Checklist For Requesting & Reviewing Certificates Of Insurance

This checklist is also provided to state agencies upon request or during training.

• Ensure that the initiating RFP contains Insurance Modules appropriate to the agreement.
• A blank State of Arizona Certificate of Insurance can be included in contract documents for use by the contractor’s agent or broker. The ACORD form is also acceptable.
• Obtain a completed Certificate of Insurance prior to contract commencement.
• Review the Certificate of Insurance to assure its compliance with the contract. The following items should be reviewed:
  • A. Agent’s name and address
  • B. Insured’s (contractor’s) name and address
  • C. Insurance company name and A.M. Best rating
  • D. All required insurance coverage
  • E. Policy number
  • F. Policy period is current (effective/expiration dates)
  • G. Limits of liability
  • H. State and state agency named as additional insureds
  • I. 60-day notice of cancellation is included
  • J. Coverage afforded is primary
  • K. The contracting state agency names as certificate holder, not the Risk Management Division
  • L. Certificate is signed
  • M. Unusual exclusions or limitations of coverage are indicated
  • N. The contract number or description of the activity or service is indicated and
• Monitor the expiration dates of the required coverage. It is possible that a contractor’s policy may expire prior to the end of the contract. Expiration dates should be diaried at least 60 days prior and the contractor should be requested to provide a renewal Certificate of Insurance.
• All certificates, whether they have expired or not should be kept by the agency as part of the permanent contract file.
• Coverage afforded under these policies will not be canceled, terminated, or materially altered until 60 days prior written notice has been given to (state agency).