COI_101825.Pdf
PDF 110 KB Posted
- Attached to
- Master Agreement AZ|CTR072000
- Contract number
- CTR072000
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for Language Connection, LLC, located in El Mirage, Arizona. The certificate is issued by Integra Insurance Group and covers multiple insurance policies through insurers including Twin City Fire Insurance Company, Hartford Accident and Indemnity Company, and Lloyds, Underwriters at Lloyds. The certificate holder is the Arizona Department of Administration State Procurement Office, located in Phoenix, Arizona, suggesting this is related to a state government contract.
The insurance coverage includes Commercial General Liability with a $2,000,000 per occurrence limit and a $4,000,000 aggregate limit, Professional Liability with a $2,000,000 occurrence and aggregate limit, and Workers' Compensation with statutory coverage. The policy is effective from 10/18/2024 to 10/18/2025 and references a specific contract number CTR072000. An additional Sexual Abuse and Molestation Policy is also in place with a $500,000 limit per claim and in aggregate. The policy includes provisions for additional insured status and waiver of subrogation in favor of the certificate holder, indicating a comprehensive insurance protection for a state-level contractual engagement.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Attachment_13_--_Pricing_Document_Rev01.pdf | ||
| CART-ASL_Comprehensive_Pricing_List.xlsx | XLSX spreadsheet | |
| CERTIFICATE_OF_INSURANCE__COI_.Pdf | ||
| CART-ASL_Comprehensive_Pricing_List_6-1-25.xlsx | XLSX spreadsheet | |
| CTR072000_Amendment_1.pdf | ||
| CTR072000_Amendment_2.pdf | ||
| Language_Connection_Contract.pdf | ||
| CTR072000_Amendment_3.pdf | ||
| CTR072000_Revised_Cart-ASL_Pricing_Document_9-16-2025.docx | DOCX document |
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Text version
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
10/15/2024 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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATIONIS 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).
PRODUCER
INTEGRA INSURANCE GROUP
59304509
13350 N 94TH DRIVE SUITE B
PEORIA AZ 85381
CONTACT NAME:
PHONE
(A/C, No, Ext):
(623) 322-5955 FAX
(A/C, No):
E-MAIL ADDRESS:
INSURER(S) AFFORDING COVERAGE NAIC#
INSURER A : Twin City Fire Insurance Company 29459
INSURED
LANGUAGE CONNECTION, LLC
PO BOX 1087
EL MIRAGE AZ 85335-1087
INSURER B : Hartford Accident and Indemnity Company 22357
INSURER C : Lloyds, Underwriters at Lloyds 15792
INSURER D :
INSURER E :
INSURER F :
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
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.
INSR
LTR
TYPE OF INSURANCE ADDL
INSR
SUBR
WVD
POLICY NUMBER POLICY EFF
(MM/DD/YYYY)
POLICY EXP
(MM/DD/Y YYY)
LIMITS
A
COMMERCIAL GENERAL LIABILITY
X X 59 SBM BD1579 10/18/2024 10/18/2025
EACH OCCURRENCE $2,000,000
CLAIMS-MADE X OCCUR DAMAGE TO RENTED
PREMISES (Ea occurrence) $1,000,000
X General Liability MED EXP (Any one person) $10,000
PERSONAL & ADV INJURY $2,000,000
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $4,000,000
POLICY PRO-
JECT X LOC PRODUCTS - COMP/OP AGG $4,000,000
OTHER:
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT
(Ea accident)
ANY AUTO BODILY INJURY (Per person)
ALL OWNED
AUTOS
SCHEDULED
AUTOS
BODILY INJURY (Per accident)
HIRED
AUTOS
NON-OWNED
AUTOS
PROPERTY DAMAGE
(Per accident)
UMBRELLA LIAB
EXCESS LIAB
OCCUR
CLAIMS-
MADE
EACH OCCURRENCE
AGGREGATE
DED RETENTION $
B
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
ANY
PROPRIETOR/PARTNER/EXECUTIVE
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below
N/ A X 59 WEC AU90YV 11/04/2024 11/04/2025
X PER
STATUTE
OTH-
ER
Y/N E.L. EACH ACCIDENT $1,000,000
E.L. DISEASE -EA EMPLOYEE $1,000,000
E.L. DISEASE - POLICY LIMIT $1,000,000
A PROFESSIONAL LIABILITY 59 SBM BD1579 10/18/2024 10/18/2025 Occurrence Aggregate
$2,000,000 $2,000,000
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
Those usual to the Insured's Operations. Contract CTR072000 Insurer C: Sexual Abuse and Molestation Policy B0621PLANG002624 Effective 05/31/20204-05/31/2025 Limit Each Claim $500,000/$500,000 Aggregate
CERTIFICATE HOLDER CANCELLATION
Arizona Department of Administration State Procurement Office
100 N 15TH AVE
PHOENIX AZ 85007
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED
BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED
IN ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
© 1988-2015 ACORD CORPORATION. All rights reserved.
ACORD 25 (2016/03) The ACORD name and logo are registered marks of ACORD
ACORD 101 (2014/01) © 2014 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
AGENCY CUSTOMER ID:
LOC# :
ADDITIONAL REMARKS SCHEDULE Page 2 of 2
AGENCY
INTEGRA INSURANCE GROUP
NAMED INSURED
LANGUAGE CONNECTION, LLC
PO BOX 1087
EL MIRAGE AZ 85335-1087
POLICY NUMBER
SEE ACORD 25
CARRIER
SEE ACORD 25
NAIC CODE
EFFECTIVE DATE: SEE ACORD 25
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM
FORM NUMBER: ACORD 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
Certificate holder is an additional insured per the Business Liability Coverage Form SS0008 attached to this policy. Waiver of Subrogation applies in favor of the Certificate Holder per the Business Liability Coverage Form SS0008, attached to this policy.
Waiver of Subrogation applies in favor of the Certificate Holder per Waiver of our Right to Recover from Others Endorsement WC000313 attached to this policy.
File details come from the government source that posted it. Updated .