CTR066190__COI.pdf
PDF 2 MB Posted
- Attached to
- Master Agreement AZ|CTR066190
- Contract number
- CTR066190
- Issued by
- Arizona
About this file
This document is a comprehensive insurance certificate and related endorsements for Catholic Charities Community Services, Inc., issued by the Social Service Contractors Indemnity Pool (SSCIP) and CopperPoint American Insurance Company. The primary certificate holder is Catholic Charities Community Services, Inc., located in Phoenix, Arizona, with Lockton Companies, LLC serving as the insurance producer. The policy covers the State of Arizona and Department of Economic Security, with a policy term from 7/1/2025 to 7/1/2026 and a state contract number of CTR074138.
The insurance coverage includes multiple liability protections: Commercial General Liability with $1,000,000 per occurrence and $3,000,000 aggregate limits, Automobile Liability with a $1,000,000 combined single limit, Excess Liability with $5,000,000 per wrongful act and aggregate, Professional Liability with $1,000,000 per wrongful act and $3,000,000 aggregate, and Sexual Abuse/Molestation coverage with $1,000,000 per occurrence and $3,000,000 aggregate. The policy includes additional insured provisions for the State of Arizona, its departments, agencies, boards, commissions, and universities, with a waiver of subrogation and primary non-contributory language. The endorsements specifically extend coverage to protect the state and its entities for losses arising from work performed by or on behalf of the contractor.
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Text version
CERTIFICATE OF INSURANCE ISSUE
DATE:7/1/2025
AGENT:
Lockton Companies, LLC 8110 E Union Avenue Suite 700 Denver, CO 80237
Social Service Contractors Indemnity Pool
COMPANIES AFFORDING COVERAGE
COMPANY
LETTER A SOCIAL SERVICE CONTRACTORS INDEMNITY POOL (SSCIP)
MEMBER/INSURED:
Catholic Charities Community Services, Inc 5151 N. 19th Ave Phoenix, AZ. 85015
POLICY NUMBER: 6000569
POLICY EFFECTIVE DATE: 7/1/2025
STATE DIVISION: AZ
STATE CONTRACT NUMBER: CTR074138
COVERAGES
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOT WITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT WHICH THIS CERTIFICATE MAY BE ISSUED OR PERTAIN, THE INSURANCE AFFORDED BY THE POLICES DESCRIBED HERE IN IS SUBJECT TO ALL THE
TERMS, EXCLUSIONS, AND CONDITIONS OF SUCH POLICIES.
TYPE OF INSURANCE FORM NUMBER OTHER POLICY LIMITS
COMMERCIAL GENERAL LIABILITY
OCCURRENCE TRIGGER
SSGLCOV
EACH OCCURENCE
PROD COMP/OPS AGGR
GENERAL AGGREGATE
PERSONAL & ADV INJURY
DAMAGE-RENT- PREM
$1,000,000 $3,000,000 $3,000,000 $1,000,000
AUTOMOBILE LIABILITY
OWNED, LEASED, HIRED OR NON-OWNED
SSACOV
SYMBOLS
7, 8 & 9
COMBINED SINGLE LIMIT $1,000,000
EXCESS LIABILITY
SSECOV
EACH WRONGFUL ACT
AGGREGATE
$5,000,000 $5,000,000
PROFESSIONAL LIABILITY-
CLAIMS MADE TRIGGER
SSPLCOV
RETRO DATE:
5/1/2013
EACH WRONGFUL ACT
AGGREGATE
$3,000,000
SEXUAL ABUSE AND MOLESTATION-
OCCURRENCE TRIGGER
SSPSAMCOV
OCCURRENCE
TRIGGER
EACH OCCURRENCE $1,000,000
AGGREGATE $3,000,000
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS
STATE ADDITIONAL INSURED ENDORSEMENT SSCOMMAZAI INCLUDES:
STATE OF ARIZONA, ITS’ DEPARTMENTS, AGENCIES, BOARDS, COMMISSIONS, AND UNIVERSITIES, AND ALL OFFICERS, OFFICIALS, AGENTS AND EMPLOYEES OF THESE ENTITIES, FOR LOSSES ARISING FROM WORK PERFORMED BY OR ON BEHALF OF THE
CONTRACTOR
ADDITIONAL INSURED COVERAGE TO THE STATE FOR GENERAL LIABILITY, AUTOMOBILIE LIABILITY, PROFESSIONAL LIABILITY AND SEXUAL ABUSE MOLESTATION LIABILITY
WAIVER OF SUBROGATION FOR GENERAL LIABILITY, AUTOMOBILE LIABILITY, PROFESSIONAL LIABILITY AND SEXUAL ABUSE AND
MOLESTATION LIABILITY
PRIMARY NON-CONTRIBUTORY LANGUAGE FOR GENERAL LIABILITY, AUTOMOBILE LIABILITY, PROFESSIONAL LIABILITY AND SEXUAL
ABUSEAND MOLESTATION LIABILITY
BUSINESS AUTO COVERAGE FORM APPLIES TO OWNED AND LEASED (SYMBOL 7) AND HIRED OR BORROWED VEHICLES
(SYMBOL 8 AND 9)
OTHER INFORMATION:
SIGNATURE
POL# 600059
POL# 6000659
| CTR066282 CCCS Arizona Dept of Economic Security - COI |
| CTR066282 SSCIP State of AZ |
| CTR066282 AI State of Arizona |
| CTR066282 AI State of AZ |
| CTR066282 CCCS AI Endt PNC |
| CTR066282 CCCS AI Endt |
| CTR066282 State of Arizona WOS (WC) |
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