Certificates of Insurance

1. The Broker must utilize the ACORD 25 Certificates of Insurance (dated March 2016 or later), for their clients’ State Fund policies with the exception of Public Utilities Commission (“PUC”), Contractors State Licensing Board (“CSLB”), and Department of Motor Vehicles (“DMV”), and any other entity with special certificate of insurance requirements.
   1. The Broker shall send PUC Certificates of Insurance requests to PUCInbox@scif.com.
   2. For CSLB Certificates of Insurance, the Broker must produce a CSLB Certificate of Insurance on State Fund Online (“SFO”).
   3. For DMV Certificates of Insurance, the Broker must produce DMV Certificates of Insurance on SFO.
   
   

2. ACORD 25 Certificates of Insurance may only be issued on inforce or active State Fund policies and the names of the certificate holder and the Policy Holder cannot be the same.

3. Part Two: Employer’s Liability Insurance coverage that exceeds $1,000,000 must be referred to State Fund’s Underwriting Department to ensure appropriate approval and endorsement onto the policy.

4. Supplemental language that may alter the policy contract must be referred to State Fund prior to issuance of the ACORD 25 Certificates of Insurance, to ensure appropriate approval and endorsement onto the policy.

5. Thirty-day notice of cancellation wording may be used on the ACORD 25 Certificates of Insurance only if it is endorsed onto the policy.

6. Broker acknowledges and agrees that State Fund has no obligation to send a copy of the State Fund Cancellation Notice to any certificate holders to whom the Broker has issued an ACORD 25 Certificates of Insurance.