Acord Certificate Of Insurance Form
Insured s name and address the policy and coverage information.
Acord certificate of insurance form. Terms and conditions of the policy certain policies may require an endorsement. First you need to complete a certificate of insurance form and save it in the cap dat acord system. Using acord s standardized forms allows for increased efficiency accuracy and speed of information processing. This shows everyone involved that you are adequately insured.
Since our first paper form was released in 1972 acord has provided the standard forms used by the insurance industry. Acord 25 2001 08 if the certificate holder is an additional insured the policy ies must be endorsed. The acord name and logo are registered marks of acord coverages certificate number. The certificate should not include any certificate holder information but it should include all the rest of the common information all certificates will have.
Insured phone a c no ext. It s important to know that clients aren t. A certificate of insurance coi form also known as an acord certificate of liability insurance is a document that establishes proof of insurance. Acord certificate of liability insurance.
This is why having an acord certificate of liability insurance on hand to provide to clients will help you and your clients do business more effectively. You must subscribe to an eligible forms program to download acord forms. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s. Acord forms are now available in a variety of formats including printable pdf electronic fillable and eforms.
It lists on one page your liability insurancepolicies your coverage limits and your policy effective dates. The certificate of insurance on the reverse side of this form does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder nor.