Cross_Paths__LLC_SSCIP_SAIC_Certificate_of_Liability_6-7-24__AZ__Redacted.pdf

PDF 62 KB Posted

Attached to
Master Agreement AZ|CTR071417
Contract number
CTR071417
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued on 06/07/2024, involving Cross Paths, LLC as the insured and Robust Financial, Inc. as the producer. The primary insurers are Social Service Contractors Indemnity P (Insurer A) and Service American Indemnity Company (Insurer B), with the certificate holder being the Arizona Department of Child Safety located in Phoenix, Arizona.

The insurance certificate covers multiple lines of liability, including commercial general liability, professional liability, automobile liability, and sexual or physical abuse and molestation coverage. The policy provides various coverage limits, with professional liability and general aggregate limits of $3,000,000, and specific per-occurrence limits of $1,000,000 for most categories. The policy covers operations related to child welfare/boarding or rooming houses, with scheduled vehicles including a 2006 Toyota Sienna, 2009 Chevy Suburban, and 2018 Nissan NV3500 van. The policy is effective from 06/07/2024 to 06/07/2025, with the Arizona Department of Child Safety listed as an additional insured.

View the file

Other files

File Type Posted
Contract_Amendment_1.pdf PDF
Contract_Extension.pdf PDF
2-Attachment_3-E_Forced_Labor_of_Ethnic_Uyghurs_Ban_1_Redacted.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
COI_-__ARIZONA_DEPARTMENT_OF_CHILD_SAFETY_Redacted.pdf PDF
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Congregate_Care_Services_Amendment_6.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Cross_Paths_Offer_and_Acceptance_Redacted.pdf PDF
Amend.Lic.RemovedQRTP.10.31.2024_Redacted.pdf PDF
Contract_Amendment__3.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XII Bed Hold.pdf PDF
Exhibit IV - Medication Error Report.pdf PDF
Exhibit CS0-1015A.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit III - Medication Log.pdf PDF
1._Cross_Paths__LLC_SSCIP_SA_Certificate_of_Insurance__AZ__Redacted.pdf PDF
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
3._Cross_Paths_ADCS_Business_Associate_Agreement_with_HITECH.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
Exhibit XI One on One Supervision.pdf PDF
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
2-Attachment_3-D_Boycott_of_Israel_Disclosure_1_Redacted.pdf PDF
Exhibit XV Discharge Summary.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Congregate_Care_Services_SOW_2024.pdf PDF
Show all 39

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

Text version

ÍØÑËÔÜ ßÒÇ ÑÚ ÌØÛ ßÞÑÊÛ ÜÛÍÝÎ×ÞÛÜ ÐÑÔ×Ý×ÛÍ ÞÛ ÝßÒÝÛÔÔÛÜ ÞÛÚÑÎÛ ÌØÛ ÛÈÐ×ÎßÌ×ÑÒ ÜßÌÛ ÌØÛÎÛÑÚô ÒÑÌ×ÝÛ É×ÔÔ ÞÛ ÜÛÔ×ÊÛÎÛÜ ×Ò ßÝÝÑÎÜßÒÝÛ É×ÌØ ÌØÛ ÐÑÔ×ÝÇ ÐÎÑÊ×Í×ÑÒÍò

×ÒÍËÎÛÎøÍ÷ ßÚÚÑÎÜ×ÒÙ ÝÑÊÛÎßÙÛ

×ÒÍËÎÛÎ Ú æ

×ÒÍËÎÛÎ Û æ

×ÒÍËÎÛÎ Ü æ

×ÒÍËÎÛÎ Ý æ

×ÒÍËÎÛÎ Þ æ

×ÒÍËÎÛÎ ß æ

Òß×Ý ý

ÒßÓÛæ ÝÑÒÌßÝÌ øßñÝô Ò±÷æ ÚßÈ

ÛóÓß×Ô ßÜÜÎÛÍÍæ

ÐÎÑÜËÝÛÎ

øßñÝô Ò±ô Û¨¬÷æ

ÐØÑÒÛ

×ÒÍËÎÛÜ

ÎÛÊ×Í×ÑÒ ÒËÓÞÛÎæÝÛÎÌ×Ú×ÝßÌÛ ÒËÓÞÛÎæÝÑÊÛÎßÙÛÍ

×ÓÐÑÎÌßÒÌæ ׺ ¬¸» ½»®¬·º·½¿¬» ¸±´¼»® · ¿² ßÜÜ×Ì×ÑÒßÔ ×ÒÍËÎÛÜô ¬¸» °±´·½§ø·»÷ ³«¬ ¾» »²¼±®»¼ò ׺ ÍËÞÎÑÙßÌ×ÑÒ ×Í Éß×ÊÛÜô «¾¶»½¬ ¬± ¬¸» ¬»®³ ¿²¼ ½±²¼·¬·±² ±º ¬¸» °±´·½§ô ½»®¬¿·² °±´·½·» ³¿§ ®»¯«·®» ¿² »²¼±®»³»²¬ò ß ¬¿¬»³»²¬ ±² ¬¸· ½»®¬·º·½¿¬» ¼±» ²±¬ ½±²º»® ®·¹¸¬ ¬± ¬¸» ½»®¬·º·½¿¬» ¸±´¼»® ·² ´·»« ±º «½¸ »²¼±®»³»²¬ø÷ò

ÌØ×Í ÝÛÎÌ×Ú×ÝßÌÛ ×Í ×ÍÍËÛÜ ßÍ ß ÓßÌÌÛÎ ÑÚ ×ÒÚÑÎÓßÌ×ÑÒ ÑÒÔÇ ßÒÜ ÝÑÒÚÛÎÍ ÒÑ Î×ÙØÌÍ ËÐÑÒ ÌØÛ ÝÛÎÌ×Ú×ÝßÌÛ ØÑÔÜÛÎò ÌØ×Í ÝÛÎÌ×Ú×ÝßÌÛ ÜÑÛÍ ÒÑÌ ßÚÚ×ÎÓßÌ×ÊÛÔÇ ÑÎ ÒÛÙßÌ×ÊÛÔÇ ßÓÛÒÜô ÛÈÌÛÒÜ ÑÎ ßÔÌÛÎ ÌØÛ ÝÑÊÛÎßÙÛ ßÚÚÑÎÜÛÜ ÞÇ ÌØÛ ÐÑÔ×Ý×ÛÍ ÞÛÔÑÉò ÌØ×Í ÝÛÎÌ×Ú×ÝßÌÛ ÑÚ ×ÒÍËÎßÒÝÛ ÜÑÛÍ ÒÑÌ ÝÑÒÍÌ×ÌËÌÛ ß ÝÑÒÌÎßÝÌ ÞÛÌÉÛÛÒ ÌØÛ ×ÍÍË×ÒÙ ×ÒÍËÎÛÎøÍ÷ô ßËÌØÑÎׯÛÜ ÎÛÐÎÛÍÛÒÌßÌ×ÊÛ ÑÎ ÐÎÑÜËÝÛÎô ßÒÜ ÌØÛ ÝÛÎÌ×Ú×ÝßÌÛ ØÑÔÜÛÎò øÐ»® ¿½½·¼»²¬÷ øÛ¿ ¿½½·¼»²¬÷ ü ü

Ò ñ ß

ÍËÞÎ

ÉÊÜ

ßÜÜÔ

×ÒÍÎ

ÌØ×Í ×Í ÌÑ ÝÛÎÌ×ÚÇ ÌØßÌ ÌØÛ ÐÑÔ×Ý×ÛÍ ÑÚ ×ÒÍËÎßÒÝÛ Ô×ÍÌÛÜ ÞÛÔÑÉ ØßÊÛ ÞÛÛÒ ×ÍÍËÛÜ ÌÑ ÌØÛ ×ÒÍËÎÛÜ ÒßÓÛÜ ßÞÑÊÛ ÚÑÎ ÌØÛ ÐÑÔ×ÝÇ ÐÛÎ×ÑÜ ×ÒÜ×ÝßÌÛÜò ÒÑÌÉ×ÌØÍÌßÒÜ×ÒÙ ßÒÇ ÎÛÏË×ÎÛÓÛÒÌô ÌÛÎÓ ÑÎ ÝÑÒÜ×Ì×ÑÒ ÑÚ ßÒÇ ÝÑÒÌÎßÝÌ ÑÎ ÑÌØÛÎ ÜÑÝËÓÛÒÌ É×ÌØ ÎÛÍÐÛÝÌ ÌÑ ÉØ×ÝØ ÌØ×Í ÝÛÎÌ×Ú×ÝßÌÛ ÓßÇ ÞÛ ×ÍÍËÛÜ ÑÎ ÓßÇ ÐÛÎÌß×Òô ÌØÛ ×ÒÍËÎßÒÝÛ ßÚÚÑÎÜÛÜ ÞÇ ÌØÛ ÐÑÔ×Ý×ÛÍ ÜÛÍÝÎ×ÞÛÜ ØÛÎÛ×Ò ×Í ÍËÞÖÛÝÌ ÌÑ ßÔÔ ÌØÛ ÌÛÎÓÍô ÛÈÝÔËÍ×ÑÒÍ ßÒÜ ÝÑÒÜ×Ì×ÑÒÍ ÑÚ ÍËÝØ ÐÑÔ×Ý×ÛÍò Ô×Ó×ÌÍ ÍØÑÉÒ ÓßÇ ØßÊÛ ÞÛÛÒ ÎÛÜËÝÛÜ ÞÇ Ðß×Ü ÝÔß×ÓÍò ü ü ü üÐÎÑÐÛÎÌÇ ÜßÓßÙÛ

ÞÑÜ×ÔÇ ×ÒÖËÎÇ øÐ»® ¿½½·¼»²¬÷

ÞÑÜ×ÔÇ ×ÒÖËÎÇ øÐ»® °»®±²÷

ÝÑÓÞ×ÒÛÜ Í×ÒÙÔÛ Ô×Ó×Ì

ßËÌÑÍ ßËÌÑÍßËÌÑÍ ÒÑÒóÑÉÒÛÜ

Ø×ÎÛÜ ßËÌÑÍ

ÍÝØÛÜËÔÛÜßÔÔ ÑÉÒÛÜ ßÒÇ ßËÌÑ ßËÌÑÓÑÞ×ÔÛ Ô×ßÞ×Ô×ÌÇ

Ç ñ Ò

ÉÑÎÕÛÎÍ ÝÑÓÐÛÒÍßÌ×ÑÒ ßÒÜ ÛÓÐÔÑÇÛÎÍù Ô×ßÞ×Ô×ÌÇ

ÑÚÚ×ÝÛÎñÓÛÓÞÛÎ ÛÈÝÔËÜÛÜá øÓ¿²¼¿¬±®§ ·² ÒØ÷

ÜÛÍÝÎ×ÐÌ×ÑÒ ÑÚ ÑÐÛÎßÌ×ÑÒÍ ¾»´±© ׺ §»ô ¼»½®·¾» «²¼»® ßÒÇ ÐÎÑÐÎ×ÛÌÑÎñÐßÎÌÒÛÎñÛÈÛÝËÌ×ÊÛ ü ü ü

ÛòÔò Ü×ÍÛßÍÛ ó ÐÑÔ×ÝÇ Ô×Ó×Ì

ÛòÔò Ü×ÍÛßÍÛ ó Ûß ÛÓÐÔÑÇÛÛ

ÛòÔò ÛßÝØ ßÝÝ×ÜÛÒÌ

ÛÎ

ÑÌØó

ÌÑÎÇ Ô×Ó×ÌÍ

ÉÝ ÍÌßÌËó

Ô×Ó×ÌÍøÓÓñÜÜñÇÇÇÇ÷

ÐÑÔ×ÝÇ ÛÈÐ

øÓÓñÜÜñÇÇÇÇ÷

ÐÑÔ×ÝÇ ÛÚÚ

ÐÑÔ×ÝÇ ÒËÓÞÛÎÌÇÐÛ ÑÚ ×ÒÍËÎßÒÝÛÔÌÎ

×ÒÍÎ

ÜÛÍÝÎ×ÐÌ×ÑÒ ÑÚ ÑÐÛÎßÌ×ÑÒÍ ñ ÔÑÝßÌ×ÑÒÍ ñ ÊÛØ×ÝÔÛÍ øß¬¬¿½¸ ßÝÑÎÜ ïðï ß¼¼·¬·±²¿´ λ³¿®µ ͽ¸»¼«´» ·º ³±®» °¿½» · ®»¯«·®»¼÷

ÛÈÝÛÍÍ Ô×ßÞ

ËÓÞÎÛÔÔß Ô×ßÞ üÛßÝØ ÑÝÝËÎÎÛÒÝÛ üßÙÙÎÛÙßÌÛ ü

ÑÝÝËÎ

ÝÔß×ÓÍóÓßÜÛ

ÜÛÜ ÎÛÌÛÒÌ×ÑÒ ü üÐÎÑÜËÝÌÍ ó ÝÑÓÐñÑÐ ßÙÙ üÙÛÒÛÎßÔ ßÙÙÎÛÙßÌÛ üÐÛÎÍÑÒßÔ ú ßÜÊ ×ÒÖËÎÇ üÓÛÜ ÛÈÐ øß²§ ±²» °»®±²÷ üÛßÝØ ÑÝÝËÎÎÛÒÝÛ ÜßÓßÙÛ ÌÑ ÎÛÒÌÛÜ üÐÎÛÓ×ÍÛÍ øÛ¿ ±½½«®®»²½»÷

ÙÛÒÛÎßÔ Ô×ßÞ×Ô×ÌÇ

ÝÑÓÓÛÎÝ×ßÔ ÙÛÒÛÎßÔ Ô×ßÞ×Ô×ÌÇ

ÝÔß×ÓÍóÓßÜÛ ÑÝÝËÎ

ÙÛÒùÔ ßÙÙÎÛÙßÌÛ Ô×Ó×Ì ßÐÐÔ×ÛÍ ÐÛÎæ

ÐÑÔ×ÝÇ

ÐÎÑó

ÖÛÝÌ ÔÑÝ

ÝÛÎÌ×Ú×ÝßÌÛ ÑÚ Ô×ßÞ×Ô×ÌÇ ×ÒÍËÎßÒÝÛ ÜßÌÛ øÓÓñÜÜñÇÇÇÇ÷

ÝßÒÝÛÔÔßÌ×ÑÒ ßËÌØÑÎׯÛÜ ÎÛÐÎÛÍÛÒÌßÌ×ÊÛ ßÝÑÎÜ îë øîðïðñðë÷ w ïçèèóîðïð ßÝÑÎÜ ÝÑÎÐÑÎßÌ×ÑÒò ß´´ ®·¹¸¬ ®»»®ª»¼ò

ÝÛÎÌ×Ú×ÝßÌÛ ØÑÔÜÛÎ

̸» ßÝÑÎÜ ²¿³» ¿²¼ ´±¹± ¿®» ®»¹·¬»®»¼ ³¿®µ ±º ßÝÑÎÜ ðêñðéñîðîì

ÎÑÞËÍÌ Ú×ÒßÒÝ×ßÔô ×ÒÝ îêîëì ×ÒÌÛÎÍÌßÌÛ ïð ÉÛÍÌ ÍË×ÌÛ ïïî

ÞÑÛÎÒÛô ÌÛÈßÍ éèððê

ÓßÒËÛÔ ÌØÑÓßÍ øèðð÷ ëíèóëçðï øëîð÷ íðêóëððð

ÓßÒËÛÔàÎÑÞËÍÌÚ×ÒßÒÝ×ßÔòÝÑÓ

ÝÎÑÍÍ ÐßÌØÍô ÔÔÝ

ÍÑÝ×ßÔ ÍÛÎÊ×ÝÛ ÝÑÒÌÎßÝÌÑÎÍ ×ÒÜÛÓÒ×ÌÇ Ð Òñß

ÍÛÎÊ×ÝÛ ßÓÛÎ×ÝßÒ ×ÒÜÛÓÒ×ÌÇ ÝÑÓÐßÒÇ íçïëî ß ÐÎÑÚÛÍÍ×ÑÒßÔ Ô×ßÞ×Ô×ÌÇ È êððîìçðóí ðêñðéñîðîì ðêñðéñîðîë ïôðððôðððòðð ïôðððôðððòðð ïðôðððòðð ïôðððôðððòðð îôðððôðððòðð îôðððôðððòðð

ÐÎÑÚ Ô×ßÞ×Ô×ÌÇ ßÙÙ íôðððôðððòðð ß È êððîìçðóí ðêñðéñîðîì ðêñðéñîðîë ïôðððôðððòðð

ËÓñË×Ó ×ÒÝÔËÜÛÜ

Þ Ò ÍßÌ×Íðìïéîðî ðìñðîñîðîì ðìñðîñîðîë ïôðððôðððòðð ïôðððôðððòðð ïôðððôðððòðð ß ÍÛÈËßÔ ÑÎ ÐØÇÍ×ÝßÔ ßÞËÍÛ ßÒÜ ÓÑÔÛÍÌßÌ×ÑÒ È êððîìçðóí ðêñðéñîðîì ðêñðéñîðîë üïôðððôðððòðð ÛßÝØ ÝÔß×Ó üîôðððôðððòðð ßÙÙÎÛÙßÌÛ

ÔÑÝ ððïæ ×ÍÑæêïððð ÝØ×ÔÜ ÉÛÔÚßÎÛñÞÑßÎÜ×ÒÙ ÑÎ ÎÑÑÓ×ÒÙ ØÑËÍÛÍ ËÒ×ÌÍ ïê ÍÝØÛÜËÔÛÜ ÊÛØ×ÝÔÛøÍ÷æ îððê ÌÑÇÑÌß Í×ÛÒÒß Ê×Òæ ë ô îððç ÝØÛÊ ÍËÞËÎÞßÒ Ê×Òæ ï îðïè Ò×ÍÍßÒ ÒÊ íëðð Í ÊßÒ Ê×Òæ ÜÎ×ÊÛÎøÍ÷æ ßÜÜ×Ì×ÑÒßÔ ×ÒÍËÎÛÜæ ßÎׯÑÒß ÜÛÐßÎÌÓÛÒÌ ÑÚ ÝØ×ÔÜ ÍßÚÛÌÇ ßÎׯÑÒß ÜÛÐßÎÌÓÛÒÌ ÑÚ ÝØ×ÔÜ ÍßÚÛÌÇ íððí Ò ÝÛÒÌÎßÔ ßÊÛ

ÐØÑÛÒ×Èô ߯ èëðïî

File details come from the government source that posted it. Updated .