ABC Demolition Co.

Uploaded Mar 8, 2026 at 11:00 AM by Sharon Walker

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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.

ModernDemolition_Certificate_2026.pdf

ACORD 25 (2010/05)

ACORD Certificate of Liability Insurance

100%

Producer / Agency94% High

Agency Name94% High

Contact Name94% High

Phone

Address

Insured (Subcontractor)93% High

Insured Name*93% High

Address

General Liability91% High

Commercial General LiabilityOccurrence

Policy Number*

Policy Eff*

Policy Exp*

Each Occurrence*91% High

Automobile Liability87% Medium

Combined Single Limit (Ea accident)87% Medium

Bodily Injury (Per person)

Bodily Injury (Per accident)

Property Damage

Workers Compensation93% High

WC Statutory Limits

Policy Number*

Policy Eff*

Policy Exp*

Description of Operations / Locations / Vehicles88% Medium

Certificate Holder97% High

Name*97% High

Address97% High