New Acord Certificate Of Insurance Form
Per accident ea accident n a subr wvd addl insr.
New acord certificate of insurance form. We have issued an industry standard acord certificate of insurance issued on your behalf for the captioned client. The office of general counsel issued the following informal opinion on september 8 2000 representing the position of the new york state insurance department. Vehicle or equipment certificate of insurance 23. Acord forms are filed with state departments of insurance wherever required and all published forms are compliant with all state regulations.
Acord certificate of liability insurance. You must subscribe to an eligible forms program to download acord forms. Currently the only certificate forms approved for use in nm are the current editions of a standard certificate of insurance form that is promulgated by the association for cooperative operations research and development acord the american association of insurance services or the insurance services office iso although 59a 18 32 provides. First you need to complete a certificate of insurance form and save it in the cap dat acord system.
The certificate should not include any certificate holder information but it should include all the rest of the common information all certificates will have. Certificate of aviation liability insurance 20 acord 21. The forms are approved by departments of insurance on an as depicted basis. The acord certificates of insurance.
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. Using acord s standardized forms allows for increased efficiency accuracy and speed of information processing. Intermodal interchange certificate of insurance 22 acord 23. Certificate of aircraft insurance 21 acord 22.
A law passed by the texas legislature effective january 1 2012 senate bill 425 requires certificate forms as well as questionnaires and related documents to be filed with and approved by the texas department of insurance. The following the acord certificate of insurance forms available to be issued as proof of insurance. This certificate of insurance does not constitute a contract between the issuing insurer s authorized representative or producer and the certificate holder. This means that modifying them in any way would result in the form being non compliant.
Acord form and certificates of insurance question presented. May a certificate of liability insurance that is not filed with the insurance department expand the responsibility of the insurer to require notification of additional. 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.
Insured s name and address the policy and coverage information. Acord 25 2001 08 if the certificate holder is an additional insured the policy ies must be endorsed.