Certificate Forms
At Kelly Insurance Group, we are certified insurance brokers and agents that specialize in providing insurance solutions to businesses and individuals. One of the services we offer is assistance with certificates of insurance (COI) and other insurance complex insurance forms.
Additional Forms for Certificates of Insurance
In addition to our COI services, we also offer a range of other insurance solutions to meet your needs. Our team can assist you with finding the appropriate insurance coverage for your business or personal needs, whether it’s general liability, property insurance, workers compensation, or other types of coverage.
General Liability Certificate Forms
CG 20 11 04 13 ADDITIONAL INSURED
MANAGERS OR LESSORS OF PREMISES by ENDORSEMENT
CG 20 13 04 13 ADDITIONAL INSURED
STATE, GOVERNMENT, POLITICAL AGENCY by ENDORSEMENT
CG 20 26 04 13 ADDITIONAL INSURED
DESIGNATED PERSON OR ORGANIZATION by ENDORSEMENT
CG 20 10 11 85 ADDITIONAL INSURED
OWNERS, LESSEES OR CONTRACTORS by ENDORSEMENT
CG 20 15 04 13 ADDITIONAL INSURED
VENDOR ADDITIONAL INSURED by BLANKET FORM
CG 20 01 04 13 PRIMARY WORDING
PRIMARY AND NON CONTRIBUTORY by BLANKET
CG 20 10 04 13 ONGOING OPERATIONS
OWNERS, LESSEES, & CONTRACTORS by ENDORSEMENT
CG 20 37 07 04 COMPLETED OPERATIONS
OWNERS, LESSEES, & CONTRACTORS by BLANKET
CG 20 37 10 01 COMPLETED OPERATIONS
OWNERS, LESSEES OR CONTRACTORS by ENDORSEMENT
CG 24 04 05 09 WAIVER of RIGHTS
TRANSFER OF RIGHTS OF RECOVERY by ENDORSEMENT
Commercial Automobile Certificate of Insurance Forms
CA 04 44 03 10 WAIVER of RIGHTS
BUSINESS AUTOMOBILE WAIVER of SUBROGATION by ENDORSEMENT
00 CA0070 00 09 06 ADDITIONAL INSURED
BUSINESS AUTOMOBILE ADDITIONAL INSURED CERTIFICATE FORM by ENDORSEMENT
Workers Compensation Certificate Forms
WC 00 03 13 WAIVER
WORKERS COMPENSATION WAIVER of RIGHTS to RECOVER by ENDORSEMENT