Certificate Of Insurance Form

This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder.

Certificate of insurance form. This certificate does not amend extend or alter the coverage afforded by policies. 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. 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 does it. Certificate does not affirmatively or negatively amend extend or alter the coverage afforded by the policies below. A certificate of insurance coi form also known as an acord certificate of liability insurance is a document that establishes proof of insurance. Certificate does not affirmatively or negatively amend extend or alter the coverage afforded by the policies below.

This shows everyone involved that you are adequately insured.