Certificate of Liability Insurance form showing required commercial general liability coverage minimums of $1,000,000 and $2,000,000, with key requirements highlighted including 30-day cancellation clause and additional insured status.

This is a Certificate of Liability Insurance form with several key elements highlighted in red:

Header Information:

The document is titled "CERTIFICATE OF LIABILITY INSURANCE"

It's issued by ACORD (a standard insurance form)

Contains fields for date, insurance company information, and contact details

Key Requirements Highlighted:

Commercial General Liability coverage with minimum limits of $1,000,000 and $2,000,000

A note stating this certificate "may only be written by a United States Company"

The certificate must show the exact description of services authorized under the permit

Must include a note regarding additionally insured parties

Coverage Sections:The form shows various insurance types including:

General Liability

Commercial General Liability

Automobile Liability (Any Auto, All Owned, Scheduled, Hired, Non-owned)

Umbrella/Excess Liability

Workers Compensation/Employers Liability

Important Notes:

Certificate holder is noted as "additional insured RE: Activity within GGNRA"

The certificate must contain a 30-day cancellation clause

Must be signed by an insurance company representative

The certificate holder is listed as "United States of America National Park Service"

Cancellation Section:Located at the bottom with standard language about policy cancellation procedures.

This appears to be a template or example of the insurance requirements for activities within the Golden Gate National Recreation Area (GGNRA).