CTR066186_-_NOC__1_.pdf
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- Attached to
- Master Agreement AZ|CTR066186
- Contract number
- CTR066186
- Issued by
- Arizona
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PI-CANXAICH-002 (05/11)
Page of
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR
CERTIFICATE HOLDER
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
PROFESSIONAL LIABILITY COVERAGE PART
COMMERCIAL CRIME COVERAGE PART
COMMERCIAL INLAND MARINE COVERAGE PART
COMMERCIAL PROPERTY COVERAGE PART
COMMERCIAL AUTOMOBILE COVERAGE PART
SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS
AI or CH Additional Insured or Certificate Holder Address
The following is added to A. CANCELLATION of the Common Policy Conditions of the above applicable coverage part:
A. In the event we cancel the policy in accordance with the policy’s terms and conditions, we will endeavor to mail written notice of cancellation to Additional Insureds or Certificate Holders, shown in the above SCHEDULE within the time frame listed below. However, failure to mail such notice shall impose no obligation of any kind upon us, our agents or representatives.
1. days before the effective date of cancellation if we cancel for any reason other than for non - payment of premium.
As respects Additional Insureds, the above cancellation provision applies only when the Additional Insured shown in the above SCHEDULE is added to the policy by a separate additional insured endorsement as the CANCELLATION NOTICE TO ADDITIONAL INSURED OR CERTIFICATE HOLDER does not provide additional insured coverage.
AI The State of Arizona and Arizona 1789 W Jefferson St Department of Economic Security Phoenix AZ 85007
2 2
| Insurance Policy |
| Policy Cover Letter |
| U.S. Treasury/Office Of Foreign Assets Control (OFAC) |
| Notice Of An Occurrence, Offense Or Claim |
| Property - Notice Of Loss |
| Arizona Fraud Statement |
| PHLY Customer Service |
| The PHLY Difference |
| Risk Management Services - PHLY RMS Resources |
| Commercial Lines Policy Jacket |
| Notice Late/Non-Sufficient Funds/Reinstatement Fee |
| Advisory Notice To Policyholders - PFAS/PFC - Prof Lia |
| Privacy Notice For Commercial Lines |
| Common Policy Declarations |
| Policy Forms Schedule |
| Location Schedule |
| Mortgagee Schedule |
| Loss Payee Schedule |
| Additional Insured Schedule |
| Named Insured Schedule |
| Fees and Surcharge Schedule |
| Commercial General Liability Coverage Part Declaration |
| Liability Forms Schedule |
| General Liability Schedule |
| Commercial Inland Marine Coverage Part Declarations |
| Inland Marine Forms Schedule |
| Inland Marine Supplemental Schedule |
| Inland Marine Scheduled Items Schedule |
| Business Auto Declarations |
| Commercial Auto Forms Schedule |
| Business Auto Schedule |
| Schedule Of Hired Or Borrowed Covered Auto |
| Excl of Loss Due to Virus or Bacteria Advisory Notice |
| Property Coverage Part Declarations |
| Property Coverage Part Extension Of Declarations |
| Additional Coverage Summary Declarations |
| UltimateCover Program Blanket Limits |
| Ultimate Cover Forms Schedule |
| Employee Benefits Admin Errors And Omissions Ins Dec |
| Employee Benefits Form Schedule |
| Human Services Org Prof Liability Cov Dec-Claims Made |
| Professional Liability Forms Schedule |
| Abusive Conduct Liability Coverage - Claims Made Dec |
| Sexual or Physical Abuse or Molestation Form Schedule |
| Bell Endorsement |
| Crisis Management Enhancement Endorsement |
| Common Policy Conditions |
| Nuclear Energy Liability Exclusion Endorsement |
| Arizona Changes - Cancellation And Nonrenewal |
| Cap On Losses From Certified Acts Of Terrorism |
| Absolute Cyber Liability And Electronic Exclusion |
| Cancellation Notice To Sched Addl Insd Or Cert Holder |
| Exclusion - Adoption and Foster Care Operations |
| Absolute Communicable Disease Exclusion - Prof Liab |
| Total Exclusion - PFC/PFAS Professional Liability |
| Absolute Abuse or Molestation Exclusion |
| Disclosure Notice Of Terrorism Ins Coverage Rejection |
| Commercial General Liability Coverage Form |
| Additional Insured - Designated Person Or Organization |
| Excl-Access/Disclosure-With Ltd Bodily Injury Except |
| Communicable Disease Exclusion |
| Employment-Related Practices Exclusion |
| Fungi or Bacteria Exclusion |
| Cap On Losses From Certified Acts Of Terrorism |
| Exclusion-Medical Payments to Children Day Care Center |
| Exclusion - Failure To Supply |
| Corporal Punishment |
| Binding Arbitration |
| Waiver of Transfer of Rights of Recovery Against Other |
| Exclusion - Lead Liability |
| Exclusion - Asbestos Liability |
| Additional Insured Primary And Non-Contributory Ins |
| Total Exclusion - PFC/PFAS |
| General Liability Deluxe Endorsement: Human Services |
| Exclusion - Professional Liability Coverage |
| Manuscript Endorsement |
| Abuse Or Molestation Exclusion |
| Special Events Endorsement |
| Commercial Inland Marine Conditions |
| Arizona Changes |
| Contractors Equipment Coverage Form |
| Employee Tools and Clothing Extension of Coverage Endt |
| Miscellaneous Coverage Form |
| Business Auto Coverage Form |
| Arizona Changes |
| Arizona Changes - Nonrenewal |
| Designated Insured For Covered Autos Liability Cov |
| Arizona Uninsured Motorists Coverage |
| Arizona Underinsured Motorists Coverage |
| Auto Medical Payments Coverage |
| Cap On Losses From Certified Acts Of Terrorism |
| Commercial Automobile Elite Endorsement |
| Manuscript Endorsement - Auto |
| Commercial Property Conditions |
| Arizona Changes |
| Exclusion of Loss Due to Virus or Bacteria |
| Arizona Changes |
| Exclusion of Certain Flood Coverage |
| Property Coverage Form |
| Causes of Loss Form |
| Crime Coverage Form |
| Business Income with Extra Expense Coverage Form |
| Business Income with Extra Expense Coinsurance Sched |
| Business Income with Extra Expense Optional Cov Sched |
| Agreed Value Endorsement |
| Loss Payable Provisions |
| Flood Endorsement |
| Flood Endorsement Location Schedule |
| Boiler and Machinery Endorsement |
| Additional Exclusions |
| Limitations On Fungus,Wet Rot, Dry Rot And Bacteria |
| Loss of Income due to Workplace Violence |
| Cap On Losses From Certified Acts Of Terrorism |
| Changes - Electronic Data |
| Multiple Deductible Form |
| Collapse - Exclusion And Additional Coverage Re-Stated |
| Actual Cash Value |
| Boiler And Machinery - Separate Deductible Endorsement |
| Elite Property Enhancement: Human Services |
| Continuous Or Repeated Water Damage Exclusion |
| Flood Redefined |
| Binding Arbitration |
| Employee Benefits Administration Errors and Omissions |
| Application Addendum |
| Arizona Changes |
| Prior/Pending Litigation And Known Circumstances Excl |
| Binding Arbitration |
| Human Services Organization Prof Liability Claims-Made |
| Vicarious Medical Professional Liability Coverage |
| Amendment Of Excl - Prescription/Nonprescription Drugs |
| Ltd Med Prof Liab Cov Blkt Psychiatrists & Physicians |
| Manuscript Endorsement |
| Prior/Pending Litigation and Known Circumstances Excl |
| Binding Arbitration |
| Prior And Pending Litigation Exclusion |
| Abusive Conduct Liability Coverage Form - Claims Made |
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