Get This Certifies That The Below Named Insured Has Provided Commercial Auto Liability Coverage With A

Filling out the This Certifies That The Below Named Insured Has Provided Commercial Auto Liability Coverage With A form is essential for ensuring compliance with the City of Houston's insurance requirements. This guide will walk you through each step to ensure that you complete the form accurately and efficiently.

Follow the steps to complete your insurance filing form accurately.

1. Click ‘Get Form’ button to access the document and open it in the editor.
2. Enter the name of the insured and their mailing address in the designated fields. Ensure that all information is accurate to prevent any issues with the filing.
3. If there is an additional insured, such as a different permit holder from the city of Houston, enter their name and address in the specified space.
4. Fill in the policy period by entering the start and end dates for the insurance coverage.
5. List all covered autos by including the make, model, year, and the last five digits of the Vehicle Identification Number (VIN). This ensures that all vehicles are recognized under the policy.
6. Indicate whether the policy meets the minimum limits of liability for any one accident or loss by checking 'Yes' or 'No' for each applicable requirement, including the combined single limit and bodily injury thresholds.
7. In the endorsements section, identify any relevant endorsements by checking 'Yes' or 'No' for each item listed.
8. Provide the name and address of the insurance company responsible for the policy, and also include the policy number.
9. The form requires the signature of an authorized underwriter. Ensure that they print their name and provide a phone number for any follow-up.
10. Once all sections are completed, ensure you save changes, then download, print, or share the completed form as needed.

Complete your insurance filing form online today for a smooth compliance process.