COI_-_WC_-_AZ_Dept_of_Child_Safety_-_Elite_Power_Group_Homes__LLC_-_2024_08_29_Redacted.pdf

This document is an ACORD Certificate of Liability Insurance issued by U.S. National Insurance, LLC for Elite Power Group Homes, LLC, with The Pine Insurance Company as the primary insurer. The certificate is dated 8/29/2024 and lists the Arizona Department of Child Safety as the certificate holder. The document covers insurance for the State of Arizona, including its departments, agencies, boards, commissions, universities, and their officers, officials, agents, and employees.

The insurance policy provides workers' compensation coverage with statutory limits of $1,000,000 per each accident, per employee disease, and for the overall disease policy limit. The policy period runs from 8/12/2024 to 8/12/2025, with a policy number of WC PI 112177-4-000. Two specific individuals, Steven Hoppe and Lynsey Hoppe, are explicitly excluded from the policy. The certificate notes that the State of Arizona is included on the Waiver of Subrogation, which provides additional protection for the state and its entities.