CTR056423_2024-01-01_COI.pdf
PDF 94 KB Posted
- 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
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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