CTR066205_-_Workers_Comp_Policy__1_.pdf

PDF 329 KB Posted

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

About this file

This document is a Workers Compensation and Employers Liability Insurance Policy Endorsement issued by Service American Indemnity Company for the Tohdenasshai Committee Against Family Abuse, Inc. (DBA). The policy covers the state of Arizona and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, with an effective policy period from 04/16/2024 to 04/16/2025.

The policy has a total estimated annual premium of $3,813, with a minimum premium of $334 and a deposit premium of $0. The endorsement appears to be an amendment to an existing policy, updating coverage details without changing the core terms and conditions. The NCCI Carrier Code for the insurer is 38369, and the specific policy number is SATIS0421103. The endorsement was effective as of 04/16/2024, with no additional premium charged for this update.

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