Get the free PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM

This document serves as a request form for obtaining an Additional Insured Certificate from R.V. Nuccio & Associates, Inc. It includes broker instructions, broker information, general information

How to fill out pta additional insured certificate

How to fill out PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM

1. Begin by downloading the PTA Additional Insured Certificate Request Form from the official PTA website or your organization's documentation portal.
2. Fill in the name of the requestor in the designated field.
3. Provide the contact information such as phone number and email address for follow-up.
4. Specify the purpose of the request under the relevant section.
5. Complete the details of the entity needing to be added as an additional insured, including their legal name and address.
6. Indicate the policy number and name of the insurance company on the form.
7. Include any specific coverage requirements or limitations if applicable.
8. Review the information for accuracy and completeness.
9. Sign and date the form to confirm the request is valid.
10. Submit the completed form via email or fax to the appropriate department as instructed.

Who needs PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM?

1. Individuals or organizations that require proof of additional insured status for contracts, partnerships, or agreements.
2. Contractors who need to provide coverage for subcontractors.
3. Businesses entering into joint ventures that require shared insurance protection.
4. Event organizers needing to show liability coverage for venues or sponsors.

People Also Ask about

Should I add someone as an additional insured?

Who Should Be Added as an Additional Insured? A person or group at risk of being sued due to a connection to the primary insured's business or operations should be added as an additional insured. Examples include a landlord added to a tenant's coverage or a contractor added to a subcontractor's coverage, among others.

Why would someone want to be listed as an additional insured?

Defense Coverage: The main reason shippers want to be named as additional insured is for defense coverage. If a legal issue arises (like a lawsuit), they want to be assured that the freight broker's insurance will cover their legal defense.

How do I get an additional insured endorsement?

To add an AI to a CGL policy, the named insured should contact their insurer and provide the party's name and address. The cost to list an AI varies depending on the insurance company but can be as low as $50. Some insurers even permit policyholders to pay a flat rate and add as many as they would like.

What is the benefit of being an additional insured?

By providing coverage for the subcontractor via an additional insured endorsement, you are protecting yourself in the case that the subcontractor makes a costly mistake that leads to a lawsuit and the subcontractor is also protected in the event that you make a mistake that leads to a lawsuit in which they are named.

What are the risks of naming additional insured?

There is also a risk of being under-insured or uninsured as additional insureds. Second, there is the risk of breaching a contract, thus potentially becoming the insurer of the other party when they are the party obligated to provide additional insured coverage.

What is an example of an additional insured clause?

Example: The additional insured endorsement should include the following language: “[Name of Additional Insured] is hereby afforded insurance coverage under this policy for the duration of [specific project/contract details], pursuant to the conditions stated herein.”

What is additional insured wording on a COI?

An additional insured is somebody who benefits from the coverage of another's policy; this includes the ability to make claims under the policy. A certificate holder can request to be an additional insured on the policyholder's policy, which would be shown in the COI.

Why would someone need to be listed as an additional insured?

Additional insured covers when a third party (i.e., someone who doesn't work for your business) sues your additional insured, your policy can address the claim. That way, legal defense fees, court fees, and settlement or judgment costs don't come out of the additional insured's pocket.

For pdfFiller’s FAQs

What is PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM?

The PTA Additional Insured Certificate Request Form is a document used to request an insurance certificate that includes additional insured parties under a specific insurance policy.

Who is required to file PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM?

Typically, contractors, vendors, or any parties entering into agreements that require proof of insurance with additional insured status must file the form.

How to fill out PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM?

To fill out the form, provide necessary details such as the name of the insured, the additional insured’s details, specific coverage requested, and any relevant dates or policy numbers.

What is the purpose of PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM?

The purpose of the form is to ensure that certain individuals or entities are covered under an insurance policy, mitigating risks in contractual agreements.

What information must be reported on PTA ADDITIONAL INSURED CERTIFICATE REQUEST FORM?

The form must report information such as the insured's name, the additional insured's name, policy number, effective dates, and the type of coverage being requested.