COI_2026-01-26_GL_AL_WC.pdf
PDF 567 KB Posted
- Attached to
- Master Agreement AZ|CTR058342
- Contract number
- CTR058342
- Issued by
- Arizona
About this file
This is a Certificate of Liability Insurance issued by ACORD on January 27, 2025, for Nathaniel D Thompson PSYD LLC DBA Arizona Police Psychology PLLC. The certificate holder is the State of Arizona, located at 701 E. Jefferson Street, Phoenix, AZ 85034, under Contract No. CTR058342. The insured, Pinnacle Insurance Group, maintains coverage through multiple insurers: State Auto Insurance Companies (NAIC #25135) as Insurer A and Midvale Indemnity Company (NAIC #23145) as Insurer B. The contact representative is Christian Jones at 480-474-0334.
The certificate documents three primary types of insurance coverage in effect from January 26, 2025, through January 26, 2026. Commercial General Liability coverage includes limits of $2,000,000 per occurrence and $4,000,000 general aggregate, with medical expense coverage of $5,000 per person. Automobile Liability coverage provides a combined single limit of $1,000,000 per accident. Workers' Compensation and Employers' Liability coverage establishes limits of $1,000,000 for each accident and disease per employee, with a $1,000,000 policy limit. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are named as additional insureds with a waiver of subrogation endorsement in their favor for losses arising from work performed by or on behalf of the Contractor.
View the file
Other files
Show all 13
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Michon Typewritten Text Y
Michon Typewritten Text Y
Michon Typewritten Text The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor.
Waiver of Subrogation endorsement in favor of the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.
Michon Typewritten Text
File details come from the government source that posted it. Updated .