CTR066282-CRIME.pdf
PDF 98 KB Posted
- Attached to
- Master Agreement AZ|CTR066282
- Contract number
- CTR066282
- Issued by
- Arizona
About this file
This document is a Workers Compensation and Employers Liability Insurance Policy endorsement issued by CopperPoint Western Insurance Company for Catholic Charities Community Services Inc, with an effective date of 07/01/2023. The policy specifically involves the State of Arizona, including its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees, covering losses arising from work performed by or on behalf of the contractor.
The endorsement is a Waiver of Right to Recover from Others, which means the insurance company will not enforce its right to recover payments from the entities listed in the Arizona state schedule. This waiver applies only to the extent that work is performed under a written contract requiring such an agreement. The policy is numbered 1019020 with endorsement number 9, and provides broad protection for the state and its associated entities against potential worker compensation recovery claims.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| CTR066282-AI.pdf | ||
| CTR066282_COI.pdf | ||
| CTR066282_Contract_Amendment_3.pdf | ||
| CTR066282_Contract_Amendment_5.pdf | ||
| CTR066282_Contract_Amendment_6.pdf | ||
| CTR066282_Debarment_Checks.pdf | ||
| Exhibit_D_-_Mainstream_Service_Referral_Log.xlsx | XLSX spreadsheet | |
| Exhibit_L_-_Rapid_Re-Housing_and_Homeless_Prevention_Client_Roster.xlsx | XLSX spreadsheet | |
| Exhibit_M_-_DES_ESG_Program_Performance_Report.xlsx | XLSX spreadsheet | |
| Exhibit_N_-_Itemized_Service_Budget__ISB_.xlsx | XLSX spreadsheet | |
| 2024-07-01_COI.pdf | ||
| CTR066282-WOS.pdf | ||
| CTR066282_Contract_Amendment_4.pdf | ||
| CTR066282_Contract_Documents.pdf | ||
| CTR066282_Itemized_Service_Budget.pdf | ||
| ISB_Budget__v3_totals_formulas_updated.pdf | ||
| CTR066282_ISB.pdf | ||
| CTR066282-COI.pdf | ||
| CTR066282_Contract_Amendment_1.pdf | ||
| CTR066282_Contract_Amendment_2.pdf |
Show all 20
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Text version
WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY WC 00 03 13
(Ed. 4-84)
WC 00 03 13
(Ed. 4-84)
© 1983 National Council on Compensation Insurance.
This endorsement changes the policy to which it is attached and is effective on the date issued unless otherwise stated.
(The information below is required only when this endorsement is issued subsequent to preparation of the policy.)
07/01/2023Endorsement Effective 1019020Policy No. 9Endorsement No.
Catholic Charities Community Services IncInsured Premium $
CopperPoint Western Insurance CompanyInsurance Company Countersigned by
This document may have been uploaded to the CopperPoint Portal.
WAIVER OF OUR RIGHT TO RECOVER FROM OTHERS ENDORSEMENT
We have the right to recover our payments from anyone liable for an injury covered by this policy. We will not enforce our right against the person or organization named in the Schedule. (This agreement applies only to the extent that you perform work under a written contract that requires you to obtain this agreement from us).
This agreement shall not operate directly or indirectly to benefit anyone not named in the Schedule.
Schedule State Blanket/Schedule/State
AZ The State of Arizona. its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work perfromed by or on behalf of the Contractor
File details come from the government source that posted it. Updated .