CTR062834_-_AO_AI__1_.pdf
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- Attached to
- Master Agreement AZ|CTR062834
- Contract number
- CTR062834
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement issued by United Financial Casualty Company through Crest Ins Group LLC for Verde Valley Homeless, with additional insured status granted to the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees. The policy number is 02780966 and covers the period from October 30, 2024 to October 30, 2025.
The endorsement includes two key provisions: an Additional Insured Endorsement and a Waiver of Subrogation Endorsement. The policy provides a combined liability coverage of $1,000,000 per accident, with bodily injury and property damage limits marked as "Not applicable". The endorsement specifically agrees that the insurance will be primary for any power unit described on the Declarations Page. The waiver of subrogation applies to the Commercial Auto Policy, Motor Truck Cargo Liability Coverage, and Commercial General Liability Coverage, effectively preventing the insurance company from pursuing recovery claims against the State of Arizona.
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Text version
Form_SCTNID_CTGRY.XX07161198_POLEND
02780966 E CA19200 INS POLEND U POLWHITEFONT 5YVXOEKXGELREVWOQYPNESJEEH0002 RPUID TRACWHITEFONT
Policy number: 02780966
Mailing Address United Financial Casualty Company
PO Box 94739
Cleveland, OH 44101
For customer service, 24 hours a day, 7 days a week
1-800-444-4487
PO BOX 2893
VERDE VALLEY HOMELESS
COTTONWOOD, AZ 86326
Additional insured endorsement
Name of Person or Organization
This endorsement modifies insurance provided under the commercial auto policy and any endorsements thereto affording liability coverage.
The person or organization named above is an insured with respect to such liability coverage as is afforded by the policy, but this insurance applies to said insured only as a person liable for the conduct of another insured and then only to the extent of that liability. We also agree with you that insurance provided by this endorsement will be primary for any power unit specifically described on the Declarations Page and showing liability coverage.
Limit of Liability
Bodily Injury Not applicable
Property Damage Not applicable
Combined Liability $1,000,000 each accident
All other terms, limits and provisions of this policy remain unchanged.
This endorsement applies to Policy Number: 02780966
Issued to (Name of Insured): VERDE VALLEY HOMELESS
Form 1198 (07/16)
CREST INS GROUP LLC
525 E WMS CR #4500
TUCSON, AZ 85711
The State of Arizona Its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees 1789 W. Jefferson Street Phoenix, AZ 85007
Underwritten by:
United Financial Casualty Company Insured:
VERDE VALLEY HOMELESS
October 22, 2024 Policy Period: Oct 30, 2024 - Oct 30, 2025
Effective date of endorsement: October 30, 2024 Policy expiration date: October 30, 2025
Form_SCTNID_CTGRY.XX02198610_POLEND
02780966 E CA19200 INS POLEND U POLWHITEFONT 5YVXOEKXGELREVWOQYPNESJEEH0002 RPUID TRACWHITEFONT
Policy number: 02780966
Mailing Address United Financial Casualty Company
PO Box 94739
Cleveland, OH 44101
For customer service, 24 hours a day, 7 days a week
1-800-444-4487
PO BOX 2893
VERDE VALLEY HOMELESS
COTTONWOOD, AZ 86326
Waiver of Subrogation Endorsement
This endorsement modifies insurance provided under the following:
Commercial Auto Policy Motor Truck Cargo Liability Coverage Endorsement Commercial General Liability Coverage Endorsement
We agree to waive any and all subrogation claims against the person or organization designated below.
This endorsement applies to policy number: 02780966 Issued to: VERDE VALLEY HOMELESS
Form 8610 (02/19)
CREST INS GROUP LLC
525 E WMS CR #4500
TUCSON, AZ 85711
Name of Person or Organization:
The State of Arizona Its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees 1789 W. Jefferson Street Phoenix, AZ 85007
Underwritten by:
United Financial Casualty Company Insured:
VERDE VALLEY HOMELESS
October 22, 2024 Policy Period: Oct 30, 2024 - Oct 30, 2025
Endorsement effective: October 30, 2024 Expiration: October 30, 2025 All other terms, limits and provisions of this policy remain unchanged.
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