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: