Policyholders
Request a Certificate of Insurance
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Certificate of Liability Insurance
Form ACORD 25 (2016/03) — Preview
Date: Sep 22, 2026
Producer
Eqaitor Insurance Services, LLC
500 Riverside Ave, Jacksonville, FL 32202
(904) 555-0140
Insured
Sample Insured Business LLC
Policy #: EQ-GL-20260145
Coverages
| Type of Insurance | Policy Number | Eff. / Exp. | Limit |
|---|---|---|---|
| General Liability | EQ-GL-20260145 | 3/1/26 – 3/1/27 | $368,000 |
Description of Operations / Vehicles
Certificate holder is included as additional insured as required by written contract, subject to policy terms, conditions, and exclusions.
Additional Insured30-Day Notice of Cancellation
Certificate Holder
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