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Request to Include Landlord in Tenant's Liability Insurance

This template is a formal request from a tenant to their insurance provider to include their landlord as an additional insured on their liability insurance policy. It is used when a lease agreement requires the landlord to be covered under the tenant's insurance.

Updated 15d ago
insurancelandlordtenantliability insuranceadditional insuredlease agreementrequest

{{company_name}}

{{company_address}}

Phone: {{phone}} | Email: {{email}} | Web: {{website}}

Request to Include Landlord in Tenant's Liability Insurance

Request to Include Landlord in Tenant's Liability Insurance

{{company_name}} {{company_address}} Tel: {{phone}} Email: {{email}} Website: {{website}}

Date: {{date}}

To: {{insurance_company_name}} {{insurance_company_address}}

Subject: Request to Add Loss Payee/Additional Insured to Policy No. {{policy_number}}

Dear Sir/Madam,

Policy Holder Information

Policy Holder Name: {{policy_holder_name}}

Policy Number: {{policy_number}}

Contact Person: {{contact_person_name}}

Contact Phone: {{contact_phone_number}}

Contact Email: {{contact_email_address}}

Request for Addition of Landlord as Additional Insured

I/We hereby request that the following landlord be added as an additional insured party on our comprehensive general liability insurance policy, number {{policy_number}}, effective from {{start_date}}.

This request is made in accordance with the terms and conditions stipulated in our lease agreement dated {{lease_agreement_date}} for the property located at {{property_address}}.

Landlord Details

Landlord Name: {{landlord_name}}

Landlord Address: {{landlord_address}}

Attention: {{landlord_contact_person}}

Purpose of Request

The inclusion of the landlord as an additional insured is to ensure that their interests are protected under our liability policy with respect to claims arising out of the ownership, maintenance, or use of the leased premises, as required by our lease agreement. Please ensure that the coverage afforded to the additional insured is on a primary and non-contributory basis.

Certificate of Insurance

Kindly issue a Certificate of Insurance evidencing this change and forward it directly to the landlord at the address provided above, with a copy sent to me/us at the policy holder's address.

Please confirm receipt of this request and advise when the updated certificate will be issued.

Contact Information for Queries

Should you require any further information or clarification regarding this request, please do not hesitate to contact {{contact_person_name}} at {{contact_phone_number}} or {{contact_email_address}}.

Sincerely,

{{policy_holder_name}}

{{signature}}

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