COI Review Checklist

Use this form when reviewing a contractor's ACORD 25 Certificate of Liability Insurance.

Form Version 1.0
Esper EHS · esper-ehs.com
Section 1 — Named Insured Verification
Done Check Result / Notes
Named insured on the certificate matches the legal entity in the contract. Name on COI: ________________________________ Name in contract: ________________________________
Named insured is a legal entity (Inc., LLC, LP) rather than a trade name or individual DBA. Policies written to a trade name or DBA may not cover the contracting entity as a separate legal entity.
Section 2 — General Liability
Done Check Result / Notes
Per-occurrence limit meets or exceeds contract minimum. Shown on COI: $_____________
General aggregate limit meets or exceeds contract minimum. Shown on COI: $_____________
Policy type is Occurrence (preferred) or Claims-Made. If Claims-Made: confirm retro date and tail coverage plan.
GL policy is not expired. Expiration date covers the full work period. GL expiration date shown: _____________
Section 3 — Workers' Compensation
Workers' compensation is in place and covers the state(s) where contractor employees will work. States shown on COI: _____________________________________________ Note: Texas does not mandate workers' comp for most private employers. For TX-based contractors, confirm coverage status separately.
Workers' comp policy is not expired. WC expiration date shown: _____________
Employers' liability limits are adequate. BI by accident (each): $_____________    BI by disease (policy): $_____________    BI by disease (each employee): $_____________
Section 4 — Additional Coverages
Umbrella / Excess limit meets contract minimum (if required). Required: $_____________    Shown: $_____________
Auto liability coverage is in place (if contractor vehicles will be on-site). Coverage type (any auto / hired / non-owned): _____________    Limit: $_____________
Section 5 — Additional Insured Endorsements

The ACORD 25 checkbox alone does not confirm that an endorsement exists. Request the actual endorsement pages from the contractor's broker and verify below.

ISO CG 20 10 endorsement (ongoing operations) obtained and reviewed. Endorsement references policy number: _____________    Endorsement date: _____________
ISO CG 20 37 endorsement (completed operations) obtained and reviewed. Endorsement references policy number: _____________    Endorsement date: _____________
Endorsement policy numbers match the policy numbers on the ACORD 25 certificate.
Primary and non-contributory language included (if required by contract).
Waiver of subrogation included (if required by contract).
Section 6 — Expiration Tracking
Coverage Line Expiration Date 30-Day Reminder Set 60-Day Reminder Set
General Liability
Workers' Compensation
Umbrella / Excess
Auto Liability
Overall Review Outcome
Gaps or conditions noted: