COI_Exp_032025.pdf
PDF 674 KB Posted
- Attached to
- Master Agreement AZ|CTR075401
- Contract number
- CTR075401
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance issued by multiple insurers (Federal Insurance Company, Great Northern Insurance Company, and AIG Specialty Insurance Company) for ESO Solutions, Inc., with Marsh USA, LLC as the producer. The certificate is for the Arizona Department of Health Services, located in Phoenix, Arizona, and covers various insurance policies including Commercial General Liability, Automobile Liability, Workers' Compensation, and Cyber/Tech Errors & Omissions insurance.
The insurance policies are effective from March 31, 2024 to March 31, 2025, with coverage limits ranging from $1,000,000 to $5,000,000 depending on the type of insurance. The State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees are included as additional insured where required by written contract. The policies include provisions for waiver of subrogation and have a self-insured retention (SIR) of $500,000. The primary insured is ESO Solutions, Inc., an organization based in Austin, Texas, with comprehensive liability coverage across multiple domains.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR075401 A1.pdf | ||
| CTR075401_Contract.pdf | ||
| ESO_BAFO_Pricing.xls | XLS spreadsheet | |
| CTR075401_COI_2026-03-31_WC_AL_WC_TEO.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
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
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)
© 1988-2016 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
X
26883
2,000,000
20281
06-178-04-42
A
5,000,000
03/31/2025 X
N/A
Cyber/Tech Errors & Omissions
CN122676965--Finpr-2425
1,000,000
20303
05/03/2025
HOU-004165913-01
03/31/2024
2,000,000
01/17/2025
1,000,000
1,000,000 1,000,000
B
03/31/2025
05/03/2024
03/31/2024
N/A
73627314
Limit
15,000
7182-73-01
X
''SIR: $500,000''
1,000,000
State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees is/are included as additional insured where required by written contract with respect to General Liability and Auto Liability. Waiver of subrogation is applicable where required by written contract and subject to policy terms and conditions.
AIG Specialty Insurance Company 11500 Alterra Parkway
ESO Solutions, Inc.
Austin, TX 78758 Suite 100
1,000,000
Federal Insurance Company
X
4400 Comerica Bank Tower
MARSH USA, LLC.
Dallas, TX 75201-7357 1717 Main Street
36075664
Great Northern Insurance Company
N
Suite 530
Phoenix, AZ 85007
Arizona Department of Health Services
150 North 18th Ave
03/31/2024
A
1,000,000
X
X
D
03/31/2025
File details come from the government source that posted it. Updated .