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If the certificate holder is an additional insured , the policy(ies) must be endorsed. Acord stands for association for cooperative operations research and development. • this certificate must be completed by the contractor's insurance agent, broker or insurer and submitted to alberta transportation prior to commencement of any activities by the contractor on site and at any other time requested. Download free printable certificate of liability insurance form samples in pdf, word and excel formats. If the certificate holder is an additional insured, the policy(ies) must have additional insured provisions or be endorsed.

The form will cover the limits and types of coverage, the insurance company issuing the policy, the policy number, and the effective.

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This certificate of insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate.

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