CTR066205_-_COI__2_.pdf

PDF 400 KB Posted

Attached to
Master Agreement AZ|CTR066205
Contract number
CTR066205
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance dated 4/10/2025, involving Ideal Insurance Agency as the producer and Service American Ind Co as the insurer. The certificate is for the Tohdenashaii Committee Against Family Abuse Inc, located in Kayenta, Arizona, and is issued in favor of the State of Arizona, specifically the Department of Economic Security, located in Indianapolis, Arizona.

The insurance policy includes Workers' Compensation coverage with policy effective dates from 4/16/2025 to 4/16/2026. The policy provides statutory limits with $1,000,000 coverage for each accident, employee disease-policy limit, and aggregate disease limit. The certificate includes a waiver of subrogation in favor of the State of Arizona, its departments, agencies, boards, commissions, universities, officials, and employees. The insurance protects against potential losses arising from work performed by or on behalf of the contractor.

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