Certificate of Insurance Sample Contracts

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Certificate of Insurance
Certificate of Insurance • April 23rd, 2021
Capital Contract Operating Contract All Other Agreements Metropolitan Transportation AuthorityCERTIFICATE OF INSURANCE (For Joint Agency Agreements) AGREEMENT or CONTRACT #: AGREEMENT or CONTRACT NAME/DESCRIPTION: Producer:ADDRESS: PHONE #:...
Certificate of Insurance • December 21st, 2017

CERTIFICATE OF INSURANCE MTA Joint Agency (Continued) Page 2 LIABILITY COVERAGES:ADDITIONAL INSUREDS Check all that applyCoverage: General Liability, Garage Liability, Excess/Umbrella Liability Metropolitan Transportation Authority (MTA), and its subsidiaries and affiliatesAnd the respective affiliates and subsidiaries existing currently or in the future of and successors to each indemnified Party listed herein. Metro-North Commuter Railroad Company (MNR)Metropolitan Transportation Authority (MTA), and its subsidiaries and affiliatesConnecticut Department of Transportation The State of ConnecticutJones Lang LaSalle Americas, Inc. Midtown Trackage Ventures LLC Midtown TDR Ventures LLC Argent Ventures LLCAnd the respective affiliates and subsidiaries existing currently or in the future of and successors to each Indemnified Party listed herein. New York City Transit Authority (NYCT)Manhattan and Bronx Surface Transit Operating Authority (MaBSTOA) Staten Island Rapid Transit Operating Auth

Certificate of Insurance - Group Policy # CPP082017 and CPPL082017
Certificate of Insurance • January 24th, 2019

The Agreement and the Certificate of Insurance are your insuring documents. This Certificate of Insurance describes the following benefits available under the Credit Protection Plan - Secured:

Contract
Certificate of Insurance • April 8th, 2014

Capital Contract Operating Contract All Other Agreements Metropolitan Transportation AuthorityCERTIFICATE OF INSURANCE (For Joint Agency Agreements) AGREEMENT or CONTRACT #: AGREEMENT or CONTRACT NAME/DESCRIPTION: Producer: ADDRESS:PHONE #: CERTIFICATE ISSUANCE DATE: DATE RECEIVED: MTA REFERENCE #: INSURED: ADDRESS: PHONE #: CO LTR COMPANIES AFFORDING COVERAGE A NAIC # B NAIC # C NAIC # CERTIFICATE HOLDER: ADDRESS: PHONE #: Metropolitan Transportation Authority Attention: Risk & Insurance Management 2 Broadway 21st FloorNew York, NY 10004 (646) 252-1425 D NAIC # E NAIC # F NAIC # G NAIC # COVERAGES (See Notes 1 and 2) CO LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE LIMITS GENERAL LIABILITYCommercial General Liability Form Underground Expl.& Collapse Hazard Products/Completed Operations Contractual LiabilityIndependent ContractorsFifty Foot Exclusion Removed Personal & Advertising Injury SIR/Deductible $ BI & PD COMBINED OCCURRENCE

Repwest Insurance Company
Certificate of Insurance • May 18th, 2023

Insuring Agreement: In consideration of the execution with the “Lessee” named on the “Rental Storage Contract” by the specified “Storage Facility” for the described storage space or portable storage container, and in further consideration of the payment of the monthly premium for the selected Limit of Liability, and subject to all the terms of the Master Policy, Company agrees to provide the insurance as stated herein.

CERTIFICATE OF INSURANCE
Certificate of Insurance • July 15th, 2015
To: The Corporation of the Town of Gravenhurst Re: Muskoka Wharf Watercraft Slip Agreement NOTE: Proof of Insurance will be accepted on this form only Name of Insured Telephone Number Insured’s Mailing Address Vessel Details: (i.e.) Year, Make, Vessel...
Certificate of Insurance • March 1st, 2018

This is to certify that the policies of Insurance as described above have been issued by the undersigned to the Insured named above and are in force at this time. The insurance shall be non- contributing with and apply as primary and not in excess of any insurance available to the Corporation of the Town of Gravenhurst. The insurance company(s) must be licensed to operate in the Province of Ontario.

Contract
Certificate of Insurance • September 27th, 2016

CERTIFICATE OF INSURANCE DATE 9/27/2016 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA 3835 HOLDREGE LINCOLN NE 68583 INSURERS AFFORDING COVERAGE INSURED INSURER A: Self Insured Trust Agreement BOARD OF REGENTS OF THE UNIVERSITY OF NEBRASKA INSURER B: 3835 HOLDREGE INSURER C: LINCOLN NE 68583 INSURER D: INSURER E:

Certificate of Insurance (COI)
Certificate of Insurance • June 28th, 2024

The City & County of Denver and ASM BLOBAL have established insurance guidelines to help protect our clients and patrons from risk of liability should injury or damage occur while in our facility. Below is the portion of our License Agreement that specifies facility insurance requirements. These terms are non-negotiable; alterations to terms or coverage amounts are not acceptable. The certificate of insurance, once received, will be reviewed for contract compliance.

CERTIFICATES OF INSURANCE
Certificate of Insurance • October 1st, 2014

For official verification of university coverage to third parties, a Certificate of Insurance can be issued from the Office of Risk Management. Requests should be submitted via email (mikki@vt.edu) at least ten (10) business days in advance of the date the certificate is needed. Certificates of Insurance can be requested in the following instances:

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