Approved Certificates of Insurance
The certificates of insurance listed below may contain or incorporate material that is protected by U.S. or foreign copyright laws, and no person may reproduce, redistribute, or make commercial use of any such material in violation of those laws. ACORD has advised that its certificates of insurance are for ACORD member use only.
Entity Name | Form Number | Form Name | Approval Date |
---|---|---|---|
ACORD |
ACORD 20 (2009/12) |
June 25, 2015 |
|
ACORD |
ACORD 20 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 21 (2009/12) |
June 25, 2015 |
|
ACORD |
ACORD 21 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 22 (2012/04) |
June 25, 2015 |
|
ACORD |
ACORD 22 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 23 (2010/05) |
June 25, 2015 |
|
ACORD |
ACORD 23 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 24 (2009/09) |
June 25, 2015 |
|
ACORD |
ACORD 24 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 25 (2014/01) |
June 25, 2015 |
|
ACORD |
ACORD 25 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 27 (2009/12) |
June 25, 2015 |
|
ACORD |
ACORD 27 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 28 (2014/01) |
June 25, 2015 |
|
ACORD |
ACORD 28 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 29 (2013/10) |
June 25, 2015 |
|
ACORD |
ACORD 29 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 30 (2014/01) |
June 25, 2015 |
|
ACORD |
ACORD 30 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 31 (2014/01) |
June 25, 2015 |
|
ACORD |
ACORD 31 (2016/03) |
June 25, 2015 |
|
ACORD |
ACORD 855 NY (2014/05) |
New York Construction Certificate of |
June 25, 2015 |
American Institute of Architects |
G715-2017 |
Supplemental Attachment for ACORD Certificate of Insurance 25 |
October 5, 2018 |
BNC Insurance Agency, Inc. |
S02-SPQ (10/2018) |
October 3, 2018 |
|
District Attorney's Office, Bronx County |
NA |
July 28, 2015 |
|
District Attorney's Office, Kings County |
NA |
July 28, 2015 |
|
District Attorney's Office, New York County |
NA |
July 28, 2015 |
|
District Attorney's Office, Queens County |
NA |
July 28, 2015 |
|
District Attorney's Office, Richmond County |
NA |
July 28, 2015 |
|
Edwards and Company |
NA |
October 30, 2018 |
|
Insurance Services Office, Inc. |
IL C 001 11 11 |
October 6, 2015 |
|
Insurance Services Office, Inc. |
IL C 006 12 11 |
October 6, 2015 |
|
Mayor's Fund to Advance New York City |
NA |
June 25, 2015 |
|
Metropolitan Transportation Authority |
NA |
December 4, 2017 |
|
Metropolitan Transportation Authority |
NA |
Long Island Rail Road Certificate of Insurance (Capital Contract - OCIP) |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
December 4, 2017 |
|
Metropolitan Transportation Authority |
NA |
Metro-North Railroad Certificate of Insurance (Capital Contract - OCIP) |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
Metropolitan Transportation Authority Certificate Insurance Headquarters Agreements |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
Metropolitan Transportation Authority Certificate of Insurance (for Joint Agency Agreements) |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
December 4, 2017 |
|
Metropolitan Transportation Authority |
NA |
December 4, 2017 |
|
Metropolitan Transportation Authority |
NA |
MTA Capital Construction Company Certificate of Insurance (Capital Contract - OCIP) |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
December 4, 2017 |
|
Metropolitan Transportation Authority |
NA |
New York City Transit Certificate of Insurance (Capital Contract - OCIP) |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
Triborough Bridge & Tunnel Authority Certificate of Insurance |
December 4, 2017 |
Metropolitan Transportation Authority |
NA |
Triborough Bridge & Tunnel Authority Certificate of Insurance (Capital Contract - OCIP) |
December 4, 2017 |
New York City |
NA |
May 7, 2015 |
|
New York City Board of Education |
NA |
June 25, 2015 |
|
New York City Housing Authority |
NA |
August 18, 2017 |
|
New York State Thruway Authority |
TA-W51343 (11/2017) |
August 16, 2018 |
|
Saxe Doernberger & Vita P.C. |
N/A |
August 12, 2022 |
|
SecureInsight |
NA |
May 11, 2016 |
|
SecureInsight |
NA |
Fidelity Bond (Employee Dishonesty/Crime Coverage) Authorization & Verification Form |
May 11, 2016 |
SecureInsight |
NA |
Professional Liability Coverage (Errors & Omissions) Authorization & Verification Form |
May 11, 2016 |
SterlingRisk Insurance |
NA |
August 16, 2021 |
|
Sullivan & Strauss Agency, Inc. |
NA |
August 24, 2015 |
|
Sullivan & Strauss Agency, Inc. |
NA |
August 24, 2015 |
|
Town of Islip |
NA |
May 9, 2016 |
|
USI Insurance Services, LLC |
USI-AFFIRMOFC (12/15) |
December 3, 2015 |