CTR072042_COI_WC_Exp_1.01.26_GL_AL_Exp_2.17.26.pdf

PDF 490 KB Posted

Attached to
Master Agreement AZ|CTR072042
Contract number
CTR072042
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance for Child & Family Resources, Inc., located in Tucson, Arizona, issued by Philadelphia Indemnity Insurance Company and CopperPoint Indemnity Insurance Company. The insurance certificate is for multiple coverage types, including Commercial General Liability, Automobile Liability, Umbrella Liability, Workers Compensation, Professional Liability, and Sexual Abuse & Molestation Liability. The certificate names the Arizona Department of Economic Security as the certificate holder, with coverage effective from 2/17/2025 to 2/17/2026.

The insurance policies provide various coverage limits, including $1,000,000 for each occurrence of commercial general liability, $3,000,000 aggregate, and $1,000,000 for automobile liability. The Workers Compensation policy covers $1,000,000 per accident, per employee, and policy limit. Professional Liability and Sexual Abuse & Molestation Liability are both covered with $1,000,000 per claim and $3,000,000 aggregate. The policy includes additional insured provisions for the State of Arizona, its departments, agencies, boards, commissions, and universities, with a waiver of subrogation for losses arising from work performed by or on behalf of the contractor. The certificate is specifically related to contract CTR072042 for Child Care Resource & Referral services.

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Other files

File Type Posted
1-ATTACHMENT - 2 Questionnaire_Child & Family Resourcecs.docx DOCX document
BAFO2 Attachment_14_Itemized_Service_Budget Child & Family Resources.xlsx XLSX spreadsheet
Boycott_Disclosure_Child___Family_Resources.pdf PDF
CTR072042_-_COI_WC_Exp._1.01.2026.pdf PDF
CTR072042_COI_CGL_Auto_PL_02.17.25_WC_01.01.25.pdf PDF
CTR072042_Contract_Amendment_2.pdf PDF
Certification_Regarding_Exclusions_Child___Family_Resources.pdf PDF
Certification_of_Insurability_Child___Family_Resouces.pdf PDF
Designation_of_Confidentity_Child___Family_Resources.pdf PDF
Force_Labor_Child___Family_Resources.pdf PDF
Offer_and_Acceptance_Child___Family_Resources.pdf PDF
BAFO2 ATTACHMENT - 2 Questionnaire_Child Family Resources.pdf PDF
BAFO_Attachment_14_Itemized_Service_Budget_Child___Family_Resources.xlsx XLSX spreadsheet
CTR072042_Amendment_1.pdf PDF
CTR072042_Attachment_13_Data_Sharing_Agreement__-_signed.pdf PDF
CTR072042_Exhibit_C_Invoice.docx DOCX document
CTR072042_Pricing.xlsx XLSX spreadsheet
Certifcation_Lobbying_Child___Family_Resources.pdf PDF
Deviations_and_Exceptions_Child___Family_Resources.pdf PDF
BAFO_ATTACHMENT_-_2_Questionnaire_Child___Family_Resourcecs.docx DOCX document
CTR072042_Contract_Documents.pdf PDF
CTR072042_Debarment_Checks.pdf PDF
Proposed_Subcontractors_Child___Family_Resources.pdf PDF
References_Child___Family_Resources.pdf PDF
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Text version

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

2/14/2025

Lovitt-Touche A Marsh & McLennan Agency LLC Co 4703 E Camp Lowell Drive, #101 Tucson AZ 85712

Jordyn Even 520-722-3000 520-722-7245 jordyn.even@marshmma.com

Philadelphia Indemnity Insurance Co. 18058 CopperPoint Indemnity Insurance Company 13928

Child & Family Resources, Inc.

2800 E. Broadway Tucson AZ 85716

623140982

A X 1,000,000 X 1,000,000

20,000

1,000,000

3,000,000 X

Y Y PHPK2658370004 2/17/2025 2/17/2026

3,000,000

A 1,000,000

X

Y Y PHPK2658370004 2/17/2025 2/17/2026

A X 3,000,000PHUB901530004 2/17/2025 2/17/2026

3,000,000 X 10,000

B XY WC1041478 1/1/2025 1/1/2026

1,000,000

1,000,000

1,000,000 A Professional Liability

Sexual Abuse & Molestation PHPK2658370004 2/17/2025 2/17/2026 Ea Claim

$1,000,000 $1,000,000

Aggregate $3,000,000 $3,000,000

Professional Liability-Occurrence Form coverage is included per limits shown, and is also included in Umbrella Limits.

Sexual Abuse/Molestation Liability-Occurrence Form coverage is included per limits shown, and is also included in Umbrella Limits.

Professional Liablity is Claims Made with Retro Date 02/17/1988; Sexual Abuse/Molestation Liability is on Occurrence Form.

Re: CTR072042 – Child Care Resource & Referral General Liability: The State of Arizona and the Department of Economic Security shall be named as additional insured with respects to liability arising out of the activities performed by or on behalf of the Contractor. Waiver of subrogation provided to the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor. Auto Liability: The State of Arizona and the Department of Economic Security shall be named as additional See Attached...

Arizona Department of Economic Security C/O: myCOI 1075 Broad Ripple Ave, Suite 313 Indianapolis IN 46220

ACORD 101 (2008/01)

The ACORD name and logo are registered marks of ACORD

© 2008 ACORD CORPORATION. All rights reserved.

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

FORM NUMBER: FORM TITLE:

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE Page of

AGENCY CUSTOMER ID:

LOC #:

AGENCY

CARRIER NAIC CODE

POLICY NUMBER

NAMED INSURED

EFFECTIVE DATE:

1 1

Lovitt-Touche Child & Family Resources, Inc.

2800 E. Broadway Tucson AZ 85716

25 CERTIFICATE OF LIABILITY INSURANCE

insured with respects to liability arising out of the activities performed by or on behalf of the Contractor, involving automobiles owned, or rented by the Contractor.

Waiver of subrogation provided to the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor. The Insurance Provided shall be primary insurance with respect to all other availiable sources to the additional insured. The Limits of Insurance provided to any Additional Insured shall be the full limits of liability provided to the Named Insured. Workers Compensation: Waiver of subrogation provided to the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor. 30 day written Notice of Cancellation per attached endorsements.

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. PHPK2658370004 Policy Term. 2/17/2025 to 2/17/2026

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 Contractor.

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 and non-contributory; 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

THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.

CANCELLATION NOTICE TO SCHEDULED ADDITIONAL INSURED OR

CERTIFICATE HOLDER

COMMERCIAL GENERAL LIABILITY COVERAGE PART

PROFESSIONAL LIABILITY COVERAGE PART

COMMERCIAL CRIME COVERAGE PART

COMMERCIAL INLAND MARINE COVERAGE PART

COMMERCIAL PROPERTY COVERAGE PART

COMMERCIAL AUTOMOBILE COVERAGE PART

SCHEDULE OF ADDITIONAL INSUREDS OR CERTIFICATE HOLDERS

AI or CH Additional Insured or Certificate Holder Address

A. CANCELLATION

A.

SCHEDULE

CANCELLATION NOTICE TO ADDITIONAL INSURED

OR CERTIFICATE HOLDER

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

INSURED

REVISION NUMBER:CERTIFICATE NUMBER:COVERAGES

IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.

If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).

THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED

REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

2/12/2025

Lovitt-Touche A Marsh & McLennan Agency LLC Co 4703 E Camp Lowell Drive, #101 Tucson AZ 85712

Jordyn Even 520-722-3000 520-722-7245 jeven@lovitt-touche.com

CopperPoint Indemnity Insurance Company 13928

CHIL&FA-C1

Child & Family Resources, Inc.

Connie Curnett 2800 E. Broadway Blvd Tucson AZ 85716

703090764

A XY WC1041478 1/1/2025 1/1/2026

1,000,000

1,000,000

1,000,000

Waiver of Subrogation in favor of the Certificate Holder

(WC) Re: CTR072042 – Child Care Resource & Referral Workers Compensation: Waiver of subrogation provided to the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

Arizona Department of Economic Security C/O: myCOI 1075 Broad Ripple Ave, Suite 313 Indianapolis IN 46220

File details come from the government source that posted it. Updated .