COI_Workman_s_comp_2023-2024_Redacted.pdf
PDF 237 KB Posted
- Attached to
- Master Agreement AZ|CTR071412
- Contract number
- CTR071412
- Issued by
- Arizona
About this file
This document is an ACORD Certificate of Liability Insurance issued by United Risk & Insurance Services LLC for Casa D'Amore Family Care, with AmTrust Insurance Company listed as the primary insurer. The certificate was issued on 08/28/2023 and provides workers' compensation insurance coverage valid from 08/21/2023 to 08/21/2024.
The workers' compensation policy has specific coverage limits, including $1,000,000 for each workplace accident, $1,000,000 for employee disease per accident, and $1,000,000 for total disease policy limit. The policy number is KWC1326948 and covers any proprietary/partner/executive officer, with some exclusions noted. The certificate serves as proof of insurance coverage but does not constitute a direct contract between the insurer and the certificate holder, and does not automatically confer additional rights beyond the specific policy terms.
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Text version
ACORD 25 (2001/08)
If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
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).
The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon.
DISCLAIMER
IMPORTANT
File details come from the government source that posted it. Updated .