So what does a Certificate of Insurance actually look like? We’ve prepared a sample to show you the most important elements:

1. Producer/Agent name and address: the insurance Agent/Broker who issues certificates.
2. Insured Name and Address: legal name and address of the insured entity.
3. Carrier names: name of the company that holds your insurance policy. They are responsible for paying when you file a covered claim.
4. Policy type: the types of insurance required by the contract.
5. Policy Effective date: the date the policy coverage begins.
6. Policy expiration date: the date the policy coverage ends.
7. Policy limits: the maximum amount of money an insurance company will pay you for a covered loss.
8. Denotation of additional insured and waiver of subrogation: If another entity is added to your policy as an additional insured, this box can be checked with the entity listed as the Certificate Holder or in the Description box. Similarly, if your insurance company has agreed to waive subrogation against a particular party, the “SUBR WVD” box can be checked with the entity listed as the Certificate Holder or in the Description box.
9. Description of Operations box: for extra details such as location, event times, and projects. Any additional insured or waiver of subrogation language can also be included here.
10. Certificate holder: entity for which the evidence of coverage is being provided.
11. Producer’s signature: signature of the Insurance Agent/Broker who issues certificates

You should never edit a COI. If endorsements or additional insurance are required, always request a new policy from your agent or broker.

Additional Samples of Certificates of Insurance (COI):

Please follow the guidelines below to ensure that your Certificate of Insurance (COI) is acceptable:

1. Please do not upload Policy Declaration pages (images 1-6 below)
2. Please do not upload screenshots or photos of physical documents (images 7-8 below)
3. Please do not upload the same Certificate of Insurance (COI) more than once in each District in which you are renting. Revised Certificates should be re-uploaded each time a revision is made to the document.
4. Please combine all Certificate of Insurance (COI) subpages into one PDF document prior to uploading (for example, if separate Additional Insured (AI) endorsement is required, insert the separate AI endorsement page into the main Certificate of Insurance (COI) PDF file).

IMAGES 1-6 (Not acceptable forms of Insurance):

IMAGES 7-8 (Not acceptable documents of Insurance):

What happens if my Certificate of Insurance (COI) does not meet requirements?

If your Certificate of Insurance (COI) is found to be invalid or missing requirements, you will receive an email from our Support team upon review & invalidation regarding the exact changes required in order for your insurance to be accepted by the Facility Owner. Please see Insurance - Frequently Asked Questions for more information.