Certificate of liability Insurance Sample : Complete Guide

A certificate of liability insurance sample is a document substantiating the possession of general liability insurance coverage. It goes by various names, such as an available liability insurance certificate, proof of insurance, or an ACORD 25 form. This document comprises specific details about the following:

  • Coverage amounts and limits
  • Your insurance company
  • The named insured on the policy
  • Policy effective date

Additionally, a certificate of insurance confirms that an individual or entity seeking to engage in business with you maintains sufficient insurance limits that are active and up-to-date. Normally provided by an insurance agent, broker, or directly by an insurance company, This document is solely for providing information and does not establish a formal contract between the certificate holder and the insurance provider.

It’s important to note that a certificate doesn’t guarantee the absence of further exclusions or coverages within the policy.

Contractors should effortlessly acquire a certificate of insurance by contacting their agent or broker.

Here are practical scenarios where You may need to ask for a certificate from a contractor, vendor, or any other involved party.

You oversee and manage three flower shops across your city and seek to enlist a temporary agency driver to assist with deliveries during busy periods.

You're the owner of a three-story apartment house and require the services of an HVAC contractor to perform a comprehensive overhaul of the building's heating and air conditioning system, which is currently 30 years old.

You're the proprietor of a shopping center accommodating a supermarket and multiple retail stores. Enlisting a contractor responsible for snow and ice removal from your parking lot and access roads is required.

How Do I Request a Certificate of Liability Insurance Sample?

If you possess a general liability insurance policy, you can request a certificate of liability insurance, usually received upon initiating your coverage. If you misplace your certificate or require an additional copy, there are two methods to obtain a certificate of liability insurance sample.

Online: Insurance companies may provide the choice to access and retrieve a digital copy of the certificate of liability insurance via your online customer profile. You have the flexibility to send 

either a physical or digital copy to fulfill the request from the concerned party.

Contact your insurance company: If you don’t have access to a digital rendition of your certificate, reach out to your insurance provider and ask for a duplicate. They may accommodate your request by sending a hard copy via mail or a digital version to your email address.

Submitting a request is crucial.

When considering whether to work with a vendor, buyer, contractor/subcontractor, tenant/landlord, or supplier, acquiring a Certificate of liability insurance samples can instill a sense of assurance when entering into a contract. This document holds crucial information that aids businesses in preventing substantial losses.

Here are two instances where requesting a sample certificate of liability insurance could have been beneficial:

Example #1:

Painters were hired to enhance the outside of an upscale apartment building. However, no insurance certificate was obtained. Unfortunately, multiple workers were injured when the scaffolding unexpectedly collapsed, with one left permanently disabled. The building’s exterior also suffered damage. Since the painters didn’t have insurance, the building owner had to cover workers’ compensation expenses and pay $300,000 for the building repairs.

Example #2:

A florist hired a local company that owned trucks to deliver flowers, but they didn’t get an insurance certificate. During one of the deliveries, a driver from the delivery company got into an accident. Sadly, the person driving the other vehicle died, and another passenger was seriously hurt. The insurance coverage of the delivery company wasn’t enough to cover the $5 million judgment, so the florist had to pay the remaining $3.5 million.

certificate of liability insurance sample

Retain the certificate in your records.

If the insurance policy is due to expire before the contractor finishes their work, it’s advisable to ask for a new certificate reflecting the renewal policy.

Ensure that the certificate is thorough.

Insurance requirements are commonly outlined within a contract. Yet, you might also consider providing a necessary insurance coverage form to the contractor or involved parties (refer to the “Required insurance coverage” section below). It’s crucial to acquire the certificate before commencing any work. Typically, most businesses mandate certificates before allowing contractors to begin work on their premises.

Once you have obtained the certificate, examine it for the following information:

  • The insured party’s name
  • Accurate coverage information
  • Required coverage limits
  • Effective dates
  • Your name is listed as the certificate holder

What Does a Certificate of Liability Insurance Sample Cover?

A certificate of liability insurance sample encompasses fundamental details regarding your general liability insurance policy, such as:

  • Types of Coverage
  • Deductibles
  • Insured business owner(s)
  • Business name
  • Policy number
  • Insurance company’s name
  • Policy start and end date

Before delivering a service or product, the party engaging in business with you must furnish a certificate of insurance that identifies you as the certificate holder and complies with the specified minimum requirements below.

Kindly be aware: In the event that the other party fails to furnish you with a certificate of insurance or supplies one with limits lower than the required minimums, it is advisable to discuss this matter with your agent before the commencement of work.

General liability coverage includes:

$1 million for each occurrence

$2 million for general aggregate

$2 million for products and completed operations aggregate

$1 million for personal and advertising injury for each occurrence

Workers’ compensation and employers’ liability coverage details are as follows:

$100,000 for bodily injury by accident per accident

$100,000 for bodily injury by disease per employee

$500,000 for bodily injury by disease, policy limit

Automobile coverage – Combined Single Limit (CSL) of $1 million

Umbrella liability coverage provides $1 million for each occurrence.

To understand how these limits would be utilized in case of an actual loss, seek guidance from your agent.

Who Needs a General Liability Insurance Certificate?

Any business with adequate coverage can find value in possessing a general liability insurance certificate.

Occupations commonly acquiring general liability insurance coverage encompass:

  • Artisan contractors
  • Consultants
  • IT contractors
  • Janitorial services
  • Landscaping services
  • Marketing firms
  • Real estate agents
  • Small business owners

certificate of liability insurance sample

What you can find out from a certificate

Most certificates of liability insurance samples are provided using an ACORD 25 form, a standard form widely adopted in the insurance industry. Below is a concise breakdown of each section of the form, along with a sample for reference (provided below):

Section for Identification

In this section, you’ll find details identifying the agent/broker, the insured party, and the insurance company providing the coverage.

  1. The issuance date of the certificate provided by the agent/broker or insurance company.
  2. The insurance agent/broker’s name. Their address, contact name, and phone number are typically included for further inquiries or to validate coverage.
  3. The name of the insured party. Ensuring it matches the name of the individual or company you are engaging with is crucial.
  4. The names of insurers. While a single insurer commonly offers coverage for all policies, different insurers are occasionally utilized for various coverages.

Section detailing Coverages

This section lists the insurers providing coverage based on each specific coverage. It’s essential to ensure these insurers meet your minimum standards for financial strength and are recognized as reputable carriers.

  1. The insurer is responsible for specific coverage corresponding to the designated letter in item 4.
  2. The nature of coverage. It’s crucial to confirm that the individual or company you’re engaging with possesses, at least, general liability and workers’ compensation insurance.

Additional insured column. Make sure a “Y” is displayed, indicating your inclusion as an additional insured for both ongoing and products/completed operations.

  1.  A recommended practice is to request copies of the additional insured endorsement to validate compliance with your insurance prerequisites.
  2. The policy number serves as the identifier for the active policy, aligning with the policy’s effective date and expiration date listed in the subsequent two columns on the form.
  3. Policy coverage dates. Verify these dates to ensure they encompass the period during which the work will be conducted. If a policy is due to expire before the job’s completion, request a new certificate reflecting the renewal policy.
  4. Coverage limits. Confirm that the contractor’s limits meet the specific limits you require.
  5. Description of operations/locations/vehicles. It’s essential to comprehend any comments in this section and their potential impact on your project’s insurance arrangement.

Certificate holder section

Identification of certificate holder. Confirm that your company’s name is accurately stated in this section.

  1. Policy cancellation notification procedures. Request to review the policy provisions or endorsements detailing how, to whom, and the number of days notice will be given in case of policy cancellation. Ensure these procedures align with your contract requirements.
  2. Verify that the certificate is signed in this section by the authorized agent or representative of the person or company you work with.

How Much Does a Certificate of Liability Insurance Sample Cost?

Obtaining a certificate of liability insurance sample from The Hartford does not come with additional fees. However, you’ll need to secure general liability insurance coverage beforehand. Our insurance agents or specialized team can assist in determining the precise cost of your business liability insurance.

Final Thoughts

In conclusion, a certificate of liability insurance sample serves as a vital document providing key details about insurance coverage. It offers proof of a party’s insurance policy, aids in verifying compliance with requirements, and provides crucial information about coverage types, limits, and insurers involved. Understanding and utilizing this document appropriately can significantly mitigate risks and liabilities in various business engagements.


What is a certificate of liability insurance sample?

A certificate of liability insurance sample is a document that outlines the coverage details of an insurance policy. It provides information about the insured party, coverage types, policy limits, and insurers involved.

How can I obtain a certificate of liability insurance sample?

To acquire a certificate of liability insurance sample, contact your insurance agent, broker, or insurance company directly. They can provide you with a copy that demonstrates the coverage in place.

What details are typically included in a certificate of liability insurance sample?

A standard certificate of liability insurance sample includes information about the insured party, policy coverage types, policy numbers, coverage limits, effective dates, and the insurers’ names.

Why is a certificate of liability insurance sample important?

A certificate of liability insurance sample is crucial as it offers proof that a party has valid insurance coverage, helping to assure compliance with contractual requirements and providing confidence in the event of potential liabilities or damages.

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