We_Care_Home_ARIZONA_COI-2025_Redacted.pdf

PDF 53 KB Posted

Attached to
Master Agreement AZ|CTR071416
Contract number
CTR071416
Issued by
Arizona

About this file

This document is an ACORD Certificate of Liability Insurance for WE CARE HOME, LLC, issued by Pradia & Associates, Inc. as the producer. The insurance policies are underwritten by Philadelphia Insurance Company and PIE Insurance Company, with the State of Arizona Department of Child Safety listed as the certificate holder. The certificate covers commercial general liability, workers' compensation, and sexual abuse and molestation insurance for the insured entity.

The insurance policies provide coverage with various limits, including a $1,000,000 each occurrence limit for commercial general liability, with a $3,000,000 general aggregate. The workers' compensation policy has $1,000,000 limits for each accident and disease coverage. A sexual abuse and molestation policy is included with a $500,000 per claim and aggregate limit. The policies are effective from November 20, 2024, to November 20, 2025, with additional insured status granted to the State of Arizona and its departments, agencies, boards, commissions, universities, and their officers and employees. The certificate includes a waiver of subrogation against the State of Arizona for losses arising from work performed by the contractor.

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Text version

SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE

THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN

ACCORDANCE WITH THE POLICY PROVISIONS.

INSURER(S) AFFORDING COVERAGE

INSURER F :

INSURER E :

INSURER D :

INSURER C :

INSURER B :

INSURER A :

NAIC #

NAME:

CONTACT

(A/C, No):

FAX

E-MAIL

ADDRESS:

PRODUCER

(A/C, No, Ext):

PHONE

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.

OTHER:

(Per accident)

(Ea accident)

N / A

SUBR

WVD

ADDL

INSD

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.

$PROPERTY DAMAGE

BODILY INJURY (Per accident)

BODILY INJURY (Per person)

COMBINED SINGLE LIMIT

AUTOS ONLY

AUTOSAUTOS ONLY

NON-OWNED

SCHEDULEDOWNED

ANY AUTO

AUTOMOBILE LIABILITY

Y / N

WORKERS COMPENSATION

AND EMPLOYERS' LIABILITY

OFFICER/MEMBER EXCLUDED?

(Mandatory in NH)

DESCRIPTION OF OPERATIONS below If yes, describe under

ANY PROPRIETOR/PARTNER/EXECUTIVE

E.L. DISEASE - POLICY LIMIT

E.L. DISEASE - EA EMPLOYEE

E.L. EACH ACCIDENT

ER

OTH-

STATUTE

PER

LIMITS(MM/DD/YYYY)

POLICY EXP

(MM/DD/YYYY)

POLICY EFF

POLICY NUMBERTYPE OF INSURANCELTR

INSR

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

EXCESS LIAB

UMBRELLA LIAB $EACH OCCURRENCE

$AGGREGATE

OCCUR

CLAIMS-MADE

DED RETENTION $

$PRODUCTS - COMP/OP AGG

$GENERAL AGGREGATE

$PERSONAL & ADV INJURY

$MED EXP (Any one person)

$EACH OCCURRENCE

DAMAGE TO RENTED

$PREMISES (Ea occurrence)

COMMERCIAL GENERAL LIABILITY

CLAIMS-MADE OCCUR

GEN'L AGGREGATE LIMIT APPLIES PER:

POLICY

PRO-

JECT LOC

CERTIFICATE OF LIABILITY INSURANCE

DATE (MM/DD/YYYY)

CANCELLATION

AUTHORIZED REPRESENTATIVE

ACORD 25 (2016/03)

© 1988-2015 ACORD CORPORATION. All rights reserved.

CERTIFICATE HOLDER

The ACORD name and logo are registered marks of ACORD

HIRED

AUTOS ONLY

01/14/2025

PRADIA & ASSOCIATES, INC.

6909 E Ray Road Suite 156

Chandler AZ 85226

Michael Pradia

(480) 202-9464 (480) 295-7984 thepradiapost@gmail.com

WE CARE HOME, LLC

PHILADELPHIA INSURANCE COMPANY

PIE INSURANCE COMPANY 10997

A

✘ PHPK2701168-00 11/20/2024 11/20/2025

1,000,000

50,000

5,000

1,000,000

3,000,000

3,000,000

B WC108701 10/04/2024 10/04/2025

1,000,000

1,000,000

1,000,000

A

SEXUAL ABUSE AND

MOLESTATION

PHPK2701168-00 11/05/2024 11/05/2025

AGGREGATE 500,000

PER CLAIM 500,000

Additional Insured: The State of Arizona and its department, agencies, boards, commissions, universities, and its officers, officials, agents and employees shall be named as additional insureds with respect to liability arising out of the activities performed by or on behalf of the contractor. Waiver of Subrogation-Policy contains a waiver of subrogation against the State of Arizona, its departments, agencies, boards, commissions, universities and agent, officers, and employees for losses arising from work performed by or on behalf of the contractor.

STATE OF ARIZONA DEPARTMENT OF CHILD SAFETY

3003 N CENTRAL AVENUE, SUITE CODE C010-20

PHOENIX AZ 85012

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