Workers_Comp_2024_Redacted.pdf

This document is a Certificate of Liability Insurance and Workers' Compensation Policy issued by ACE American Insurance Company for Firm Foundation Youth Homes, with Lockton Companies, LLC serving as the insurance producer. The certificate is dated 11/12/2024 and covers a policy period from 10/01/2024 to 10/01/2025. The certificate holder is the Department of Child Safety, located at 3003 N Central Ave in Phoenix, Arizona 85012.

The insurance policy provides Workers' Compensation and Employers' Liability coverage with policy number C58930647. The policy includes a waiver of subrogation rights for the Department of Child Safety, with specific notes about limitations in certain states including California, Utah, Texas, Kentucky, New Hampshire, New Jersey, and Missouri. The policy includes statutory limits for workers' compensation with each accident limit of $1,000,000, disease-each employee limit of $1,000,000, and disease-policy limit of $1,000,000. The insurance is provided by ACE American Insurance Company, with the policy covering potential workplace injuries and associated liability for the insured organization.