Get City Of Houston Certificate Of Insurance For Services Form

Filling out the City Of Houston Certificate Of Insurance For Services Form online can seem daunting, but this guide provides clear and comprehensive steps to help you complete the form accurately. By following these instructions, you will ensure that your submission meets all necessary requirements.

Follow the steps to complete the form effectively.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill out the producer's information, including the name, street or mailing address, city, state, zip code, and phone number. Ensure all required fields are completed accurately.
3. Provide the insured's details in the designated section, including their name, street or mailing address, city, state, zip code, and phone number.
4. Complete the Workers Compensation Insurance Coverage section by including the necessary endorsements, policy number, effective date, expiration date, and limits of liability. Ensure the required waiver of subrogation is noted.
5. In the Commercial General Liability Insurance section, fill in the carrier information, policy details, and the limits of liability for occurrences and aggregates. Confirm that the City of Houston is listed as an additional insured.
6. Provide the details for Automobile Liability Insurance, including the type of coverage, carrier details, and limits of liability. Again, ensure that the City of Houston is an additional insured.
7. If applicable, note any other insurance coverage in the specified section, including carrier details, policy number, effective date, expiration date, and limits of liability.
8. Review the cancellation policy statement and ensure all required notifications are understood.
9. Finalize the document by completing the agent certification section. Include the name of your insurance company, the authorized agent's name and address, their phone number, and obtain the original signature of the authorized agent with the date.
10. Once all information is correctly completed, you can save changes, download the document, print it, or share it as necessary.

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