Current_COI_24-25_Redacted.pdf

PDF 204 KB Posted

Attached to
Master Agreement AZ|CTR071405
Contract number
CTR071405
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance issued on 07/29/2024, involving Insurance Depot as the producer and A Fresh Start for Kids LLC as the insured. The certificate lists Pennsylvania Manufacturers ASN INS C as Insurer A and National Liability & Fire Insurance Co as Insurer B. The certificate holder is the Arizona Department of Child Safety, located in Phoenix, Arizona.

The insurance policy provides commercial general liability coverage with limits of $1,000,000 per occurrence, $50,000 for damage to premises rented, $15,000 for medical expenses, and $3,000,000 general aggregate. Workers' compensation and employers' liability coverage is also included, with statutory limits of $1,000,000 for each accident, disease-each employee, and disease-policy limit. The policy period runs from 07/27/2024 to 07/27/2025, and notably includes sexual abuse/molestation coverage within the commercial general liability policy. The certificate specifically names the State of Arizona, its departments, agencies, and officials as additional insureds.

View the file

Other files

File Type Posted
AFS4K_-_Current_COI_-_25-26_Redacted.pdf PDF
AFS4K_-_Signed_HITECH_Form.pdf PDF
Congregate_Care_Services_SOW_Amendment_2.pdf PDF
Contract_Extension.pdf PDF
Exhibit II - Personalized Service Plan.pdf PDF
2-Attachment_3-D_-_Boycott_of_Israel_Disclosure_Redacted.pdf PDF
A_Fresh_Start_for_Kids_Offer_and_Acceptance_Redacted.pdf PDF
Congregate_Care_Services_Amendment.pdf PDF
Congregate_Care_Services_SOW_2024.pdf PDF
Contract_Amendment_Special_Terms.pdf PDF
Directions_to_Procurement_File.docx DOCX document
Exhibit IV - Medication Error Report.pdf PDF
Exhibit XI One on One Supervision.pdf PDF
Exhibit XII Bed Hold.pdf PDF
Exhibit XV Discharge Summary.pdf PDF
Exhibit XVI Facility Modification Request.pdf PDF
AFS4K_-_2023-2024_COI_Redacted.pdf PDF
Congregate_Care_Services_Amendment_4.pdf PDF
Congregate_Care_Services_SOW_Amendment_1.pdf PDF
Exhibit CS0-1015A.pdf PDF
Exhibit IX Clothing and Property Inventory.pdf PDF
Exhibit X Returned Allowances Form.xlsx XLSX spreadsheet
Exhibit XIV Provider Census Report 2024.xlsm XLSM spreadsheet
Exhibit XIX ADJC Census Report.doc DOC document
Exhibit XX ADJC-5002 ADJC Service Providers Protocol ADJC.doc DOC document
Exhibit XXII ADJC Residential Services Invoice.docx DOCX document
Exhibit I - DCS 06-01 Limited English Proficiency.pdf PDF
2-Attachment_3-E_-_Forced_Labor_of_Ethnic_Uyghurs_Ban_Redacted.pdf PDF
Congregate_Care_Services_SOW_Amendment_3.pdf PDF
Exhibit III - Medication Log.pdf PDF
Exhibit V - Blood Sugar Log.pdf PDF
Exhibit VI Fees Log.pdf PDF
Exhibit VII Clothing Allowance Ledger.pdf PDF
Exhibit VIII Personal Allowance Ledger.pdf PDF
Exhibit XVII Quarterly Report.xlsm XLSM spreadsheet
Exhibit XVIII ADJC Monthly Attendance Report.doc DOC document
Show all 36

On GovTribe

Work with this file

  • Download the original file
  • Contacts named in this file
  • Similar government files
  • Ask GovTribe AI about this file

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