Certificate of liability insurance - East Bay Municipal Utility District 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in the 'THIS IS TO CERTIFY TO' section with the East Bay Municipal Utility District's details, including Department, Street Address, Mailing Address, and City, State, Zip.
3. In the 'THE FOLLOWING DESCRIBED POLICY HAS BEEN ISSUED TO' section, enter the District Contract Number and Insured's information along with their address.
4. Describe the project or agreement in the 'LOCATION AND DESCRIPTION OF PROJECT/AGREEMENT' field clearly and concisely.
5. Select the type of insurance coverage applicable from options like Automobile or General Liability. Ensure you meet the minimum limits of liability specified.
6. Fill in policy numbers and terms under 'POLICY NUMBER(S)' and 'POLICY TERM', indicating start and end dates as required.
7. List any additional coverages or endorsements included in your policy under the relevant section, ensuring all necessary details are captured.
8. Finally, sign and date at the bottom of the form, providing your firm’s name and contact information before submitting.

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