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Sample Certificate of Liability Form


This is the standard industry form (click here for .pdf version) needed from each tenant. SmallOffices4Rent.com and building owner and/or building management must be "Scheduled" and listed as "Additionally Insured" on the General Liability policy. See Section 5 of our leasing agreement for details.

Certificate of Liability - Sample

  1. Producer: Tenant's insurance company/agent
  2. Insured: Must be same name as listed on leasing document
  3. Expiration Date: New certificates needed annually as they expire
  4. General Liability: We need new certificates as these expire annually
  5. Certificate Holder: SmallOffices4Rent.com and building owner/manager must be listed here and on policy as Additionally Insured

the smalloffices4rent.com team

Oceanside, California

Providing small offices since 2003.