Sample Form 1: Certificate of Liability Insurance

Liability & Insurance 750

Insured -	The named insured must match the legal name on our contract.
General Liability: Occur -	Occurrence is required.
Policy Effective and Expiration Dates -	Dates must be current.
General Liability: LOC -	Should be "per project" for construction and construction-related contractors.
Automobile Liability: Any Auto -	Any Auto = Owned + Hired + Non-owned autos.
Umbrella & Excess Liability -	Umbrella and excess limits are added to the General Liability and Auto Limits.
Empty space under Type of Insurance -	Professional & Pollution or Environmental Liability are often listed here.
Description of Operations, Locations, Vehicles -	The contract number, project name or other identifier should be here.
Certificate Holder -	Should match the name & address specified in the Template.