1. Gila River Behavioral Health Services Insurance Requirements

4. See this document (or your contract) for the exact requirements needed to maintain your contract

5. This checklist summarizes the requirements

6. A Certificate of Insurance (or ACORD) summarizes your coverage

7. Compare your ACORD with this sample to determine if you have met the contractually required limits Each letter (A, B, C…) corresponds to a requirement

8. A. Each policy shall contain Commercial General Liability Gila River Behavioral Health Services B. with a minimum of $2 million in General Aggregate coverage

9. A. Each policy shall contain Commercial General Liability Gila River Behavioral Health Services c. Commercial General Liability shall also contain a minimum of $1 million in Products – Completed Operations Aggregate

10. A. Each policy shall contain Commercial General Liability Gila River Behavioral Health Services D. Personal & Advertising Injury ($1 million) E. Contractual Liability ($1 million) F. Fire Legal Liability ($50,000) G. Each Occurrence ($1 million)

11. H. Sexual Abuse / Molestation Gila River Behavioral Health Services

12. I. Additional Insured Language “Gila River Health Care, the State of Arizona, its departments, 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" Gila River Behavioral Health Services

13. J. Waiver of Subrogation Gila River Behavioral Health Services Must name Gila River & the State of AZ

14. J. Waiver of Subrogation Gila River Behavioral Health Services “Policy shall contain a waiver of subrogation against Gila River, the State of Arizona, its departments, agencies, boards, commissions, universities and its officers, officials, agents, and employees for losses arising from work performed by or on behalf of the Contractor”

15. K. Auto Liability: (CSL) $1 Million

16. L. Workers Comp. Coverage: $500K-$500K-$1 Million May be found on ACORD or SCF / Copperpoint Cert. M. Waiver of Subrogation for WC Coverage: Must name State of AZ & Gila River

17. PROFESSIONAL LIABILITY N. Professional Liability (Ea. Claim: $1 Million) O. Professional Liability (Annual Aggregate: $2 Million) P. Medical Malpractice is automatically included in Professional Liability unless it is specifically stated that it is NOT included

18. Watch for expiration dates here Watch for expiration dates here Gila River Behavioral Health Services