CTR077797 COI 2025-12-18 GL AL WC.pdf

PDF 476 KB Posted

Attached to
Master Agreement AZ|CTR077797
Contract number
CTR077797
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued by Matsen Insurance Brokers/PHS for OfficeStoreDepot.com, Inc., located in Pasadena, CA. The insurance policies are underwritten by Hartford Underwriters Insurance Company and Hartford Fire and Its P&C Affiliates. The certificate holder is the Arizona Department of Health Services, with coverage effective from 12/18/2024 to 12/18/2025.

The insurance provides commercial general liability and automobile liability coverage with policy limits of $2,000,000 for each occurrence and $4,000,000 aggregate. Workers' compensation coverage is also included with statutory limits of $1,000,000 for each accident and employee disease. The policy includes the State of Arizona, its departments, agencies, boards, commissions, universities, officers, officials, and employees as additional insureds, but only as required by a valid written contract or agreement. The coverage is primary and non-contributory, with a waiver of subrogation in favor of the certificate holder.

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Other files

File Type Posted
CTR077797 Memo to File for Insurance Information.pdf PDF
Pricing.xls XLS spreadsheet
CTR077797 Contract Documents.pdf PDF

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