CTR056498_4.19.22_COI_7.1.22_Auto___WC.pdf

PDF 240 KB Posted

Attached to
Master Agreement AZ|CTR056498
Contract number
CTR056498
Issued by
Arizona

About this file

This document is a comprehensive insurance certificate and endorsement package for Christian Family Care Agency, Inc., primarily covering commercial auto and workers compensation insurance. The primary insurers are Capitol Specialty Ins Corp and Brotherhood Mutual Insurance. The certificates involve the State of Arizona, including its departments, agencies, boards, commissions, universities, and their respective officers, officials, agents, and employees, with coverage centered around the Arizona Department of Child Safety's Office of Contracts.

The insurance package includes multiple policy endorsements effective from 07/01/2021 to 01/01/2022, with Contract Number CTR056498. The policies provide various liability coverages, including commercial general liability, automobile liability, and workers compensation. Key coverage limits include $1,000,000 for each occurrence of bodily injury and property damage, with additional provisions for employee benefits and comprehensive general aggregate coverage. The endorsements specifically include a waiver of subrogation rights, meaning the insurer agrees not to seek recovery of payments from the listed parties, and extend coverage to the State of Arizona and its associated entities for activities performed under the contract.

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Other files

File Type Posted
Attachment_2-A-Organization_Profile.pdf PDF
Attachment_2-C__Facility_Location_and_Staffing_Chart.pdf PDF
Attachment_4__Statewide_Coverage.pdf PDF
Attachment_5-B__Conformance_Statements.pdf PDF
CTR056498_HIPPA_Document.pdf PDF
Exhibit F DCS-1227D Closure Report Guidelines.pdf PDF
Exhibit G CSO-1151A Significant Incident Report.docx DOCX document
Exhibit I Monthly Provider Report.xlsx XLSX spreadsheet
Amendment_1.pdf PDF
Attachment_2-D__Listing_of_Employees_and_Subcontractors_Redacted.pdf PDF
Attachment_3-A__Method_of_Approach.pdf PDF
Exhibit A DCS Data on Successful Placement.docx DOCX document
CFC _3-A__Method_of_Approach-BAFO_Proposal.pdf PDF
CTR056498_Executed_Contract.pdf PDF
Exhibit B Limited English Proficiency Policy.pdf PDF
Exhibit C DCS-1227A Child Specific Recruitment Plan.pdf PDF
Exhibit E DCS-1227C Closure Report.pdf PDF
Amendment_2.pdf PDF
Attachment_1__Offer_and_Acceptance_Form.pdf PDF
Attachment_2-B__Offeror_s_Experience_and_Capacity.pdf PDF
Attachment_2-E__Experience_and_References.pdf PDF
Attachment_3-B__Key_Personnel_Proposal.pdf PDF
Attachment_3-C__Proposed_Subcontractors.pdf PDF
Attachment_3-D__Boycott_of_Israel_Disclosure.pdf PDF
Attachment_5-A__Confidential_Information_Designation.pdf PDF
Exhibit D DCS-1227B Subsequent 90 Day Report.pdf PDF
Exhibit H Submitting an Incident Report vs. Calling the Hotline.docx DOCX document
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