CTR066205_-_WC_COI_AND_WOS.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 insurance certificate is dated 7/18/2023 and covers a contract with the Arizona Department of Economic Security, located in Phoenix, Arizona. The policy includes a waiver of subrogation in favor of the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees.

The insurance policy is effective from 04/16/2023 to 04/16/2024, with policy number SATIS0421102. It provides workers' compensation coverage with statutory limits of $1,000,000 for each accident, each employee, and for employee disease policy limits. The certificate references a specific contract number (CTR056205) and provides liability coverage for work performed by or on behalf of the contractor. The policy includes a comprehensive endorsement that waives the insurance company's right to recover payments from entities listed in the schedule, specifically the State of Arizona and its associated entities.