DiLytics_Inc_-_COI.pdf

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Attached to
Master Agreement AZ|CTR078087
Contract number
CTR078087
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for Dilytics Inc., issued by State Farm Fire and Casualty Company, dated August 22, 2025. The certificate is specifically related to a solicitation (No. BPM006672) with the Arizona Department of Administration's State Procurement Office, located in Phoenix, Arizona. The certificate covers Dilytics Inc., a company based in San Mateo, California, and provides comprehensive insurance details for the state contract.

The insurance coverage includes multiple policy types with significant liability limits: Commercial General Liability with a $5 million per occurrence limit and $10 million aggregate, Automobile Liability with a $1 million combined single limit, Workers' Compensation with $1 million per accident, and Technology E&O coverage that includes Cyber Liability and Employers Professional Liability with limits ranging from $1 million to $2 million. The policies provide additional insured status to the State of Arizona, its departments, agencies, boards, commissions, universities, officers, and employees, with a waiver of subrogation for losses arising from work performed by or on behalf of the contractor. The insurance policies have various effective and expiration dates between 2024 and 2026.

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Text version

1001486 132849.14 04-13-2022

INSR

LTR TYPE OF INSURANCE

ADD

INSD

SUB

WVD POLICY NUMBER

POLICY EFF

(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY) LIMITS

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

OTHER:

EACH OCCURRENCE $

DAMAGE TO RENTED

PREMISES (Ea occurrence) $

MED EXP (Any one person) $

PERSONAL & ADV INJURY $

GENERAL AGGREGATE $

PRODUCTS - COMP/OP AGG $

AUTOMOBILE LIABILITY

ANY AUTO

OWNED

AUTOS ONLY

SCHEDULED

AUTOS

HIRED

AUTOS ONLY

NON-OWNED

AUTOS ONLY

COMBINED SINGLE LIMIT

(Ea accident) $

BODILY INJURY (Per person) $

BODILY INJURY (Per accident) $

PROPERTY DAMAGE

(Per accident) $

UMBRELLA LIAB OCCUR

EXCESS LIAB CLAIMS-MADE

DED RETENTION $

EACH OCCURRENCE $

AGGREGATE $

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

ANY PROPRIETOR/PARTNER/EXECUTIVE

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH) If yes, describe under DESCRIPTION OF OPERATIONS below

Y / N

N / A

PER

STATUTE

OTH-

ER $

E.L. EACH ACCIDENT $

E.L. DISEASE - EA EMPLOYEE $

E.L. DISEASE - POLICY LIMIT $

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

CANCELLATION

E-MAIL

ADDRESS:

CONTACT

NAME:

PHONE

(A/C, No, Ext):

FAX

(A/C, No):

INSURER(S) AFFORDING COVERAGE NAIC #

INSURER A :

INSURER B :

INSURER C :

INSURER D :

INSURER E :

INSURER F :

PRODUCER

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.

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.

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

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

AUTHORIZED REPRESENTATIVE

A Y Y 97-CC-U168-8 G 04/16/2025 04/16/2026

5,000,000

300,000

5,000

5,000,000

10,000,000

10,000,000

A Y Y

280 6209-F13-05B 06/13/2025 12/13/2025 1,000,000

A Y 97-ES-H836-0 F 08/12/2025 08/27/2026

1,000,000

1,000,000

1,000,000

A

TECHNOLOGY E&O

EMPLOYERS PROFESSIONAL 244230-052922 12/13/2024 12/13/2025

E&O LIABILITY 2,000,000

CYBER LIABILITY 2,000,000

EPLI LIABILITY 1,000,000

MANNY@MANNYCASILLAS.COM

MANNY CASILLAS

650-593-8258 650-593-8286

State Farm Fire and Casualty Company 25143

MANUEL CASILLAS

1611 BOREL PL #7

SAN MATEO, CA 94402

DILYTICS INC

1660 S AMPHLETT BLVD STE 320

SAN MATEO, CA 94402-2526

08/22/2025

Arizona Department of Administration

State Procurement Office

1802 W. Jackson, #100

Phoenix, AZ 85007

Solicitation No. BPM006672 The State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds with respect to 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. Waiver of Subrogation as required by this written agreement in favor of the State of Arizona, and its departments, agencies, boards commissions, universities, officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor.

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