CONTRACT NO. 010039DC GEO INSURANCE CERT.PDF

A ti..--- C-CPRtir CERTIFICATE OF LIABILITY INSURANCE DATE IMMIDDIYYYY)
Page 1 of 2 09/30/2014
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.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the pollcy(Ies)must 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).
PRODUCER CONTACT
HAW
Willis Insurance Services of Georgia, Inc. PHONE FAX
c/o 26 Century Blvd. Air N Frr 877 -945- 7378 03 jr (My 888 -467 -2378
P. 0. Box 305191 AMPrc5 E -MAIL certificates@willis.coin
Nashville, TN 37230-5191
INSURER(SIAFFORDING COVERAGE NAIC a
INSURER A National Union Fire Insurance Co. of Pitt 19445-002
INSURED INSURER S: New Hampshire Insurance Company 23841-001.
The GEO Group Inc and All Subsidiaries
including Cornell Companies, Inc. INSURER C: Steadfast Insurance Co. 26387-001
621 Northwest 53rd Street
Suite 700 INSURER a Illinois National Insurance Company 23817-001.
Boca Eaton, FL 33487 INSURER E:
1 INSURER F:
COVERAGES CERTIFICATE NUMBER: 221.86887 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTVVITHSTANDING 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.
INSR LTR TYPE OF INSURANCE eD'N CP SUBR wun POUCYNUMBER POLICY (dsernnireYY) EFF 41/1PECIIWYYY) POLICY EXP LIMITS
A GENERAL LIABILITY 2047539 (ADS) 10/1/2014 10/1/2015 EACH OCCURRENCE $ 5,000,000
X COMMERCIAL GENERAL. LIABILITY DAMAGE PREMISES TO (Ea RENTED occurence) $ 5,000,000
CLAIMS-MADE X OCCUR MED EXP (Any one person) $
X Medical Professional PERSONA & ACV INJURY $ 5,000.000
X Civil Rights GENERAL AGGREGATE $ 25,000.000
GEN'L AGGREGATE LIMIT APPLIES PER' PRODUCTS -COMP/OP AGG 5 5, 000,000
x POLICY I PRO- WM' LOC 5
A AUTOMOBILE UABIUTY 3814809 (AOS) 10/1/2014 10/1/2015 $0:MNthEMINGLE LIMIT 5 3,000,000
B X ANY AUTO 3814810 (MA) 10/1/2014 10/1/2015 BODILY INJURY(Perpersan $
A AUTOS ALL OWNED SCHEDULED AUTOS 3814811 (VA) 10/1/2014 10/1/2015 BODILY INJURY(Peraccident $
X HIRED AUTOS X 2-VorNED -15-RZFERIWOWTAGE JPer accident) $
5
C X UMBRELLA LIAB X OCCUR 1PR379227402 10/1/2014 10/1/2017 EACH OCCURRENCE $ 25,000,000
EXCESS 1.1A13 CLAIMS-MADE AGGREGATE $ 25.000.000
DED RETENTIONS 5
B WORKERS COMPENSATION 02823470 (AIDS) 10/1/2014 10/1/2015 X TWM4 icg-
AND EMPLOYERS LIABILITY YIN
A ANY PROPRIETOR/PARTNER/EXECUTIVE N N/A 028234571 (CA) 10/1/2014 10/1/2015 E.L. EACH ACCIDENT $ 2,000,000
„ OFFICER/MEMBER EXCLUDED?
028234572 (FL) 10/1/2014 10/1/2015 EL. DISEASE - EA EMPLOYEE $ 2,000,000
I"' 1P0417111gMer
B DESCRIPTION OF OPERATIONS tem* 028234575 OW 10/1/2014 10/1/2015 ELDISEASE-POLICY UMIT 5 2,000,000
C 1PR379230302 10/1/2014 10/1/2015
Professional Liability $3,000,000. Per Loss
$3,000,000. Annual Aggregate
DESCRIPTION OF OPERATIONS /LOCATIONS ( VEHICLES (Attach Acerd Ial, Additional Remarks Schedule. if mom space Is required)
SEE ATTACHED:
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE MI BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
Arizona Department of Corrections
Contracts Administration AUTHORIZED REPRESENTATIVE
Attn: Denel Pickering
1601 West Jefferson, M/C 55303
Phoenix, AZ 85007-3002
ItD)t7"
Coil: 4526935 Tp1:1871942 Cert:2 87 CD 88-2010 ACORD CORPORATION. All rights reserved.
ACORD 25 (2010/05) The ACORD name and logo are registered marks of ACORD

AGENCY CUSTOMER ID• 3300 630 6
LOCP
ACCMC)
ADDITIONAL REMARKS SCHEDULE Page_2_ of 2.
AGENCY NAMED INSURED
The GEO Group Inc and All Subsidiaries
Willis Insurance Services of Georgia, Inc. including Cornell Companies, Inc.
PMJCY NUMIMER 621 Northwest 53rd Street
Suite 700
See First Page Boca Raton, FL 33487
CARRIER NMC CODE
See First Page EFFECTIVE GATE: see First page
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: CERTIFICATE OF LIABILITY INSURANCE
Additional Workers Compensation
Policy #028234577 (NJ/PA), #028234573 (AK/AZ/VA)
Policy Period: 10-1-14 to 10-1-15
Carrier: New Hampshire Insurance Company
Limits: 2,000,000 E.L. Each Accident
2,000,000 E.L. Disease-Each Employee
i 2,000,000 E.L. Disease-Policy Limit
Additional Workers Compensation
Policy #028234574 (IL/KY/NC/UT)
Policy Period: 10-1-14 to 10-1-15
Carrier: National Union Fire Insurance Co. of Pittsburgh
Limits: 2,000,000 E.L. Each Accident
2,000,000 E.L. Disease-Each Employee
i 2,000,000 E.L. Disease-Policy Limit
Additional Workers Compensation
Policy #028234576 000
Policy Period: 10-1-14 to 10-1-15
Carrier: New Hampshire Insurance Company
Limits: 2,000,000 E.L. Each Accident
2,000,000 E.L. Disease-Each Employee
i 2,000,000 E.L. Disease-Policy Limit
Pollution Liability
Policy #PLC2032977
Policy Period: 10-1-12 - 10-1-15
Carrier: Chartis Specialty Insurance Company
Limit: $10,000,000 Each Incident
$10,000,000 Policy Aggregate
General Liability:
Contractual Liability is provided per form CG0001 - Commercial General Liability.
Coverage includes Severabmlity of Interest and Cross Suits. Sexual Molestation - Physical Abuse is
not excluded.
General Liability and Auto Liability:
Blanket Additional Insured is included to Certificate Holder if required by written contract.
Insurance is Primary and Non Contributory.
General Liability, Auto Liability, Workers' Compensation:
Blanket Waiver of Subrogation is provided as required by written contract.
State of Arizona & Arizona Department of Corrections are named as additional insureds, not
applicable to workers' compensation per contracts. Phoenix West State Prison and contract #
010039DC; Arizona State Prison - Florence West and Contract # 020049DC and Central Arizona
Correctional Facility Contract #040176DC. Waiver of Subrogation is applicable in favor of the
state of Arizona and its departments with respect to General Liability, Automobile Liability, and
Workers Compensation where required by written contract.
ACORD 101 (2008/01} Coil : 4526935 Tpl : 1871942 Cert : 22186887 ©2008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD