ABC Fire Protection Co.

Uploaded Mar 9, 2026 at 2:20 PM by Anthony Torres

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Important: Only enter information exactly as it appears on the COI document. If required information is missing or incorrect, reject the COI and request a corrected document from the subcontractor.

EliteInsulation_COI_032026.pdf

ACORD 25 (2010/05)

ACORD Certificate of Liability Insurance

100%

Producer / Agency96% High

Agency Name96% High

Contact Name96% High

Phone

Address

Insured (Subcontractor)95% High

Insured Name*95% High

Address

General Liability97% High

Commercial General LiabilityOccurrence

Policy Number*

Policy Eff*

Policy Exp*

Each Occurrence*97% High

Automobile Liability92% High

Combined Single Limit (Ea accident)92% High

Bodily Injury (Per person)

Bodily Injury (Per accident)

Property Damage

Workers Compensation98% High

WC Statutory Limits

Policy Number*

Policy Eff*

Policy Exp*

Description of Operations / Locations / Vehicles93% High

Certificate Holder99% High

Name*99% High

Address99% High