Accord Certificate Of Insurance 2021. The certificate of insurance on the reverse side of this form does not constitute a contract between the Lions clubs may submit forms for certificates of insurance using one of the methods listed below.
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Insured phone (a/c, no, ext): This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder. This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder.
A Statement On This Certificate Does Not Confer Rights To The Certificate Holder In Lieu Of Such Endorsement(S).
Lions clubs may submit forms for certificates of insurance using one of the methods listed below. This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized. (per accident) (ea accident) $ $ n / a subr wvd addl insr
This Certificate Does Not Affirmatively Or Negatively Amend, Extend Or Alter The Coverage Afforded By The Policies Below.
Must be legal name of contracting party. Producer producer customer id #: Acord certificates can provide proof of many different types of commercial insurance coverage, such as general liability insurance, professional liability insurance, workers’ compensation, commercial auto insurance, and others.
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Dates of set up/tear down & show dates: Representative or producer, and the certificate holder. Answers questions, revises certificate to meet contract requirements.
If Subrogation Is Waived, Subject To.
The acord name and logo are registered marks of acord if this certificate is being prepared for a party who has an insurable interest in the property, do not use this form. Must include types required by contract. Acord forms are now available in a variety of formats, including printable pdf, electronic fillable, and eforms.
Aggregate Limits Shown May Have Been Reduced By Paid Claims.
Insurers affording coverage insured company name & address. As the certificate holder, it gives you proof of insurance that you can show to anyone you do business. Acord certificate of liability insurance 2021.
