CTR066205_-_WC_COI_and_WOS__1_.pdf

This document is a Certificate of Liability Insurance and Workers' Compensation and Employers' Liability Insurance Policy issued by Service American Indemnity Company for the Tohdenasshai Committee Against Family Abuse, Inc. The certificate is dated 3/28/2024 and lists Ideal Insurance Agency as the producer. The certificate holder is the State of Arizona, Department of Economic Security, located in Indianapolis, AZ.

The insurance policy provides workers' compensation coverage with policy effective dates from 4/16/2024 to 4/16/2025. The policy includes a waiver of subrogation in favor of the State of Arizona and its departments, agencies, boards, commissions, officials, and employees. The workers' compensation coverage includes statutory limits with each accident and disease limits of $1,000,000, and the policy number is SATIS0421103. The document includes a schedule specifically naming the State of Arizona and its various entities as covered under the waiver of subrogation endorsement.