COI_Workers_Comp_AZ_STATE_FOR_US_COMPUTERS_2025.pdf

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Attached to
Master Agreement AZ|CTR073467
Contract number
CTR073467
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance dated 04/14/2025 for US Computers, located in Placentia, California. The insurance is provided through multiple insurers, including Truck Insurance Exchange (NAIC #21709), Farmers Insurance Exchange (NAIC #21652), and Mid Century Insurance Company (NAIC #21687). The certificate is issued by Linh Nguyen at Farmer's Agent in Garden Grove, California, and the certificate holder is the Arizona Department of Administration, State Procurement Office in Phoenix, Arizona.

The Workers' Compensation portion of the insurance policy is active from 04/15/2025 to 04/15/2026, with statutory coverage limits. The policy includes important provisions such as each accident coverage of $1,000,000, employer's liability disease coverage of $1,000,000 per employee and policy limit. While specific contract details are not outlined in this insurance certificate, the document demonstrates proof of insurance coverage for US Computers, which appears to be relevant to a state procurement contract with the Arizona Department of Administration.

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