ctr071427_COI_Redacted.pdf
PDF 1 MB Posted
- Attached to
- Master Agreement AZ|CTR071427
- Contract number
- CTR071427
- Issued by
- Arizona
About this file
This document is a Certificate of Liability Insurance for GAP Ministries, issued by Lovitt-Touche, an insurance agency in Arizona. The insurance policy involves multiple insurers, including Philadelphia Indemnity Insurance Co., Social Service Contractors Indemnity Pool, and CopperPoint Indemnity Insurance Company. The certificate covers various insurance types such as Commercial General Liability, Automobile Liability, Umbrella Liability, and Workers' Compensation, with the State of Arizona and its departments, agencies, boards, commissions, and universities listed as additional insureds.
The insurance policy provides coverage for GAP Ministries from 4/10/2024 to 4/10/2025, with different liability limits across various categories. The Commercial General Liability has a $1,000,000 per occurrence limit and a $3,000,000 general aggregate limit. Automobile Liability and Umbrella Liability are set at $4,000,000, while Workers' Compensation follows statutory requirements. The policy includes specific endorsements for additional insured status, waiver of subrogation, and transfer of rights of recovery, all centered around protecting the State of Arizona and its entities from potential losses arising from work performed by or on behalf of the contractor.
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Text version
MANUSCRIPT (06/11)
Revised 6/13/12 Page 1 of 1
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
ADDITIONAL INSURED – STATE OF ARIZONA
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE PART
HUMAN SERVICES ORGANIZATION PROFESSIONAL LIABILITY COVERAGE FORM
SEXUAL OR PHYSICAL ABUSE OR MOLESTATION VICARIOUS LIABILITY COVERAGE FORM
BUSINESS AUTO COVERAGE FORM
Policy No. PHPK2677002 Policy Term. 4/10/2024 to 4/10/2025
SCHEDULE
Name of Person or Organization:
The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, employees, shall be named as additional insured with respect to liability arising out of the activities performed on behalf of Contractor.
The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, employees, shall be named as additional insured with respect to liability arising out of the activities performed by or on behalf of Provider, involving automobiles owned, leased, hired or borrowed by Provider.
The following provisions are added to the policy:
1. WHO IS AN INSURED is amended to include as an insured the person or organization shown in the above SCHEDULE, but only with respect to their liability for activities performed by you or on your behalf relating to the conduct of your business;
2. The coverage provided by this endorsement includes the assumption of liability in a written or oral contract between the named insured and the person or organization shown in the above SCHEDULE for work performed by you or on your behalf relating to the conduct of your business;
3. The coverage provided by this endorsement only is primary. Any other applicable insurance will apply as excess; and
4. We agree to waive any right of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed on behalf of Contractor.
File details come from the government source that posted it. Updated .