Free Professional Insurance Coverage Verification Template
Professional Insurance Coverage Verification
[Your Company Name]
[Your Company Address]
[Your Company Email]
June 21, 2051
To Whom It May Concern:
This letter serves as verification of insurance coverage for:
Policyholder Information
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Name: Ethan Lopez
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Address: 505 Oak Road, Unit 23,
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City, State, Zip Code: Brookside, FL 33125
Insurance Provider Information
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Insurance Company Name: MaraTime Insurance Company
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Address: 5678 Oak Street
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City, State, Zip Code: Brookside, FL 33125
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Phone Number: 222 555 7777
Policy Details
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Policy Number: 123456789
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Type of Insurance: General Liability
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Effective Date: January 1, 2050
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Expiration Date: January 1, 2051
Coverage Limits
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General Liability: $1,000,000
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Professional Liability: $1,000,000
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Workers’ Compensation: $500,000
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Other Coverage: N/A
Additional Remarks
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This policy includes a $1,000 deductible for general liability claims. Coverage is subject to the terms and conditions outlined in the policy document.
This verification is accurate as of the date listed above. If you have any questions regarding this insurance coverage, please feel free to contact us at the phone number or email address provided above.
Sincerely,
[Your Name]
Insurance Agent
