Arkansas Contractor Certificate Of Insurance Form Pdf

A postcard will be mailed notifying contractors when its time to renew their license.

Arkansas contractor certificate of insurance form pdf. Form ar a a ark. Acord 24 certificate of property insurance. Commercial general liability insurance iso form cg 00 01 covering all operations and. 11 9 102 9 d 11 9 402 revised 1 1 2008 arkansas workers compensation commission 324 spring street little rock ar 72201 mail.

County state arkansas. A certificate of liability insurance form is a summary of the benefits available in a company s insurance policy. A worker s comp audit can make any construction contractor a believer in good records. Acord 50 az arizona insurance identification card.

Have you had an audit by your worker s compensa tion carrier lately. No time cards from your employees. Application notarized certificate and check or money order for 50 made payable to. Insurance certificates will only be accepted from the contractor and not from the insurance carriers.

Automobile liability insurance including coverage for all owned hired and non owned automobiles. Jog rd 2nd floor suite 2w 61 west. Acord 50 ar arkansas proof of insurance card. Box 950 little rock ar 72203 0950 501 682 3930 1 800 622 4472 be sure to include.

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 does it. Acord 23 vehicle or equipment certificate of insurance. This form is a single paged document that consist of the details that the third party needs to know. Subscribed and sworn to or affirmed before me this day of 20.

When the form appears save it to your local computer. No certificates of coverage from subcontractors. Form aid fi c1. Palm beach county c o contractors certification 2300 n.

After receiving the postcard if you would like to renew by paper email us at contractors licensing board arkansas gov or by phone at 501 372 4661. The insured party s details and the insurance company s background are indicated in the document. The license can be renewed online under renew a license or by paper renewal. Acord 25 certificate of liability insurance.

A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s. Per accident ea accident n a subr wvd addl insr. Certificate does not affirmatively or negatively amend extend or alter the coverage afforded by the policies below. Identify bond s security ies or certificate s of deposit annuities insurance policies below.

The certificate holder information on the certificate of liability insurance coi document must read the same as our mailing address.