CERTIFICATE OF INSURANCE INSURED Name Address City, State, Zip This certificate is issued as a matter of information only and confers no rights upon the certificate holder - schoolcounselor 2026

1. Click ‘Get Form’ to open it in the editor.
2. In the 'INSURED' section, enter the name of the insured individual or entity in the designated field.
3. Fill in the address fields with complete details including street address, city, state, and zip code.
4. Review the 'PRODUCER' section to ensure that Richard F. Jones, Jr., Agent/Broker's information is correctly displayed.
5. In the 'COMPANY AFFORDING COVERAGE' section, verify that Savers Property & Casualty/Star Insurance Co. is listed as expected.
6. For 'COVERAGE', confirm that all policy details are accurate and reflect your insurance coverage period.
7. Complete the 'LIMIT OF LIABILITY' section by ensuring that both limit amounts are filled in correctly.
8. Enter the membership/policy effective date and policy expiration date in MM/DD/YY format.
9. Finally, ensure that David J. Smith's signature appears as an authorized representative at the bottom of the document.

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