CTR056118_-_COI__1_.pdf

PDF 203 KB Posted

Attached to
Master Agreement AZ|CTR056118
Contract number
CTR056118
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance dated 07/07/2024, involving Empowering Services LLC as the insured and the State of Arizona and Department of Economic Security as the certificate holder. The insurance is provided by multiple carriers, including United States Liability Insurance Company, Travelers Property Casualty Co of America, Hiscox, Progressive, and Kinsale Insurance Company. The insurance producer is Stephanie Schaffroth Insurance Agency located in Phoenix, Arizona.

The certificate covers multiple types of insurance including Commercial General Liability, Automobile Liability, Umbrella Liability, and Workers Compensation, with policy periods from 07/09/2024 to 07/09/2025. Coverage limits vary by insurance type, with general aggregate limits of $1,000,000, each occurrence limits of $1,000,000, and specific provisions for sexual abuse and molestation coverage. The policy includes a waiver of subrogation endorsement for the State of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The contract number referenced is CTR056118, indicating this is likely a state service contract for the Arizona Department of Economic Security.

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Other files

File Type Posted
CTR056118-CGLAI.pdf PDF
CTR056118-COI.pdf PDF
CTR056118_-_AO_AI__2_.pdf PDF
CTR056118_-_CGL_AI__1_.pdf PDF
CTR056118_Debarment_Check.pdf PDF
Exhibit_G_-_Affirmation_of_Qualifications_-_Pre-ETS.docx DOCX document
Exhibit_I_-_PRE-ETS_COORDINATION_OUTCOMES_Summary___Invoice_.doc DOC document
Exhibit_J_-_Service_Closure_Report.docx DOCX document
20231010_COI_CL_SAM_EO_AL_UL_WC_PL.pdf PDF
2023_07_09_COI_CL_SAM_AL_UL_WC_PL.pdf PDF
CTR056118-AOAI.pdf PDF
CTR056118_-_WC_WOS__1_.pdf PDF
CTR056118_Debarment_Checks.pdf PDF
Exhibit_H_-_Curriculum_Checklist_.docx DOCX document
CTR056118-CGLWOS.pdf PDF
CTR056118_Contract_Amendment_5.pdf PDF
CTR056118__Contract_Amendment_Summary__2.pdf PDF
Exhibit_B_-_Pre-Employment_Transition_Services_Request_for_Students_with_Disabilities.pdf PDF
Exhibit_C_-_Pre-ETS_Workshop_Attendance_Sheet.docx DOCX document
Exhibit_D_-_PRE-ETS_Service_Summary_and_Invoice.doc DOC document
Exhibit_E_-_Participant_Satisfaction_Survey.doc DOC document
2022-07-09_COI_GL_AL_U_WC_PL_SAM.pdf PDF
CTR056118-AOWOS.pdf PDF
CTR056118-WCWOS.pdf PDF
CTR056118_-_AO_WOS__1_.pdf PDF
CTR056118_-_CGL_WOS__1_.pdf PDF
CTR056118_COI_Auto_Exp_2022.10.10_CGL_Exp_2023.07.09_WC_Exp_2023.07.09.pdf PDF
CTR056118_Contract_Amendment_3.pdf PDF
CTR056118_Contract_Amendment_4.pdf PDF
CTR056118_Contract_Amendment_Summary__1.pdf PDF
CTR056118_Contract_Documents.pdf PDF
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