WESTCAREARIZONAIINC-Endorsement.pdf
PDF 110 KB Posted
- Attached to
- Master Agreement AZ|CTR066209
- Contract number
- CTR066209
- Issued by
- Arizona
About this file
This document is an insurance policy endorsement from Vantapro Specialty Insurance Company for Westcare Foundation, Inc., specifically modifying a Commercial Auto Coverage policy. The endorsement involves the State of Arizona and the Department of Economic Security, with myCOI acting as a point of contact located in Indianapolis, Indiana.
The endorsement adds a Primary & Non-Contributory provision to the commercial auto policy, which means the insurance will be primary to and non-contributory with any other insurance available to the specified organizations. This modification ensures that in the event of a written contract or agreement requiring insurance, Westcare Foundation's policy will be the primary coverage for the State of Arizona and the Department of Economic Security (ADES division). The policy change is effective 10/16/2023 and was processed on 10/23/2023, with all other terms and conditions of the original policy remaining unchanged.
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Text version
IL 12 01 11 85
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
IL 12 01 11 85 Copyright, Insurance Services Office, Inc., 1983 Copyright, ISO Commercial Risk Services, Inc., 1983
Page 1 of 1 o
POLICY CHANGES
Policy Change Number: 11
POLICY NUMBER
5091-0193-04
POLICY CHANGES
EFFECTIVE
10/16/2023
COMPANY
Vantapro Specialty Insurance Company
NAMED INSURED
Westcare Foundation, Inc.
AUTHORIZED REPRESENTATIVE
COVERAGE PARTS AFFECTED
COMMERCIAL AUTO
CHANGES
This policy is hereby endorsed to make the following changes:
Add Primary & Non-Contributory
All other terms and conditions remain the same.
Process Date: 10/23/2023
COMMERCIAL AUTO
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
VP-CA 00007 00 (10/17) Page 1 of 1
PRIMARY AND NON-CONTRIBUTORY - SCHEDULE
This endorsement modifies insurance provided under the following:
BUSINESS AUTO COVERAGE FORM
SCHEDULE
Name(s) Of Person(s) Or Organization(s):
The State of Arizona and Dept of Economic Security C/O: myCOI
1075 Broad Ripple Ave, Suite 313
Indianapolis, IN 46220
Division Name: ADES.
Notwithstanding any other provision of this policy to the contrary, the insurance afforded to the person(s) or organization(s) shown in the Schedule above will be primary to, and non-contributory with, any other insurance available to such person or organization in the event a written contract or written agreement you enter into requires you to furnish insurance to such person or organization of the type provided by this policy.
File details come from the government source that posted it. Updated .