Additional insured acord form 25 blank pdf download

WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. Title: Additional insured Form CG Author. INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: 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.  · Download and create your own document with certificate of liability insurance template (kb | 2 page(s)) for free. Other parties need to complete fields in the document. Certificate holder is additional insured. Since our first paper form was released in , acord has provided the standard forms used by the insurance industry.

Request to use older ACORD forms. Under ACORD's licensing agreement, the prior editions of superseded forms can be used for one year from the time the new forms are introduced. For example, the latest ACORD 25 is dated September The prior edition was January Therefore, under ACORD's licensing agreement, the January form can. ACORD 25 (/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (ACORD , Additional Remarks Schedule, may be attached if more space is required) INSR If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to. WHO IS AN INSURED (Section II) is amended to include as an insured the person or organization shown in the Schedule as an insured but only with respect to liability arising out of your operations or premises owned by or rented to you. Title: Additional insured Form CG Author.

Additional Insured Changes 16 #IRMI Changes •24 revised forms •Many changes are due to state “anti-indemnity” statutes •Coverage for AI is “only to the extent provided by law” •Coverage for the AI cannot be more broad than that provided to the Named Insured •New forms. INSURED COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must 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 additional insured; insurer letter: cancellation should any of the above described policies be cancelled before the expiration date thereof, the issuing insurer will mail days written notice to the certificate holder named to the left. authorized representative acord s (7/97) (dacord corporation 30 policy project loc.