
Construction Insurance
Built for contractors.
Independent agency, multiple carriersOpen Mon–Fri, 7:30–5 CT
Contractor coverages.
Certificate of insurance.
A certificate of insurance is the page an owner, lender, or general contractor requires before you step on the job. It lists the policies on the account, the limits, and the certificate holder. It is evidence of insurance, not the policy itself.
Additional insured, primary and noncontributory, and waiver of subrogation print on the certificate only when those endorsements are already on the policy.
- Insured
- Harbor & Pine Construction, LLC
- Producer
- Sample Agency, LLC
- Certificate holder
- As the contract requires
- General liability
- $1,000,000 each occurrence / $2,000,000 aggregate
- Workers compensation
- Statutory limits
- Endorsements
- Additional insured · Waiver of subrogation
Fictional contractor. Limits and policy numbers are examples, not coverage offered by Gulf Region Insurance.
SAMPLE
NOT A CERTIFICATE
CERTIFICATE OF LIABILITY INSURANCE
DATE (MM/DD/YYYY)
03/02/2026
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
Producer
Sample Agency, LLC
100 Sample St
Metairie, LA 70005
Insured
Harbor & Pine Construction, LLC
100 Sample Job Site Rd
Metairie, LA 70005
Contact name
Certificate desk
Phone
(000) 000-0000
Insurer(s) affording coverage
NAIC #
Insurer A: Example Casualty Co.
00000
Insurer B: Example Indemnity Co.
00000
Insurer C:
Insurer D:
Coverages
Certificate number: SAMPLE-001
Revision number:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
Insr ltr
Type of insurance
Addl insd
Subr wvd
Policy number
Policy eff
Policy exp
Limits
A
Commercial general liability
Claims-madeXOccur
Gen'l aggregate limit applies per:
XPolicyProjectLoc
Y
Y
SMP-GL-100001
01/15/2026
01/15/2027
Automobile liability
Any autoXScheduled autos
Hired autosNon-owned
B
Umbrella liab
XOccurClaims-made
Deductible $
Y
N
SMP-XS-100001
01/15/2026
01/15/2027
A
Workers compensation and employers' liability
Any proprietor/partner/executive officer/member excluded?N/A
Y
SMP-WC-100001
01/15/2026
01/15/2027
Description of operations / locations / vehicles
RE: Sample project, 100 Sample Job Site Rd, Metairie, LA. Certificate holder is included as additional insured on the general liability policy where required by written contract and where the policy is endorsed. Waiver of subrogation applies where endorsed. Primary and noncontributory wording applies where endorsed.
Certificate holder
Sample Project Owner, LLC
100 Sample Job Site Rd
Metairie, LA 70005
Cancellation
Should any of the above described policies be cancelled before the expiration date thereof, notice will be delivered in accordance with the policy provisions.
Authorized representative
Sample only. Not signed.
Service area
Louisiana, Texas, Mississippi, Alabama, Florida and North Carolina.
Need to file a claim?
Here to help you through the claims process.
Mon–Fri · 7:30a–5:00p CT

