- Name and address of the named insured on the policy
- An issue date of the certificate
- The name of the insurance carrier providing coverage as listed on the certificate
- A list of policy numbers for the various policies shown on the certificate
- Limits of liability for each policy shown on the certificate, this may include general liability, commercial auto, excess liability and workers compensation
- Effective dates and expiration dates for the various policies shown on the certificate
- Owner information, information as to whether the Owner, Partners, LLC Members or Corporate Officers are included or excluded from workers compensation coverage
- Limits for employers liability limits; each accident, disease each employee, disease policy limit
- A section for a description of operations, special items, restrictions to coverage as provided on the included policies
- the Certificate Holder information, name and address
- Policy cancellation wording, conditions of notification
- The insurance producers signature
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