CTR075436_PORTABLE_PRACTICAL_EDUCATIONAL_PREPARATION_INC_2526_GLALUMPROFSAMWC_COI.pdf

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Attached to
Master Agreement AZ|CTR075436
Contract number
CTR075436
Issued by
Arizona

About this file

This document is a comprehensive insurance policy package for Portable Practical Educational Preparation, Inc., involving multiple insurance coverages from Philadelphia Indemnity Insurance Company and CopperPoint Indemnity Insurance Company. The policy covers Portable Practical Educational Preparation and includes the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds. The policy period runs from July 1, 2025 to July 1, 2026, with various endorsements and coverage types including commercial general liability, automobile liability, workers' compensation, and professional liability.

The insurance package provides substantial coverage limits, including $1,000,000 per occurrence for general liability with a $2,000,000 aggregate limit, $1,000,000 for automobile liability, and $8,000,000 in umbrella liability coverage. Additional specialized coverages include professional liability with a $1,000,000 per claim limit, sexual abuse and molestation coverage, and workers' compensation. The policy includes waivers of subrogation and provisions for additional insureds, with specific protections for the State of Arizona across various operational contexts. Excess liability coverage is also provided through additional policies from Indian Harbor Insurance Company and Endurance American Specialty Insurance Company, extending total coverage to $20,000,000.

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ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

INSR ADDL SUBR

LTR INSD WVD

PRODUCER CONTACT

NAME:

FAXPHONE

(A/C, No):(A/C, No, Ext):

E-MAIL

ADDRESS:

INSURER A :

INSURED INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)

AUTOMOBILE LIABILITY

UMBRELLA LIAB

EXCESS LIAB

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

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

AUTHORIZED REPRESENTATIVE

EACH OCCURRENCE $

DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $

PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT

OTHER: $

COMBINED SINGLE LIMIT

$(Ea accident)

ANY AUTO BODILY INJURY (Per person) $

OWNED SCHEDULED

BODILY INJURY (Per accident) $AUTOS ONLY AUTOS

HIRED NON-OWNED PROPERTY DAMAGE

$AUTOS ONLY AUTOS ONLY (Per accident)

OCCUR EACH OCCURRENCE

CLAIMS-MADE AGGREGATE $

DED RETENTION $

PER OTH-

STATUTE ER

E.L. EACH ACCIDENT

E.L. DISEASE - EA EMPLOYEE $

If yes, describe under

E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below

INSURER(S) AFFORDING COVERAGE NAIC #

COMMERCIAL GENERAL LIABILITY

Y / N N / A

(Mandatory in NH)

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

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.

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.

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).

COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:

CERTIFICATE HOLDER CANCELLATION

© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)

CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)

The ACORD name and logo are registered marks of ACORD

7/2/2025

(520) 795-8511 (520) 795-8542

18058

Portable Practical Educational Preparation, Inc.

Attn: Jake 802 E. 46th Street Tucson, AZ 85713

13928

A 1,000,000

X X PHPK2564830-019 7/1/2025 7/1/2026 1,000,000

$1M/2M Prof-Claims M 5,000

1,000,000 2,000,000 2,000,000

SEXUAL ABUSE MO 1,000,000

1,000,000A

X X PHPK2564885-019 7/1/2025 7/1/2026

8,000,000A

PHUB867794-019 7/1/2025 7/1/2026 8,000,000

10,000 B

X WC1009632 1/1/2025 1/1/2026 1,000,000

1,000,000 1,000,000

A Professional Liab. PHPK2564830-019 7/1/2025 Ea. Claim ($2M Agg) 1,000,000 A Sexual/Physi Abuse PHUB867794-019 7/1/2025 7/1/2026 Ea. Claim ($2M Agg) 1,000,000

Re: contract No.: CTR075436 Subject to policy terms, conditions, and exclusions.

Certificate Holder Includes: The State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees additional insureds with respect to liability arising out of the activities performed by or on behalf of the Contractor" on the general liability and with respect to

SEE ATTACHED ACORD 101

The State of Arizona, Department of Economic Security C/O: myCOI PO Box 501970 8710 Bash Street Indianapolis, IN 46256

PORTPRA-02 TMOCTEZUMA

The Mahoney Group - Tucson 5330 N. La Cholla Blvd Tucson, AZ 85741

Philadelphia Indemnity Ins. Co CopperPoint Indemnity Insurance Company

X

7/1/2026

X X

X

X

X

X

X

FORM NUMBER:

EFFECTIVE DATE:

The ACORD name and logo are registered marks of ACORD

ADDITIONAL REMARKS

ADDITIONAL REMARKS SCHEDULE

FORM TITLE:

Page of

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

ACORD 101 (2008/01)

AGENCY CUSTOMER ID:

LOC #:

AGENCY NAMED INSURED

POLICY NUMBER

CARRIER NAIC CODE

© 2008 ACORD CORPORATION. All rights reserved.

The Mahoney Group - Tucson

PORTPRA-02

SEE PAGE 1

SEE PAGE 1

ACORD 25 Certificate of Liability Insurance

SEE P 1

Portable Practical Educational Preparation, Inc.

Attn: Jake 802 E. 46th Street Tucson, AZ 85713

SEE PAGE 1

TMOCTEZUMA

Description of Operations/Locations/Vehicles:

liability arising out of the activities performed by, or on behalf of, the Contractor involving automobiles owned, hired and/or non-owned by the Contractor When required by written contract and per the attached forms.

Waiver of subrogation applies 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 when required by written agreement and per the attached forms

Primary and non-contributory applies. Sexual Abuse and Molestation coverage is included

Excess Liability $5,000,000 -Policy #SXS0069273- Indian Harbor Insurance Company-07.01.2025-07.01.2026 Excess Liability $7,000,000 -Policy #ELD30063852901- Endurance American Specialty Insurance Company-07.01.2025-07.01.2026 shetz Text Box Portable Practical Educational Preparation, Inc.

Policy Term: 07.01.2025-07.01.2026 Policy Number: PHPK2564830-019

WC 00 03 13

(Ed. 04-84)

© 1983 National Council on Compensation Insurance.

WORKERS COMPENSATION AND EMPLOYERS LIABILITY INSURANCE POLICY

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

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.)

Endorsement Effective Policy No. Endorsement No.

Insured Premium $

Insurance Company Countersigned by Authorized Representative

State�of�Arizona,�its�departments,�agencies,�boards,�commissions,�universities�and�its�officers,�officials,�agents,�and� employees’�losses�arising�from�work�performed�by�or�on�behalf�of�the�Contractor.

01/01/2025 WC1009632

Portable Practical Educational Preparation Inc 118

CopperPoint Indemnity Insurance Company

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