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INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTFICATE HOLDER.THIS  \u003Cbr>CERTFICATE DOES NOT AFFIRMATVELY OR NEGATVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES  \u003Cbr>BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTUTE A CONTRACT BETWEN THE ISSUING INSURER/S),AUTHORIZED  \u003Cbr>REPRESENTATIVE OR PRODUCER,AND THE CERTFICATE HOLDER.   |  |  |  |\n| MPORTANT:I the cerfificate holder is an ADDMONAL NSURED,the policy(ies)must be endorsed.If SUBROGATION IS WANED,subject to  \u003Cbr>the terms and conditions of the policy,certain poicies may require an endorsement A statement on this certicate does not confer tghts to the  \u003Cbr>certificate hokder in lieu of such endorsement/s).   |  |  |  |\n| PROCUCER  \u003Cbr>Insurance provider name and addresshere  \u003Cbr>Provider must be registered to do business inthe U.5   | CUNCT  \u003Cbr>MME   |  |  |\n|  | M  \u003Cbr>PHOME  \u003Cbr>MC.MoE  \u003Cbr>ACNaEt   |  |  |\n|  | MAL  \u003Cbr>AODRE9:   |  |  |\n|  | NSURERS)AFORDNG COVERAGE   |  | NMACI   |\n|  | INSURERA:   |  |  |\n| KSURED  \u003Cbr>Your company name or DBA and address*here.  \u003Cbr>tfyou arean intemziomalcompany anddo not have a U.5.entity,  \u003Cbr>use the folowingaddress:380 New Yk5treet,Redlands,CA92373-8100  \u003Cbr>Company name must match exactlyname onexhibit application.   | MSURERB:   |  |  |\n|  | INSURERC:   |  |  |\n|  | MSURERD:   |  |  |\n|  | MSURERE:   |  |  |\n|  | MSURERF:   |  |  |\n\n# COVERAGES\n\nCERTIFICATE NUMBER:  \nREVISION NUMBER:  \n\n| THIS IS TO CERTFYTHAT THE POLICIES OF NSURANCE LISTED BELOW HAVE BEEN ISSUED TO THEINSURED NAMED ABOVE FOR THE POLICY PEROD  \u003Cbr>NDCATED.NOTWITHSTANDNG ANY REQUREMENT,TERM OR CONDITON OFANY CONTRACT OR OTHER DOCUMENT WTH RESPECT TO WHCH THIS  \u003Cbr>CERTFCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICES DESCRBED HEREN S SUBJECT TOALL THE TERMS,  \u003Cbr>EXCLUSIONS AND CONDITONS OFSUCH POLICES.LIMTS SHOWN MAYHAVE BEEN REDJCEDBYPAD CLAIMS   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| NSR  \u003Cbr>LTR   | TYPEOFINSURANCE   |  |  |  |  |  |  | ADUL  \u003Cbr>INSR   | SUBR  \u003Cbr>WD   | POLCY MUMBER   | POT坪  \u003Cbr>(MMDDYYY   | PCLCYL邓  \u003Cbr>MDO/YYl   |  | LMITS   |  |  |\n|  | GE  \u003Cbr>X  \u003Cbr>GB   | MERLUABLTY  \u003Cbr>COMVERCALGENERL LBUTY  \u003Cbr>0cCUR  \u003Cbr>CLAMS-MDE  \u003Cbr>BroadFomPropoty Dams  \u003Cbr>Baket Can tata   |  |  |  |  |  |  |  |  | Pokystat  \u003Cbr>date   | Must expie  \u003Cbr>after event  \u003Cbr>end date.   | EACHOCCJPRDICE   |  | s   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | DAM10FENIED  \u003Cbr>PREMES Ea oaurncel   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | MEDEP Ayane pess]   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | PERSONL &ADYNURY   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | GBNERL AGGREGATE   |  | s100000DUSD   |  |\n|  |  | YL AGGREGATE LMTAP  \u003Cbr>PRO  \u003Cbr>PQLICY  \u003Cbr>JECL   |  |  |  | PLESPER:  \u003Cbr>LOC   |  |  |  |  |  |  | PRODUCTS.00MP/OPAGG   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  | AUT   | OMOELELILLT  \u003Cbr>ANY AUTO  \u003Cbr>ALLOWNED  \u003Cbr>AUT0S  \u003Cbr>HREDAUTOS   |  |  | Y   | SCHEDLLED  \u003Cbr>MJOS  \u003Cbr>NONOWED  \u003Cbr>MJTOS   |  |  |  |  |  |  | COMENEDSNELLMT  \u003Cbr>LEa sodant)   |  | s   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | B0DLYNJRY Porpenon)   |  | s   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | BODLYNJLRY Poraocnidonf   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | PROPERTYDAWGE  \u003Cbr>Pr acen   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | s   |  |\n|  |  | UMBELA LAB  \u003Cbr>DCESSU   |  |  |  |  | 00CUR  \u003Cbr>αAMS MDE   |  |  |  |  |  | EACHOCCJPRDNCE   |  | 5   |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  | MGGREGATE   |  | 5   |  |\n|  |  | DED   |  | RETENTIONS   |  |  |  |  |  |  |  |  |  |  | s   | ","cbCaifRFH1YJCrRz","https://ap.wps.com/l/cbCaifRFH1YJCrRz","pdf",709703,"English","# Certificate of Insurance (COI)\n## Mandatory statements and instructions\n## Coverages\n## Policy listing and limits","[{\"question\":\"What is the purpose of the COI in this template?\",\"answer\":\"The COI is issued as information only and does not confer rights to the certificate holder or modify the underlying policy coverage terms.\"},{\"question\":\"When is an endorsement required for an additional insured?\",\"answer\":\"If the certificate holder is an additional insured, the policy must be endorsed, and the template notes that a statement on the certificate does not replace the endorsement.\"},{\"question\":\"How are the coverages and policy details organized?\",\"answer\":\"The template includes a coverages section where listed policies are shown with certificate number, revision number, coverage period dates, policy numbers, and applicable limits for each insurance type.\"}]","Sample Certificate of Insurance (COI) - Insurance Certificate Template | PDF",1789610489]