ACORD 22 Form Fillable – Intermodal Interchange Insurance PDF
ACORD 22 (2016/03)
Intermodal Interchange Certificate of Insurance
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Form Number: |
ACORD 22 (2016/03) |
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Category: |
Property & Casualty |
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Last Updated: |
March 2016 |
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Page Count: |
2 page |
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File Format: |
PDF, Fillable PDF |
ACORD 22 Form
An Acord 22 form is a legal document that serves as proof of the motor carrier’s insurance coverage. The Intermodal Equipment Providers (IEPs), Uniform Intermodal Interchange & Facilities Access Agreement participants, ports, Rail yards, and container leasing companies. It protects against financial loss caused by an accident during the movement of goods through cargo, ships, and trains. This form is important to confirm cargo and trailer liability interchange coverage, comply with UIIA requirements, and access intermodal facilities.
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Benefits of the Accord 22 PDF Form
The usage of this acord form in the insurance industry provides the following benefits to the policyholder during the transportation process.
Speed Up Contract Approvals
The Acord 22 intermodal interchange certificate of insurance streamlines the communication between insurance carriers, leasing firms, and transportation partners. It helps speed up agreements and contract approvals.
Prevents Service Delays
The accurate availability of the form prevents delays and disruptions in pickup or drop-off operations, ensuring a smooth transportation service.
Ensure Legal Protection
It provides legal protection against disputes, audits, or claims involving insurance coverage.
Insurance Compliance
The form helps the policyholder meet the insurance compliance requirements of the UIIA and intermodal equipment providers.
Key Sections of the Acord 22 Intermodal Interchange Certificate of Insurance Form
Date and Policyholder Details
Contains the date, producer, and insurer’s information to streamline communication.
Coverages
Includes additional insurer ID, types of insurance, policy number, effective and expiration date, and policy limits.
Description
Records the details of the policy and additional remarks to streamline the communication.
Certificate Holder
Includes the company’s details, such as name, address, and contact number.
Cancellation Clause
A prior notice must be sent to the policyholder to inform them of the policy cancellation before the expiration date.
Authorized Representative Signature
The authorized representative of the insurance company must sign to validate the certificate.
How to Complete ACORD 22 (2016/03) Form?
- Write the issuing date of the certificate at the top.
- Mention the name, address, and contact number of the insurance agent or broker.
- Write the name, address, and contact number of the owner and additional insured.
- Mention the type of policy, number, effective date, expiration date, and policy limits.
- Write the description of the services included with additional remarks.
- Provide the name, address, and contact number of the policyholder.
- Refer to the cancellation clause as outlined in the insurance industry’s terms and conditions.
- Get the authorized representative’s signature to validate the certificate.
Frequently Asked Questions
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