All new and renewing applicants will be required to submit all of the required forms:
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Eye Exam Form Exam date must be within 6 months of certification test date.
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ACORD Certificate of Insurance SAMPLE Certificate of Insurnce needs to be dated within 30 days of submitting application
- Additionally Listed Companies Please use this form if you need to add up to two (2) additional companies to your certificate. You will need to include a Certificate of Insurance for any additional companies.
In-House Inspector: Inspector must provide certificate of company insurance showing general liability policy of $1,000,000.00 minimum coverage.
Professional Inspector: Inspector must provide certificate of insurance showing professional liability of $1,000,000.00 minimum coverage. Professional services covered by the professional liability policy must be listed in the description of operations of the certificate of insurance. Professional services must include inspections.