COI_AZDCS_copy_Redacted.pdf

PDF 2 MB Posted

Attached to
Master Agreement AZ|CTR071440
Contract number
CTR071440
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance dated 8/24/2023, issued by USI Southwest for Mi Casa Su Casa LLC, with the Arizona Department of Child Safety as the certificate holder. The insurance is provided by Social Service Contractors Indemnity (Insurer A) and CopperPoint General Insurance Company (Insurer B). The certificate covers various liability insurance policies, including Commercial General Liability, Any Auto, Umbrella Liability, and Workers Compensation.

The insurance policies are effective from 08/25/2023 to 08/25/2024, with coverage limits including $1,000,000 per occurrence for Commercial General Liability and Auto Liability, $3,000,000 aggregate for General Aggregate, and $1,000,000 for Workers Compensation. The policy includes additional insured endorsements for the Arizona Department of Child Safety and provides coverage for work performed on behalf of the state. The certificate specifically notes that the General Liability and Automobile Liability policies include an automatic additional insured endorsement for the State of Arizona, applicable when there is a written contract requiring such status.

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