CTR066190_-_AI.pdf
PDF 212 KB Posted
- Attached to
- Master Agreement AZ|CTR066190
- Contract number
- CTR066190
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement from the Social Service Contractors Indemnity Pool, effective 07/01/2022, with policy number 6000569. The endorsement modifies insurance coverage for multiple forms including Social Service Agency Professional Liability, Sexual or Physical Abuse Coverage, Business Auto Coverage, and Commercial General Liability Coverage. The additional insured entity specified is the State of Arizona, including its departments, agencies, boards, commissions, universities, and their respective officers, officials, agents, and employees.
The endorsement specifically extends insurance coverage to the State of Arizona for losses arising from work performed by or on behalf of the Contractor. The coverage applies to owned, leased, hired, or borrowed vehicles and includes Products-Completed Operations Coverage. The amendment to the "Who is an Insured" section limits the additional insured status to liability for injury or damage resulting from the Contractor's operations and caused by their acts or omissions. All other terms and conditions of the original policy remain unchanged.
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Text version
Social Service Contractors Indemnity Pool
WHO IS AN INSURED - ADDITIONAL INSURED_SSCOMMAIAZ_08/21
SSCOMMAIAZ (08-21) Includes wording © ISO Properties, Inc., used with permission Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
WHO IS AN INSURED - ADDITIONAL INSURED
Policy Number: 6000569 Effective Date: 07/01/2022
This endorsement modifies insurance provided under the following:
SOCIAL SERVICE AGENCY PROFESSIONAL LIABILITY COVERAGE FORM
SEXUAL OR PHYSICAL ABUSE OR MOLESTATION COVERAGE FORM
BUSINESS AUTO COVERAGE FORM (coverage applies to owned, leased, hired or borrowed vehicles) COMMERCIAL GENERAL LIABILITY COVERAGE FORM (including Products-Completed Operations Coverage)
Schedule:
Name Of Additional Insured Entities:
Information required to complete this Schedule, if not shown above, will be shown in the Declarations.
The section entitled “Who is an Insured” in each of the coverage forms set forth above is amended to include as an insured the person or organization shown in the schedule, but only with respect to liability for injury or damage resulting from your operations performed for that insured and caused by your acts or omissions.
All other terms and conditions remain unchanged.
File details come from the government source that posted it. Updated .