certificate of liability insurance pdf

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. other: (per accident) (ea accident) $ $ n / a subr wvd addl insd

certificate of liability insurance pdf

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 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. other: (per accident) (ea accident) $ $ n / a subr wvd addl insd 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. THE EMPLOYERS' LIABILITY (COMPULSORY INSURANCE) (AMENDMENT) REGULATIONS 2008 permits the display of this certificate in an electronic form, provided persons covered by this policy have reasonable access to it. The employer is strongly encouraged to retain all records related to this insurance. coverage insurance bodily injury and property damage liability yyyy/mm/dd yyyy/mm/dd postal code personal injury liability personal and advertising injury liability or pollution liability extension 7. contact number(s) type type no. no. type no. email address signature of csio - certificate of liability insurance ca4301e 201609 hired automobiles certificate of liability insurance date (mm/dd/yyy) 11/7/2017 this certificate is issued as a matter of information only and confers no rights upon the certificate holder. this certificate does no affirmatively or negatively amend, extend or alter the coverage afforded by the policies below. certificate of liability insurance date (mm/dd/yyyy) ject loc pro-policy gen'l aggregate limit applies per: claims-made occur commercial general liability premises (ea occurrence) $ damage to rented each occurrence $ med exp (any one person) $ personal & adv injury $ general aggregate $ products - comp/op agg$ ded retention$ certificate of liability insurance date (mm/dd/yyyy) 1/30/2015 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. excess / umbrella liability $ $ $ aggregate $ each occurrence $ coverages the policies of insurance listed below have been issued to the insured named above for the policy period indicated. notwithstan ding any requirement, term or condition of any contract or other document with respect to which this certificate may be issued or 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. other: (per accident) (ea accident) $ $ n / a subr wvd addl insd CERTIFICATE OF EMPLOYERS’ LIABILITY INSURANCE (a) (Where required by regulation 5 of the Employers' Liability (Compulsory Insurance) Regulations 1998 (the Regulations), one or more copies of this certificate must be displayed at each place of business at which the policyholder employs persons covered by the policy) POLICY No RGBDX6962034 1. CERTIFICATE OF EMPLOYERS’ LIABILITY INSURANCE (a) (Where required by regulation 5 of the Employers' Liability (Compulsory Insurance) Regulations 1998 (the Regulations), one or more copies of this certificate must be displayed at each place of business at which the policy holder employs persons covered by the policy) 1. USE OF FACILITIES GENERAL LIABILITY INSURANCE REQUIREMENTS Groups and individuals interested in applying for facilities rental/use at Reedley College (RC) are required to provide the State Center Community College District (SCCCD) with a General Liability Certificate of Insurance, with a separate Additional Insured Endorsement. Certificate of Employers' Liability Insurance(a) (Where required by regulation 5 of the Employers’ Liability (Compulsory Insurance) Regulations 1998 (the Regulations), one or more copies of this certificate must be displayed at each place of business at which the Assured employs persons covered by the THE EMPLOYERS' LIABILITY (COMPULSORY INSURANCE) (AMENDMENT) REGULATIONS 2008 permits the display of this certificate in an electronic form, provided persons covered by this policy have reasonable access to it. The employer is strongly encouraged to retain all records related to this insurance. 11 February 2020 Signed on behalf of Royal & Sun ... CERTIFICATE OF LIABILITY INSURANCE ADDENDUM DATE (MM/DD/YYYY) Page 2 of 2 AUTHORIZED REPRESENTATIVE SIGNATURE DATE (MM/DD/YYYY) Yes, by specific policy provision Yes, by endorsement No and no other option is available with this insurer M.Excess / umbrella policy is primary and non-contributory for additional insureds CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) $ $ $ $ $ The ACORD name and logo are registered marks of ACORD MLEEDLE 09/12/2018 TURNSPO-01 A 2038470 2,000,000 1,000,000 2,000,000 5,000 100,000 X 1,000,000 X 09/16/201809/16/2019 Hartland Insurance Agency, Inc. PO Box 129 Hartland, MI 48353 CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY) ACORD 25 (2009/01) IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CERTIFICATE OF POLLUTION LIABILITY INSURANCE THIS IS TO CERTIFY TO: East Bay Municipal Utility District (EBMUD) Department: Wastewater Department, Environmental Services Division Street Address: 375 11th Street, MS 702 Mailing Address: P.O. Box 24055 City, State, Zip: Oakland, CA 94623-1055 THE FOLLOWING DESCRIBED POLICY HAS BEEN ISSUED TO: Foursquare Insurance Program Certificate of Liability Request Form Please print in black ink. Fill in the information as requested. Attach a copy of any correspondence from the party requesting the certificate. The preferred method of issuing the certificate by the broker is by email. Please provide c) Automobile Liability Insurance i) Minimum limit of $300,000 If this is a corporation and the employees utilize their own vehicles for work then the corporation must have automobile liability for hired and non-owned autos in the amount of $300,000. ALL INSURANCE MUST BE SUBMITTED ON A CERTIFICATE OF LIABILITY INSURANCE. NO EXCEPTIONS CERTIFICATE OF LIABILITY INSURANCE 3/31/2016 Gagliardi Insurance Services, Inc. 2380 S. Bascom Ave. Suite 100 Campbell, CA 95008 0791300 ... If excess liability insurance is purchased, the Insured must indicate to which policy the coverage applies and record this information on the Certificate of Insurance. (7) If the Insured is required to carry professional liability insurance, T he Insured will provide claims made, project coverage as required at Insured’s sole cost and expense. phrasing specifies the types of insurance in the language, make sure both General and Automobile are included (and Umbrella if listed). G – Certificate Holder. List parish/school as the certificate holder. H – Policy Dates. Verify dates to confirm that the policy is in effect. Items A, B, D, F, G, H are required as shown. It is recommended that you retain a copy of each Employers Liability certificate issued to you Certificate of Employers' Liability Insurance Arranged by BHIB Insurance Brokers. Registered in England & Wales No 829660. Authorised and regulated by the Financial Conduct Authority. A Brokerbility Company. Underwritten by Aviva Insurance Limited. CERTIFICATE OF COMMERCIAL . GENERAL LIABILITY INSURANCE . THIS IS TO CERTIFY TO: East Bay Municipal Utility District (EBMUD) Department: Environmental Services Division Street Address: 375 11th Street, MS 702 Mailing Address: P.O. Box 24055 City, State, Zip: Oakland, CA 94623-0155 THE FOLLOWING DESCRIBED POLICY HAS BEEN ISSUED TO: Certificate of Liability . The Auburn School District shall require facility users and volunteer groups who sponsor on campus activities to provide a standard Certificate of Liability Insurance document naming Auburn School District as both a Certificate Holder and an Additional Insured. Insurer: Vero Insurance (AAI Ltd) Class of Policy:PUBLIC & PRODUCTS LIABILITY Our Reference:LOWER HUNT Date: 27/07/2016 MAITLAND NSW 2320 YOUTH EXPRESS ASSOCIATION INCORPORATED We hereby confirm that we have arranged the insurance cover mentioned below: ABN 005 297 807 LEVEL 34 / 530 COLLINS STREET, MELBOURNE VIC 3000 CERTIFICATE OF INSURANCE 30 Day Notice of Cancellation stated on the Certificate of Insurance . General Liability - $1,000,000 limits per occurrence, $2,000,000 in the aggregate. General Liability – City of Coral Gables named as an Additional Insured on the Certificate of Insurance . insurance, it does not cover all situations, so please check what is and is not covered by the policy to make sure it meets your requirements. Endsleigh does not charge a fee for its services in respect of this policy. This insurance policy is arranged by Endsleigh Insurance Services Ltd registered in England No. 856706. may pertain, the insurance afforded by, the policies described herein is subject to all the terms, exclusions and conditions of such policies. aggregate limits shown may have been reduced by paid claims. date mm/d 1988-2 (any person) by endorsement urance any proprietor/p uded7 officepjmember describe under operations/ certificate cord 25 (2009/01) This certificate is not an insurance policy or binder for an insurance policy. This certificate is issued as a matter of information only and confers no rights upon the certificate holder. This form does not amend, extend, or alter the coverage afforded by the policies listed below. CERTIFICATE OF LIABILITY INSURANCE AMATEUR ATHLETIC UNION OF THE U.S., INC. CERTIFICATEHOLDER 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. PRODUCERFoy Insurance Group Inc. INSURED PO Box 1030 Certificate of Public Liability Insurance This certificate does not form part of the policyholder’s contract with insurers. This is a summary of cover only; full details of the cover provided are included in the policyholder’s schedule and policy wording. This certificate is furnished in accordance with, and in all respects is subject to ... GENERAL LIABILITY INSURANCE TABLE OF CONTENTS 0680-6-.01 Definitions 0680-6-.02 Amount of Insurance 0680-6-.03 Proof of Insurance 0680-6-.01 DEFINITIONS. (1) “Applicant” means an individual or entity who/that is applying for a home improvement contractor license or a general contractor license with the Board. Endsleigh Insurance Services Limited, Shurdington Road, Cheltenham, GL51 4UE This insurance policy is arranged by Endsleigh Insurance Services Ltd registered in England No. 856706. Endsleigh Insurance Services Limited is an insurance intermediary acting on behalf of the insurer. We are authorised and regulated by the Financial Conduct Authority. 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 ... b. Automobile Liability Insurance equal to or greater than . endorsement for indemnification in the event third party . damages . I look forw. The certificate holder should be School District of Manatee County, The district property. The Certificate of Insurance can be faxed to 941-708-8485 or emailed to . [email protected] 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