SJ.INC.23-24CopperPoint-COI_AZDCS1019498__Redacted.pdf

PDF 208 KB Posted

Attached to
Master Agreement AZ|CTR071447
Contract number
CTR071447
Issued by
Arizona

About this file

This document is a Certificate of Liability Insurance issued by CopperPoint Insurance Companies for Sacred Journey Inc, located in Phoenix, Arizona. The certificate is specifically addressed to the State of Arizona Department of Child Safety, located at 3003 North Central Avenue in Phoenix. The insurance policy is effective from 01/31/2024 to 01/31/2025, with a policy number of 1019498 and NAIC code 13928.

The insurance coverage includes Workers' Compensation and Employers' Liability with statutory limits. The policy covers clerical office employees, group home employees, salespersons, and drivers. Each workplace accident has a limit of $1,000,000, and each disease occurrence and policy limit is also set at $1,000,000. The document serves as a standard proof of insurance, certifying that Sacred Journey Inc maintains the necessary liability insurance for its operations, with the State of Arizona Department of Child Safety listed as the certificate holder.

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Text version

EFFECTIVE DATE:

NAMED INSURED

POLICY NUMBER

NAIC CODECARRIER

AGENCY

LOC #:

AGENCY CUSTOMER ID:

ofPageADDITIONAL REMARKS SCHEDULE

ADDITIONAL REMARKS

FORM TITLE:FORM NUMBER:

THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,

© 2008 ACORD CORPORATION. All rights reserved.

The ACORD name and logo are registered marks of ACORD

ACORD 101 (2008/01)

1 1

1019498

CopperPoint Indemnity Insurance Company 13928

Sacred Journey Inc 3003 North Central Avenue Site Code C010-20 Phoenix, AZ 85012

01/31/2024-01/31/2025

25 Certificate of Liability Insurance

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