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Claims & Tender Defense

Why Certificates of Insurance Offer Zero Legal Rights in Court

The ACORD 25 says it in capital letters at the top of the form: it is issued as a matter of information only and confers no rights. Courts take that sentence at its word. Here is what that means for your files.

Ananya RaoCo-founder & CEO
Published
Reading time
5 minutes
In this article
  1. Read the top of the form
  2. Certificate holder versus additional insured
  3. What courts do with certificates
  4. States have put it in statute
  5. What to collect instead
  6. Turning a certificate file into evidence

Read the top of the form

The ACORD 25 Certificate of Liability Insurance, in its current 2016/03 edition, opens with a block of capital letters most reviewers skip. It says the certificate "is issued as a matter of information only and confers no rights upon the certificate holder." It says the certificate does not affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed. And it says the certificate does not constitute a contract between the issuing insurers, the producer and the certificate holder.

A second box goes further. If the certificate holder is an additional insured, the policy must have additional insured provisions or be endorsed, and a statement on the certificate does not confer rights in place of that endorsement. The form tells you, in plain language, that it is not the document you need.

None of this is fine print in the usual sense. It is the industry's own standard form, filled in by the broker, telling every reader that the document summarizes coverage rather than providing it.

Certificate holder versus additional insured

A certificate holder is simply the party the certificate was issued to. It has no rights under the policy. An additional insured is an insured, added by endorsement, with rights to defense and indemnity within the terms of that endorsement. A "Y" in the ADDL INSD column of the certificate is the broker's summary that an endorsement exists. It is not the endorsement.

Cancellation notice works the same way. Older certificate forms said the insurer would "endeavor" to mail notice of cancellation to the holder. ACORD's 2009 revisions removed that promise, and the current form says notice will be delivered in accordance with the policy provisions. Most policies send cancellation notice only to the first Named Insured. Unless the policy is endorsed to notify you, you will learn about a cancellation only when you go looking for it.

The distinction matters most at the moment of a claim. An additional insured can tender directly to the carrier and expect a coverage position. A certificate holder with no endorsement behind it can only ask the named insured to tender on its behalf, or pursue the named insured for breach of the contract's insurance requirements.

What courts do with certificates

Courts generally hold that a certificate, standing alone, neither creates coverage nor overrides the policy. The New York Court of Appeals decision in Gilbane Building Co. v. St. Paul Fire and Marine (2018) is the example most risk managers remember. A certificate listed the construction manager as an additional insured. The blanket endorsement covered parties the named insured had agreed in a written contract to add, and the construction manager had no written contract with the named insured. The court held there was no additional insured coverage.

Parties holding a misleading certificate sometimes pursue estoppel or negligent misrepresentation claims against the broker who issued it. Those claims are fact-specific, slow and uncertain, and even when they succeed they are a lawsuit against a broker, not a defense paid by a carrier.

Certificates still have a role in a dispute. They show what the named insured and its broker represented, and when, which can matter in a claim against the subcontractor for failing to meet the contract's insurance requirements. They do not substitute for coverage.

States have put it in statute

Several states now regulate certificates directly. New York Insurance Law Section 502 bars anyone from requiring a certificate that contains terms, warranties or guarantees the referenced policy does not include, and limits certificates to forms promulgated by the insurer or approved standard forms. Texas Insurance Code Chapter 1811, enacted in 2011, states that a certificate is not a policy and does not amend, extend or alter coverage, and it prohibits altering approved forms or requiring false or misleading certificates.

The practical consequence is simple. Pressing a broker to add stronger wording to a certificate does not create coverage, and in some states demanding it is prohibited. Ask for the endorsement instead.

Other states have passed certificate laws of their own, so check the rules in each state where you operate before writing certificate requirements into a contract or a vendor onboarding packet.

What to collect instead

Treat the certificate as an index to the documents that matter. It tells you which carriers, policy numbers and dates to look for. Then collect the documents themselves for every vendor and every renewal:

  • The additional insured endorsements, with edition dates, for ongoing and completed operations.
  • Primary and non-contributory and waiver of subrogation endorsements (CG 20 01, CG 24 04, WC 00 03 13, CA 04 44).
  • The schedule of forms and endorsements from the policy declarations, which shows the limiting forms a certificate never mentions.
  • For blanket endorsements, your signed contract showing the written requirement, since that contract is what triggers the coverage.
  • For property, an ACORD 28 plus the loss payee or mortgagee endorsements the lease or loan requires.

Turning a certificate file into evidence

The numbers explain why this matters. 71% of subcontractor and vendor certificates contain material coverage deficiencies or missing endorsements on first review (AGC Risk Committee Audit), and 64% of certificates claiming additional insured status fail to attach CG 20 37 (IRMI Construction Risk Survey). A drawer full of certificates looks compliant and often is not.

Pikorua Security reads the endorsement pages behind each ACORD 25 and ACORD 28, not just the front page, and endorsement pages are never charged extra. Each verified document is stored with its dates of receipt and verification, so the file can support a tender instead of just satisfying an auditor. Whatever tools you use, the standard is the same: if you would need it in court, collect the endorsement.

About the author

Ananya Rao

Co-founder & CEO, Pikorua Security

Ananya co-founded Pikorua Security after working as a construction risk manager for a US ENR Top 100 general contractor, where she reviewed subcontractor insurance packets and tender files firsthand. She studied civil engineering at IIT Madras.

The Risk Transfer Brief explains insurance and contract concepts in general terms. Pikorua Security is software, not a law firm, insurer or broker. For contract drafting, or a coverage position on a specific claim, work with your coverage counsel.

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