COI_Worker_Comp-_State_of_Arizona_DCS_-_2024_05_08_Redacted.pdf

This document is an ACORD Certificate of Liability Insurance issued on 5/8/2024 by U.S. National Insurance LLC, located in Scottsdale, Arizona, for Power House Youth Facility, Inc. The certificate names Oak River Insurance Company as the insurer and lists the State of Arizona Department of Child Safety (DCS) as the certificate holder, with an address in Phoenix, Arizona.

The insurance policy (number POW C438725) provides workers' compensation and employers' liability coverage with policy effective dates from 09/25/2023 to 09/25/2024. The policy includes statutory coverage with limits of $1,000,000 per each accident, per disease for an employee, and a $1,000,000 disease policy limit. The certificate serves as a proof of insurance for the organization, demonstrating financial protection for potential workplace incidents, but does not constitute a contract or guarantee specific coverage beyond the outlined terms.