CTR056118-COI.pdf

PDF 203 KB Posted

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

About this file

This document is a Certificate of Liability Insurance issued by Stephanie Schaffroth Insurance Agency for Empowering Services LLC, with multiple insurers providing coverage. The certificate names the State of Arizona and Department of Economic Security (myCOI) as the certificate holder, located in Indianapolis, IN. The insurance policies cover various liability types including commercial general liability, automobile liability, umbrella liability, and workers' compensation, with insurers including Hiscox Insurance Company, Progressive, Nationwide, and Berkshire Hathaway.

The insurance policies are in effect for the period from July 2023 to August 2024, with coverage limits typically set at $1,000,000 per occurrence across different liability categories. The policy provides comprehensive protection for contract-related activities, specifically for state of Arizona departments, agencies, boards, commissions, universities, and their officers, agents, and employees. The coverage includes general liability, automobile liability, and workers' compensation, with specific provisions waiving subrogation for losses arising from work performed by the qualified vendor.

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Other files

File Type Posted
CTR056118-CGLAI.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
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
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_-_COI__1_.pdf PDF
CTR056118_-_WC_WOS__1_.pdf PDF
CTR056118_Debarment_Checks.pdf PDF
Exhibit_H_-_Curriculum_Checklist_.docx DOCX 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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