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Includes issuer and producer details, policy period dates, insurer listings, and key limits such as general liability, automobile liability, umbrella liability, and workers compensation. The certificate clarifies that it is informational only, does not modify policy terms, and does not create a contract. 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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. |  |  |  |  |  |\n| IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) . |  |  |  |  |  |\n| PRODUCER |  | CONTACT NAME: |  |  |  |\n|  |  | PHONE\u003Cbr>(A/C, No, Ext): | FAX\u003Cbr>(A/C, No): |  |  |\n|  |  | E-MAIL ADDRESS: |  |  |  |\n|  |  | INSURER(S) AFFORDING COVERAGE |  |  | NAIC \\# |\n|  |  | INSURER A : |  |  |  |\n| INSURED |  | INSURER B : |  |  |  |\n|  |  | INSURER C : |  |  |  |\n|  |  | INSURER D : |  |  |  |\n|  |  | INSURER E : |  |  |  |\n|  |  | INSURER F : |  |  |  |\n\n\n| THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| INSR\u003Cbr>LTR | TYPE OF INSURANCE |  |  |  |  |  |  |  |  |  |  |  |  | ADDL\u003Cbr>INSD | SUBR\u003Cbr>WVD | POLICY NUMBER | POLICY EFF\u003Cbr>(MM/DD/YYYY) | POLICY EXP\u003Cbr>(MM/DD/YYYY) | LIMITS |  |  |  |  |\n|  |  | COMMERCIAL GENERAL LIABILITY |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | EACH OCCURRENCE |  |  |  | $ |\n|  |  | CLAIMS-MADE\u003Cbr>OCCUR |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | DAMAGE TO RENTED PREMISES (Ea occurrence) |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | MED EXP (Any one person) |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PERSONAL & ADV INJURY |  |  |  | $ |\n|  | GEN'L AGGREGATE LIMIT APPLIES PER: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | GENERAL AGGREGATE |  |  |  | $ |\n|  |  | POLICY\u003Cbr>OTHER: |  |  |  | PRO\u003Cbr>JECT |  |  |  |  |  | LOC |  |  |  |  |  |  | PRODUCTS-COMP/OP AGG |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ |\n|  | AUTOMOBILE LIABILITY |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | COMBINED SINGLE LIMIT (Ea accident) |  |  |  | $ |\n|  |  | ANY AUTO\u003Cbr>OWNED AUTOS ONLY HIRED AUTOS ONLY |  |  |  |  |  |  | SCHEDULED AUTOS NON-OWNED\u003Cbr>AUTOS ONLY |  |  |  |  |  |  |  |  |  | BODILY INJURY (Per person) |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | BODILY INJURY (Per accident) |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PROPERTY DAMAGE (Per accident) |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ |\n|  |  | UMBRELLA LIAB EXCESS LIAB |  |  |  |  |  |  |  |  | OCCUR\u003Cbr>CLAIMS-MADE |  |  |  |  |  |  |  | EACH OCCURRENCE |  |  |  | $ |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | AGGREGATE |  |  |  | $ |\n|  |  | DED |  |  | RETENTION $ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | $ |\n|  | WORKERS COMPENSATION AND EMPLOYERS' LIABILITY\u003Cbr>ANYPROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBEREXCLUDED?\u003Cbr>(Mandatory in NH)\u003Cbr","cbCaitSYm9F9nBc3","https://ap.wps.com/l/cbCaitSYm9F9nBc3","pdf",241396,"English","# Certificate Notice and Disclaimers\n## Additional Insured and Subrogation Notes\n# Parties and Insurer Information\n## Producer Contact Details\n## Insurer Listings and NAIC #\n# Policy Period and Insurance Confirmation\n## Limits and Claims Information\n# Coverage Sections\n## Commercial General Liability\n## Automobile Liability\n## Umbrella Liability\n## Workers Compensation\n# Operations, Locations, and Vehicles\n## Additional Remarks Schedule\n# Cancellation and Authorized Representative","[{\"question\":\"What is the purpose of the certificate of liability insurance?\",\"answer\":\"It provides information about the insurance coverage listed for the named insured during the stated policy period. It clarifies that it is issued for information only and does not confer rights or alter policy terms.\"},{\"question\":\"Does this certificate modify or extend the insurance coverage terms?\",\"answer\":\"No. The certificate explicitly states that it does not amend, extend, or alter coverage and does not constitute a contract between the insurer(s) and the certificate holder.\"},{\"question\":\"When and how will notice of cancellation be provided?\",\"answer\":\"If a policy is canceled before its expiration date, notice will be delivered in accordance with the policy provisions, as stated in the form.\"}]","Certificate of Liability Insurance - Certificate Details | PDF"]