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Insurance Builders Accord Form

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INSURANCE BUILDERS ACCORD FORM

Client Name:   Contractor Name:

Applicant / Insured Information

Date of Birth:

Primary Contact:

Builder / Contractor Information

License / Reg. No.:

Role on Project:

Project Information

Contract Value:

Anticipated Completion:

Policy Details

Policy Number:

Policy Type:

Builders Risk
Commercial General Liability
Workers' Compensation
Inland Marine / Installation Floater
Excess / Umbrella
Professional Liability / E&O

Coverage Limit:

Deductible:

Premium:

Policy Period From:

To:

Waiver of Subrogation in favor of Owner/Contractor (if required by contract)
Primary and Non-Contributory wording requested
Per Project Aggregate endorsement requested

Coverage Limits by Type (if different)

Exclusions and Limitations

The following exclusions, limitations or special conditions apply to the coverage represented by this Builders Accord Form. This list is not exhaustive; all policy terms, exclusions and conditions shall govern the insurer's obligations:

Beneficiary / Loss Payee

Relationship to Insured:

Percentage of Proceeds:

Documentation Checklist

Declaration Pages attached
Endorsements / Schedule of Forms attached
Schedule of Values attached
Photographs / Site Documentation attached

Declaration and Certification

The undersigned Applicant certifies that the information provided on this Builders Accord Form is true and complete to the best of the Applicant's knowledge and that insurance described herein will be maintained in full force for the period stated above. The Applicant further represents and warrants that the insurance procured meets the contract requirements for the project identified on this form.

Upon issuance of the requested endorsements, the insurer shall include the Beneficiary/Loss Payee as identified herein for loss payable and/or mortgagee status as applicable. Where requested by contract, the insurer will issue Waiver of Subrogation and Primary and Non-Contributory endorsements effective as of the policy inception date, subject to the terms and conditions of the underlying policy. Nothing in this Builders Accord Form alters, extends or changes the coverage afforded by the policy(ies) described, nor does it confer any rights upon any person or organization not a party to the policy(ies).

The insurer shall endeavor to provide written notice to the named Beneficiary/Loss Payee at the address provided in the event of cancellation or material change to coverage; provided, however, that the insurer's obligation to give notice is governed by the terms of the policy and applicable insurance law. For cancellation for nonpayment of premium, the insurer's notice period will be as required by the policy terms.

Applicant:

By:

Date:

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What the Insurance Builders Accord Form Is and when it’s used

The Insurance Builders Accord Form is a standardized document used on construction projects to allocate and record insurance responsibilities between owners, contractors, subcontractors, and insurers. It lists required coverages such as builders risk, commercial general liability, and workers' compensation, specifies policy limits and deductibles, and identifies endorsements like Additional Insured status or Waiver of Subrogation. The accord is typically appended to contracts or purchase orders to ensure consistent proof of coverage, simplify claims handling, and support compliance reviews. Where permitted, the accord can be executed electronically under ESIGN and state e-signature law.

Why the Insurance Builders Accord Form matters for project risk control

A clear accord reduces ambiguity about who must maintain which policies, accelerates certificate review, and lowers the risk of coverage disputes. It supports procurement, lender and surety requirements, and provides an auditable record for claims, audits, and regulatory reviews.

Why the Insurance Builders Accord Form matters for project risk control

Typical parties who prepare or receive the Insurance Builders Accord Form

Owners, general contractors, subcontractors, insurers, lenders, and project risk managers commonly use this form to document insurance obligations before work starts.

  • Owners and developers verify required endorsements and policy limits before mobilization to protect project assets.
  • General contractors and subcontractors use the accord to confirm additional insured status and certificate delivery timelines.
  • Lenders, sureties, and insurance brokers rely on the accord for lending conditions, bond underwriting, and coverage validation.

Sharing the accord early in procurement helps confirm coverage, avoid work stoppages caused by missing endorsements, and provides a project-level compliance record.

Essential components to include in a professional Insurance Builders Accord Form

A comprehensive accord clearly identifies parties, coverage types, limits, endorsement language, time frames, and execution details that insurers and project stakeholders can verify.

Parties & Role

Identify full legal names and roles (owner, general contractor, subcontractor, insurer). Use exact entity names to avoid mismatches that can delay underwriting or claims.

Required Coverages

List specific policies (builders risk, GL, professional liability if applicable, WC) and the scope each party must maintain, including project-specific extensions.

Limits & Deductibles

Specify minimum policy limits, per-occurrence and aggregate limits, deductible amounts, and any differing limits for portions of the work or subcontract tiers.

Endorsements & Certificates

Describe necessary endorsements (Additional Insured, Primary/Noncontributory, Waiver of Subrogation) and the certificate formats acceptable to the project.

Term & Effective Dates

State the effective date, retroactive coverage if needed, renewal notice timing, and when coverages must remain in force for closeout and warranty periods.

Signature & Authority

Include authorized signature blocks for parties and insurer representatives, printed names, titles, and dates to confirm binding acceptance.

Step-by-step process to complete the Insurance Builders Accord Form

Complete the accord in sequence so endorsements and certificates arrive before mobilization and payments are released.

  • 01
    Prepare details: Collect legal names, project address, and insurer contacts.
  • 02
    Confirm coverages: Verify required policy types and minimum limits with risk manager.
  • 03
    Request endorsements: Ask insurers for Additional Insured and Waiver of Subrogation endorsements.
  • 04
    Sign and distribute: Obtain signatures and circulate certificates to owner, lender, and project file.

How to set up an online workflow for filling and distributing the accord

Configure a workflow that collects insurer attachments, enforces required fields, and captures an audit trail for each signed accord.

Field Configuration
Authentication method Email link, SMS code, or stronger ID verification
Conditional fields Show policy endorsements only when a coverage type is selected
Template saving Save a project template to reuse clauses and required fields
Audit retention Store signing timestamps, IP addresses, and attachments for audit

Where to send the completed Insurance Builders Accord Form

Follow this routing to ensure stakeholders and insurers receive the accord and supporting endorsements in the correct order.

  • To insurance carrier: Send for endorsement and policy confirmation.
  • To owner or lender: Deliver certificate and endorsements for funding conditions.
  • To general contractor: Provide proof before subcontractor mobilization.
  • To project file: Archive signed accord and certificates for closeout.

Digital signing, file formats, and integration requirements

Use a platform that supports common document formats, secure attachments, and traceable signing events to document acceptance.

  • Supported formats: PDF, DOCX, and downloadable signed PDF
  • Authentication options: Email link, SMS, KBA or stronger ID verification
  • Integrations: Connectors for project and storage systems

Key delivery dates and timing expectations for the accord

Adhere to these timing rules to avoid mobilization delays, payment holds, or underwriting objections during the project lifecycle.

Pre-mobilization certificate:

Certificate due before on-site work begins and equipment arrival

Prior to first draw:

Endorsements and proof of coverage required before first payment

Policy renewal notice:

Renewal endorsements provided 30 days before expiration

Claims notice window:

Report incidents promptly per policy notice requirements

Retention of records:

Keep accord and certificates per retention schedule

Project milestones where the accord matters

Track these milestones so insurance evidence is current at each stage of construction and contract performance.

01

Pre-Construction Review

Verify required coverages and collect initial certificates before contracts are executed.

02

Mobilization

Confirm endorsements and Additional Insured status prior to site access.

03

Mid-Project Audit

Re-verify certificates and expiration dates during major scope changes or draws.

04

Project Closeout

Obtain final insurance evidence for warranty and latent defect periods.

Common mistakes to avoid when preparing the accord

  • Using trade names instead of legal entity names causing endorsement exclusions or rejected certificates.
  • Missing or vague endorsement language that does not list the project owner as Additional Insured.
  • Submitting expired or soon-to-expire policies that require immediate renewal endorsements before mobilization.
  • Failing to attach the insurer-issued endorsement; certificates alone often do not modify policy terms.

Consequences and risks of incorrect or incomplete accords

Contract Breach: Potential withholding of payments
Claim Denial: Risk of insurer refusing coverage
Indemnity Exposure: Shifts financial responsibility to contractor
Bonding Issues: Surety may increase conditions or rates
Project Delays: Work stoppage until coverage is confirmed
Regulatory Fines: Possible penalties for noncompliance

Industry examples showing how accords are used in practice

Two concise scenarios illustrate typical uses: one for a general contractor and one for an owner-lender relationship on a construction project.

Contractor scenario

A general contractor requires subcontractors to provide an accord prior to mobilization stating specific GL limits and Additional Insured endorsements.

  • This prevents late-weekend mobilizations without coverage.
  • As a result, the contractor reduced last-minute certificate rework by documenting exact endorsement wording and a single delivery channel for certificates.

Owner / lender scenario

An owner required the accord as a closing deliverable to satisfy lender insurance conditions and protect collateral.

  • Lender required primary coverage language.
  • The accord ensured endorsements were in place at funding, avoiding conditional draws and satisfying underwriting checklists.

eSignature vendor pricing and feature snapshot relevant to signing the accord

Compare baseline pricing and feature signals for common eSignature vendors when selecting a platform to execute and retain the Insurance Builders Accord Form.

signNow DocuSign Adobe Sign PandaDoc HelloSign
Starting Price $8/user/mo $15/user/mo $14/user/mo $19/user/mo $15/user/mo
Free Trial 7-day free trial Varies by plan Varies by plan Varies by plan Varies by plan
Bulk Send Yes (Business Premium) Varies by plan Varies by plan Yes Varies by plan
Audit Trail Yes Yes Yes Yes Yes
HIPAA Compliant Yes Yes Yes No No
Envelope Cap No envelope cap 100 envelopes/user/year Varies by plan Varies by plan Varies by plan

Frequently asked questions about completing and using the Insurance Builders Accord Form

Answers to common questions about signature validity, endorsements, electronic execution, and recordkeeping for the accord.


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