale, Arizona. The insurance is produced by Inszone Insurance Services, LLC dba Desert Mountain, based in Rancho Cordova, California. The certificate specifically covers medical professional liability for John Davis MD, who is being added as an insured health care professional.
The insurance policy (Number MICA023519) is a Medical Professional Liability Reporting Policy with a claims-made form, effective from 7/1/2025 to 7/1/2026. The coverage limits are $1,000,000 per occurrence and $3,000,000 in annual aggregate, with a retroactive date of 9/15/2020. The policy provides professional liability coverage for the healthcare professional, with the understanding that the insurance is subject to all terms, exclusions, and conditions of the original policy, and that aggregate limits may be reduced by paid claims.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR063300 A3.pdf | ||
| CTR063300_Contract_Documents.pdf | ||
| CTR063300_Pricing.xlsx | XLSX spreadsheet | |
| CTR063300 A1 v2 Upload.pdf | ||
| CTR063300 Amendment No. 2.pdf | ||
| COI WC 01.01.2026.pdf |
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Text version
2602 E Thomas Rd Phoenix AZ 85016-8202
602.956.5276 FAX 602.468.1710
Toll Free 1.800.352.0402
Certificate of Insurance
Insurance Company:
Mutual Insurance Company of Arizona 2602 East Thomas Road Phoenix, AZ 85016
Date: 5/27/2025, 6:57:07 AM
Producer:
Inszone Insurance Services, LLC dba Desert Mountain 2721 Citrus Rd Ste A Rancho Cordova, CA 95742
Insured:
Arizona Center For Hematology And Oncology PLC Attn Of: Arizona Center for Cancer Care 7975 N Hayden Rd Ste C-100 Scottsdale, AZ 85258
Policy Number: MICA023519 Effective Date: 7/1/2025
Expiration Date: 7/1/2026
Policy Form: Medical Professional Liability Reporting Policy Reporting Form of Claims-Made
It is agreed that the Policy is amended to include John Davis MD as an Insured Health Care Professional effective 7/1/2025.
The limits shown below apply separately to John Davis MD.
Limits of Medical Professional Liability Coverage:
Each Occurrence: $1,000,000 Annual Aggregate: $3,000,000 Retroactive Date: 9/15/2020
Notice:
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE RECIPIENT OF THIS CERTIFICATE. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICY LISTED.
This is to certify that Mutual Insurance Company of Arizona ("MICA") has issued the policy of insurance listed above to the insured named 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 policy described herein is subject to all terms, exclusions, and conditions of the policy. Aggregate limits shown may have been reduced by paid claims.
MICA will not provide any notice to the recipient of this certificate in the event the policy described herein is modified or terminated prior to the Expiration Date.
5/27/2025, 6:57:07 AM -- Arizona Time Rich Lemon
12:01 a.m.
12:01 a.m. unless premium is not paid or Policy is cancelled.
File details come from the government source that posted it. Updated .