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 .