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Sample Certificate Wording

is additional insured as their interest may appear


in regards to the General Liability and Auto Liability
is additional insured as required by Written Construction Contract
Insureds coverage shall be Primary and Non-Contributory
Waiver of Subrogation is included
in regards to work performed by the insured as required under a written construction contract.
are named as an Additional Insured on a primary and non-contributory basis
Certificate holder is additional insured/loss payee in regards to Leased/Rented equipment.
Per Project Aggregate limit applies to the General Liability Policy.
30 days notice of cancellation except 10 days for non-payment of premium.
10 days notice of cancellation for non-payment of premium.
Any person or organization the named insured is obligated to provide insurance where required
by a written contract or agreement.
The Certificate holder is additional insured on the General Liability per the attached endorsement
xxxx. Coverage is Primary and Non-Contributory. Waiver of Subrogation is included per form
xxxxxx
Per Project Aggregate is included per form xxxx
Auto policy included Additional Insured and Waiver of Subrogation per attached endorsement
XXXX
The insurance coverage afforded by the referenced insurance policy is subject to the terms,
exclusions, and conditions or the insurance policy itself.
30 days notice of cancellation, except 10 days for non-payment of premium.

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