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 Under ACORD’s licensing agreement, the prior editions of superseded forms can be used for one year from the time the new forms are introduced.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 2009. The prior edition was January 2009. Therefore, under ACORD's licensing agreement, the January 2009 form can
ACORD 25 (2010/05) IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) Insurance-form2-sample-acord-form-ext-apr13.pdf. 34 – 40 Changed additional insured endorsement references and language to Use the ACORD Form 25 (2010/05) – Certificate of Liability Insurance for all lines of liability access the ACORD website to download the Forms Filing Requirements box with a blank line and insert the coverage form title on the blank line. INSURED. Vendor Name. Vendor Street Address or P.O. Box. Vendor City, State & Zip Code NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT The Certificate of Insurance on the reverse side of this form does not ACORD 25 (2001/08) ADDITIONAL INSURED – OWNERS, LESSEES OR. CONTRACTORS – (FORM B). This endorsement modifies insurance provided under the following:. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, GL policy (including endorsements) does not cover the additional insured for claims involving injury to employees of "Insured contract" exception to the employers liability exclusion is removed or modified (GL policy) Attach to ACORD 25. The ACORD name and logo are registered marks of ACORD ACORD 25 (2014/01) IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the From the WCIRB's California Workers' Compensation Insurance Forms Manual
The topic of additional insured status is a difficult one at best. Many misconceptions result when adding contracting parties to one an-other’s insurance policies as additional insureds. There is also the tug-of-war between insurers and indemnitors that want to limit the scope of additional insured coverage under their policies and the in- effective date: named insured policy number carrier naic code agency loc #: agency customer id: additional remarks schedule page of additional remarks form number: form title: ACORD 855 NY, New York Construction Certificate of Liability Insurance Addendum, may be used to supplement ACORD 25, Certificate of Liability Insurance, in the state of New York, to provide more information about the policy's coverage when required by the certificate holder. ACORD 25 (2014/01) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (ACORD 101, 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 Use this step-by-step guideline to complete the Acord 25 Form 2014-2018 swiftly and with perfect precision. How to complete the Acord 25 Form 2014-2018 online: To start the document, utilize the Fill & Sign Online button or tick the preview image of the blank. The advanced tools of the editor will lead you through the editable PDF template. ADDITIONAL INSURED – DESIGNATED PERSON OR ORGANIZATION 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: CG2026N5.PDF Author: Unknown
ACORD 25 (2010/05) AUTHORIZED REPRESENTATIVE CANCELLATION CERTIFICATE OF LIABILITY INSURANCE DATE (Attach ACORD 101, Additional Remarks Schedule, if more space is required) INSR LTR TYPE OF INSURANCE POLICY NUMBER If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to ACORD 25 (2001/08) If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. 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. 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 Insured Policy Number Insurer Intermediary ADDITIONAL REMARKS SCHEDULE Page of ADDITIONAL REMARKS Form Number: Form Title: This Additional Remarks form is a schedule to ACORD form, Title: ACORD 3101 (2012/02) Author: ACORD Corporation Created Date: Understanding the Acord Certificate of Insurance City of Boise 1. POLICY FORM “Claims Made” or “Occurrence” form. 5.NAMED ADDITIONAL INSURED the City of Boise must be named additional insured. 6.CERTIFICATE HOLDER Must be the City of Boise 7. The Certificate of Insurance ACORD 25 is “issued as a matter of information
34 – 40 Changed additional insured endorsement references and language to Use the ACORD Form 25 (2010/05) – Certificate of Liability Insurance for all lines of liability access the ACORD website to download the Forms Filing Requirements box with a blank line and insert the coverage form title on the blank line. INSURED. Vendor Name. Vendor Street Address or P.O. Box. Vendor City, State & Zip Code NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT The Certificate of Insurance on the reverse side of this form does not ACORD 25 (2001/08) ADDITIONAL INSURED – OWNERS, LESSEES OR. CONTRACTORS – (FORM B). This endorsement modifies insurance provided under the following:. THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, GL policy (including endorsements) does not cover the additional insured for claims involving injury to employees of "Insured contract" exception to the employers liability exclusion is removed or modified (GL policy) Attach to ACORD 25.
ACORD FORM 25 FILLABLE EPUB - ACORD CORPORATION. you need a pdf file every day you need proper website every day. like our website. where we daily publish 2000-3000 new pdf files to download. totally we have about 2000000 e-book files to download. or modification of rights between an insured or additional insured and the insurer
A. Section II – Who Is An Insured is amended to include as an insured the person or organization shown in the Schedule, but only with respect to liability arising out of your ongoing operations performed for that insured. B. With respect to the insurance afforded to these additional insureds, the following exclusion is added: 2. Exclusions
