CTR055086_2024-10-01_COI.pdf
PDF 113 KB Posted
- Attached to
- Master Agreement AZ|CTR055086
- Contract number
- CTR055086
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for Arizona's Children Association (AZCA), issued by Lovitt & Touche, a Marsh & McLennan Agency LLC Co, located in Tucson, Arizona. The certificate involves multiple insurers, including CopperPoint Indemnity Insurance Company, Capitol Specialty Insurance Corporation, and Great American Insurance Company. The certificate holder is the State of Arizona Department of Child Safety Office of Procurement and Contracts, located in Phoenix, Arizona.
The insurance coverage includes Commercial General Liability, Automobile Liability, Umbrella Liability, Workers Compensation, and Professional Liability with Sexual Molestation coverage. The policies are effective from 10/1/2023 to 10/1/2024, with various coverage limits. The Commercial General Liability policy has a $1,000,000 per occurrence limit and a $3,000,000 aggregate limit. The Professional Liability includes a $1,000,000 per claim limit and a $3,000,000 policy aggregate. The contract references a CTR# 055086 and includes Sexual Abuse & Molestation coverage subject to all policy terms, conditions, definitions, and exclusions.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR055086_HIPPA_Agreement.pdf | ||
| CTR055086_2021-10-01_COI.pdf | ||
| Amendment_1.pdf | ||
| CTR055086_Executed_Contract.pdf | ||
| Contract_Amendment_2.pdf |
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Text version
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
INSURER(S) AFFORDING COVERAGE
INSURER F :
INSURER E :
INSURER D :
INSURER C :
INSURER B :
INSURER A :
NAIC #
NAME:
CONTACT
(A/C, No):
FAX
ADDRESS:
PRODUCER
(A/C, No, Ext):
PHONE
INSURED
REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.
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).
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
OTHER:
(Per accident)
(Ea accident)
N / A
SUBR
WVD
ADDL
INSD
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
$PROPERTY DAMAGE
BODILY INJURY (Per accident)
BODILY INJURY (Per person)
COMBINED SINGLE LIMIT
AUTOS ONLY
AUTOSAUTOS ONLY
NON-OWNED
SCHEDULEDOWNED
ANY AUTO
AUTOMOBILE LIABILITY
Y / N
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY
OFFICER/MEMBER EXCLUDED?
(Mandatory in NH)
DESCRIPTION OF OPERATIONS below If yes, describe under
ANY PROPRIETOR/PARTNER/EXECUTIVE
E.L. DISEASE - POLICY LIMIT
E.L. DISEASE - EA EMPLOYEE
E.L. EACH ACCIDENT
ER
OTH-
STATUTE
PER
LIMITS(MM/DD/YYYY)
POLICY EXP
(MM/DD/YYYY)
POLICY EFF
POLICY NUMBERTYPE OF INSURANCELTR
INSR
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
EXCESS LIAB
UMBRELLA LIAB $EACH OCCURRENCE
$AGGREGATE
OCCUR
CLAIMS-MADE
DED RETENTION $
$PRODUCTS - COMP/OP AGG
$GENERAL AGGREGATE
$PERSONAL & ADV INJURY
$MED EXP (Any one person)
$EACH OCCURRENCE
DAMAGE TO RENTED
$PREMISES (Ea occurrence)
COMMERCIAL GENERAL LIABILITY
CLAIMS-MADE OCCUR
GEN'L AGGREGATE LIMIT APPLIES PER:
POLICY
PRO-
JECT LOC
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
CANCELLATION
AUTHORIZED REPRESENTATIVE
ACORD 25 (2016/03)
© 1988-2015 ACORD CORPORATION. All rights reserved.
CERTIFICATE HOLDER
The ACORD name and logo are registered marks of ACORD
HIRED
AUTOS ONLY
10/2/2023
Lovitt & Touche A Marsh & McLennan Agency LLC Co 4703 E Camp Lowell Drive, #101 Tucson AZ 85712
Nichole Maurer
(928) 258-1376 520-722-7245 nmaurer@lovitt-touche.com
CopperPoint Indemnity Insurance Company 13928 ARIZCHI-C2 Capitol Specialty Insurance Corporation 10328
Arizona's Children Association (AZCA) c/o Jacob Schmitt 3716 E. Columbia Tucson AZ 85714
Great American Insurance Company 16691
600802060
B X 1,000,000 X 100,000
X 0 5,000
1,000,000
3,000,000 X
HS2021259803 10/1/2023 10/1/2024
3,000,000
C 1,000,000
X
X X
CAP532869500 10/1/2023 10/1/2024
B X 2,000,000 X
HS2021259903 10/1/2023 10/1/2024
2,000,000
A X1003483 7/1/2023 7/1/2024
1,000,000
1,000,000
1,000,000 B
Sexual Molestation Professional Liability
HS2021259803 10/1/2023 10/1/2024 Each Claim $1,000,000 $1,000,000
Policy Aggregate $3,000,000 $3,000,000
Subject to all policy terms, conditions, definitions & exclusions.
Sexual Abuse & Molestation coverage is included.
CTR#: 055086
State of Arizona Department of Child Safety Office of Procurement and Contracts 3003 N. Central Ave., C010-20 Phoenix AZ 85007
File details come from the government source that posted it. Updated .