THIS 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.
sample certificate of liability insurance page 1 date (mm/dd/yyyy) this certificate is issued as a matter of information only and confers no rights upon the certificate holder. this certificate does not amend, extend or alter the coverage afforded by the policies below. producer your broker address city, state, zip insurers affording coverage
this 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.
certificate of liability insurance date (mm/dd/yyyy) this certificate is issued as a matter of information only and confers no rights upon the certificate holder. this certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policies below.
A certificate of liability insurance is a one-page document that proves you have liability insurance. View a sample here, also known as a certificate of insurance (COI) or an ACORD certificate of liability insurance.
certificate of liability insurance (sample) date (mm/dd/yyyy) this certificate is issued as a matter of information only and confers no rights upon the certificate holder. this certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policies below.
sample certificate of liability insurance date(mm/dd/yyyy) this certificate is issued as a matter of information only and confers no rights upon the certificate holder. this certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policies below.
sample only - highlighted fields indicate necessary information certificate of liability insurance this certificate is issued as a matter of information only and confers no rights upon the certificate holder. this 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. IMPORTANT: If the certificate holder is an ADDITIONAL …
Certificate of Liability Insurance Form - SampleForms.com
A Certificate of Liability Insurance Form is a document provided by an insurance company that summarizes the coverage held by an individual or business. It lists the types of coverages, policy numbers, insurance limits, and the policy’s effective and expiration dates.