Certificate Of Insurance Acord Form Fillable

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.

Certificate of insurance acord form fillable. This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder. Certificate does not affirmatively or negatively amend extend or alter the coverage afforded by the policies below. Using acord s standardized forms allows for increased efficiency accuracy and speed of information processing. If the certificate holder is an additional insured the policy ies must be endorsed.

Acord forms are now available in a variety of formats including printable pdf electronic fillable and eforms. Limits shown may have been reduced by paid claims. 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. This certificate is issued as a matter of information only and confers no rights upon the certificate holder.

The acord name and logo are registered marks of acord coverages certificate number. 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. Insured phone a c no ext.

Per accident ea accident n a subr wvd addl insd. This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder. The acord name and logo are registered marks of acord important. Certificate holder the acord name and logo are registered marks of acord hired autos only.

This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate. Per accident ea accident n a subr wvd addl insr. This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder. Acord certificate of liability insurance.

Use acord 27 or acord 28. Terms and conditions of the policy certain policies may require an endorsement. The acord name and logo are registered marks of acord this certificate is issued as a matter of information only and confers no rights upon the certificate holder. This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder.

Certificate does not affirmatively or negatively amend extend or alter the coverage afforded by the policies below. If this certificate is being prepared for a party who has an insurable interest in the property do not use this form. If subrogation is waived subject to.