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  • Sample Insurance Certificate - Dellbrook Construction

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DATE (MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 3/30/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT.

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How to fill out the Sample Insurance Certificate - Dellbrook Construction online

Filling out the Sample Insurance Certificate for Dellbrook Construction can initially appear daunting. However, with a clear understanding of each section and field, this process can be straightforward and efficient, ensuring all necessary information is accurately provided.

Follow the steps to complete the certificate accurately.

  1. Click ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the date in the specified format (MM/DD/YYYY) at the top of the document. This indicates when the certificate is being issued.
  3. In the 'CONTACT' section, provide the contact name, phone number, and email address of the person responsible for the certificate. This information is crucial for any follow-up inquiries.
  4. Fill out the 'PRODUCER' section with the name and address of the insurance agency issuing the certificate.
  5. In the 'INSURER(S) AFFORDING COVERAGE' section, list the insurance companies providing coverage along with their National Association of Insurance Commissioners (NAIC) numbers.
  6. Complete the 'INSURED' section by entering the name and address of the insured party, typically the subcontractor.
  7. Ensure the 'CERTIFICATE NUMBER' is filled in, which uniquely identifies this certificate.
  8. In the 'COVERAGES' section, specify the type of insurance coverage and policy numbers by checking the appropriate boxes and filling in relevant policy details.
  9. Clearly state the limits of insurance coverage in the corresponding fields, such as bodily injury, general aggregate, and professional liability.
  10. In the 'DESCRIPTION OF OPERATIONS' field, briefly describe the operations or locations related to the insurance coverage. Attach additional remarks if needed.
  11. Fill in the 'CERTIFICATE HOLDER' section with the name and address of Dellbrook Construction LLC, ensuring all details are accurate.
  12. Lastly, if any endorsements or additional information are required, include them as necessary and ensure they are referenced correctly.
  13. Once all sections are completed, review the information for accuracy. Save changes, and download or print the form as needed.

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A Certificate Holder is a person or organization to whom the certificate is being provided as evidence of insurance. In the commercial real estate space, the Certificate Holder is typically required to be the landlord, property manager, or both.

A certificate of insurance (COI) is a document issued by an insurance company or broker. The COI verifies the existence of an insurance policy and summarizes the key aspects and conditions of the policy.

The certificate holder is the person who is receiving the COI from the insured. The insured is giving the COI to the certificate holder to prove they have proper coverage.

While policyholders are entities that purchased the policy from a provider, certificate holders possess proof of insurance and CGL policies. Additional insureds are other parties coverage has been extended to, beyond initial policyholders.

Your general contracting company is working on a new building. You subcontract out the drywall installation and, as a matter of course, request a certificate of insurance from the drywall subcontractor. Your general contracting company becomes the certificate holder, because you're holding the COI that you received.

The COI verifies the existence of an insurance policy and summarizes the key aspects and conditions of the policy. For example, a standard COI lists the policyholder's name, the policy's effective date, the type of coverage, policy limits, and other important details of the policy.

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