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Approved Certificates of Insurance beginning with T

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Some certificates of insurance may contain a copyright notice and are therefore protected from reproduction by federal copyright law. 17 U.S.C. §§1-1101. TDI must comply with copyright law and is not required to furnish copies of copyrighted records. Texas Government Code Annotated §552.027; Open Records Opinion 550 (1990); Texas Attorney General Opinion MW-307 (1981). Please contact the filing company, person, or organization to obtain a copy of the form.

Approved Certificates of Insurance beginning with T
Form Number Filing Number Company / Person / Organization Name Approval Date Form Name
1560 (ALT) (12/11) 117579 Texas Department of Transportation 12/19/2011 TxDOT Certificate of Insurance View
1560 (Rev. 07/12) 121839 Texas Department of Transportation 08/23/2012 TxDOT Certificate of Insurance View
1560-CS Professional Provider Insurance (Rev. 03/13) 126412 Texas Department of Transportation 03/27/2013 TxDOT Instructions and Certificate of Insurance (Previously known as Form 1560-CSS) View
1560-CSS (ALT) Professional Provider Insurance (Rev. 12/11) 117579 Texas Department of Transportation 12/19/2011 TxDOT Certificate of Insurance View
1560-RFC (ALT) (12/11) 117579 Texas Department of Transportation 12/19/2011 TxDOT Certificate of Insurance Routine Facilities Contract View
1560-RFC (Rev. 01/12) 117579 Texas Department of Transportation 12/19/2011 TxDOT Certificate of Insurance - Routine Facilities Contract View
56-2492 10-11 117318 Truck Insurance Exchange 12/20/2011 Commercial Certificate of Liability Insurance (Farmers) View
AFI30 (06/17) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Certificate of Insurance View
AFI30-ATT (06-17) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
AG30 (01/13) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Certificate of Insurance View
AG30-SCH (01/13) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
AG30-SCH-LIMITS (01/13) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
ALS-1101 S624021 Texas Department of Agriculture 07/07/2016 Structural Pest Control Service Certificate of Insurance View
AMP1501 (03/16) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Certificate of Insurance View
AMP1501-ATT (03/16) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
BE COI-1 (Certificate of Insurance) 02/2012 118651 Texas Real Estate Commission 03/06/2012 Certificate of Insurance For A Broker Business Entity View
CAV30 (06/12) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Certificate of Insurance View
CAV30-ATT (06/12) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
CAV30-SCH/LIMITS (06/12) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
CAV30-SCH/V2 (06/12) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
CAV30-SCH/V3 (06/12) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
CAV30-SCH (06/12) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
CGL309-ATT (07/11) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
COI-FLGL 121605 Texas Farm Bureau Casualty Insurance Company 08/14/2012 Certificate of Insurance View
COI-Lgcy 121602 Texas Farm Bureau Casualty Insurance Company 08/14/2012 Certificate of Insurance View
COI-Lgcy 121602 Texas Farm Bureau Mutual Insurance Company 08/14/2012 Certificate of Insurance View
COI-Lgcy 121602 Texas Farm Bureau Underwriters 08/14/2012 Certificate of Insurance View
COI-MCOM 121604 Texas Farm Bureau Mutual Insurance Company 08/14/2012 Certificate of Insurance View
COI-MCOM 121604 Texas Farm Bureau Underwriters 08/14/2012 Certificate of Insurance View
COI-PIC 121603 Texas Farm Bureau Casualty Insurance Company 08/14/2012 Certificate of Insurance View
COI-PIC 121603 Texas Farm Bureau Mutual Insurance Company 08/14/2012 Certificate of Insurance View
COI-PIC 121603 Texas Farm Bureau Underwriters 08/14/2012 Certificate of Insurance View
COI-TAA 121584 Texas Farm Bureau Mutual Insurance Company 08/14/2012 Certificate of Insurance View
COI-TAA 121584 Texas Farm Bureau Underwriters 08/14/2012 Certificate of Insurance View
Form 1950 (Rev. 08/12) and Form 1950 (Rev. 08/12) Instructions 122913 Texas Department of Transportation 09/18/2012 TxDOT Certificate of Insurance for Services (including Instructions) View
Form 4736 121777 Texas Department of Family and Protective Services 07/31/2012 Certificate of Insurance View
GLD1398 (08/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Certificate of Insurance View
GLD1398-ATT (01/13) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
GLD30-SCH-LIMITS (04/10) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
GLD30-SCH-V4 (11/11) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
JUA-57 (REV. 1-1-12) 118596 Texas Medical Liability Insurance Underwriting Association (JUA) 01/30/2012 Certificate of Insurance View
n/a 118209 Tapco Underwriters, Inc. 12/29/2011 Certificate of Insurance View
P01 0112 CPL 119220 Texas Medical Liability Trust (TMLT) 04/19/2012 Proof of Professional Liability Coverage View
P01 0112 CPL 119220 Texas Medical Insurance Company 04/19/2012 Proof of Professional Liability Coverage View
P02 0112 CPL 119220 Texas Medical Liability Trust (TMLT) 04/19/2012 Proof of Professional Liability Coverage View
P02 0112 CPL 119220 Texas Medical Insurance Company 04/19/2012 Proof of Professional Liability Coverage View
POC 2012 119220 Texas Medical Liability Trust (TMLT) 04/19/2012 Proof of Professional Liability Coverage View
POC 2012 119220 Texas Medical Insurance Company 04/19/2012 Proof of Professional Liability Coverage View
PSB-05 (Rev. 02/2012) 119256 Texas Department of Public Safety 03/07/2012 Private Security Program Certificate of Liability Insurance View
REI COI-2 (Certificate of Insurance) Revised 6/20/2016 S657308 Texas Real Estate Commission 07/26/2018 Certificate of Insurance View
REI PFR-1 (Proof of Financial Responsibility) 128936 Texas Real Estate Commission 07/31/2013 Proof of Financial Responsibility View
Revised August 2017 S644091 Texas State Board of Plumbing Examiners 09/26/2017 Certificate of Insurance (COI) View
RGW-302 Revised 2/14/2012 119584 Texas Department of Agriculture 03/23/2012 Grain Warehouse Certificate of Insurance View
TAR COI 1.0 1/12 118387 Texas All Risk General Agency, Inc. 02/21/2012 Certificate of Liability Insurance View
TM - COI - 2012 118518 Texas Mutual Insurance Company 01/30/2012 Certificate of Workers' Compensation Insurance View
UAS30 (03/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Certificate of Insurance View
UAS30-ATT (03/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
UAS30-SCH/LIMITS (03/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
UAS30-SCH/V2 (03/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 AIG Aerospace Insurance Services, Inc. Attachment to certificate no. View
UAS30-SCH/V3 (03/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
UAS30-SCH (03/14) S652245 The Insurance Company of the State of Pennsylvania 05/14/2018 Attachment to certificate no. View
Vs 032012 118678 TK Towing, Inc. 04/05/2012 TK Towing, Inc. View


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