CTR056423_2024-01-01_COI.pdf

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Attached to
Master Agreement AZ|CTR056423
Contract number
CTR056423
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by Cincinnati Insurance Company for Jewish Family & Children's Service of Southern Arizona, Inc. The certificate is dated December 28, 2022, and is produced by Lovitt & Touché, a Marsh & McLennan Agency. The primary certificate holder is the State of Arizona, specifically the Department of Child Safety's Office of Procurement and Contracts, located in Phoenix, Arizona.

The insurance policy covers multiple types of liability, including Commercial General Liability, Automobile Liability, Umbrella Liability, and Professional Liability with Sexual Abuse & Molestation coverage. The policy is effective from January 1, 2023, to January 1, 2024, with various coverage limits, such as $1,000,000 per occurrence for General Liability and $4,000,000 for Umbrella Liability. The policy references two specific contracts: Contract #ADCS14-074814 and Contract CTR056423. An additional noteworthy detail is that the policy includes an Employee Theft Limit of $475,000, and the State of Arizona is named as an additional insured with a waiver of subrogation for losses arising from the contractor's work.

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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

E-MAIL

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

12/28/2022

Lovitt & Touché, a Marsh & McLennan Agency, LLC 7202 E Rosewood Drive, Suite 200 Tucson AZ 85710

Andrea Young 520-722-7122 520-722-7245 ayoung@lovitt-touche.com

Cincinnati Insurance Company 10677

JEWIS-1

Jewish Family & Children's Service of Southern AZ, Inc.

4301 E. 5th Street Tucson AZ 85711-2016

294809469

A X 1,000,000 X 1,000,000

5,000

1,000,000

3,000,000 X X

Y ETD0562894 1/1/2023 1/1/2024

3,000,000

A 1,000,000

X X

Y ETD0562894 1/1/2023 1/1/2024

A X X 4,000,000ETD0562894 1/1/2023 1/1/2024

4,000,000

A Professional Liability Sexual Abuse & Molestation-Occurrence Form

ETD0562894 1/1/2023 1/1/2024 Each Claim $1,000,000 $1,000,000

Aggregate $3,000,000 $1,000,000

Policy includes: Employee Theft Limit $475,000

RE: Contract #ADCS14-074814 and Contract CTR056423 General Liability The State of Arizona shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor A waiver of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor Auto The State of Arizona and the Arizona Department of Child Safety shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor A waiver of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor

State of Arizona Department of Child Safety Office of Procurement and Contracts 3003 N Central Ave., C010-20 Phoenix AZ 85007

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