ACORD 25 Certificate of Insurance – Fillable COI Form

Certificate of Liability Insurance

ACORD 25 (2016/03)

Certificates

March 2016

01 page

PDF, Fillable PDF


The Acord 25, a Certificate of Liability Insurance, is important in the insurance industry. Contractors, business owners, vehicle owners, and individuals often require the form to provide proof of liability insurance coverage. The blank coi form covers commercial general liability, automobile liability, umbrella liability, workers’ compensation, and employer liability.


An Acord 25 fillable certificate covers insurance policy details to ensure the policyholder has active insurance for liabilities.

The coi form fulfills the legal requirements and ensures a fast claim process after an accident to reduce financial loss.

The insurance policy details, including policy number, limits, effective date, and expiration date, ensure transparency between all involved parties.

The policyholder provides proof of specific liability insurance coverage to ensure smooth agreements.


Keeps the record of the insurance carrier, including name, contact details, and email address. The NAIC number improves the credibility of the form.

Includes various types of liability coverage, such as commercial general, automobile, umbrella, workers’ compensation, and employers’ liability. 

Records any additional details related to the liability insurance coverage.

Contains the name and address of the certificate holder to avoid fraudulent activities.

The authorized representative’s signature of the insurance carrier, agent, or broker provides legal validity.


  1. Write the date, insurance agent’s name, address, phone number, and additional insured parties’ NAIC numbers.
  2. Tick the types of insured liabilities.
  3. Write their policy number, effective dates, expiry dates, and limits for any unforeseen incident.
  4. Write a brief description of the policy.
  5. Write the certificate holder’s details, including name and address.
  6. Mention the cancellation clause.
  7. Get the authorized representative’s signature to validate the certificate.

The form provides liability coverage to contractors fulfilling the agreement’s requirements.

It ensures multiple policies are listed, including automobile, commercial, umbrella, workers’ compensation, and employer’s liability.

 The form includes the insured’s name, coverage types, policy number, limits, effective date, expiry date, description, and certificate holder’s details.

You must contact your insurance agent, provide updated policy details, and request a new certificate.

It is often required to ensure that tenants have liability insurance to protect the property from damage.

Contact your insurance broker or agent, provide all important details, and request the latest certificate.

Related Forms

Certificate of Property Insurance

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Property Loss Notice

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Certificate of Aviation Liability Insurance

A legal document serves as proof that the policyholder has enough aviation liability coverage.