Standard Acord Form Often Seen in the United States and Canada. For more information,
please see your Supplier Partnership Agreement
Insurance Company Name and Address
Supplier Name and Address
Commercial General Liability, Occur, and
Policy MUST be checked
Policy Expiration MUST be Three
Months or more into the future
M/D/YY M/D/YY
Each occurrence MUST equal
$1M+;
1,000,000
2,000,000
EXCLUDED
General Aggregate MUST equal
$2M+ but can be supplemented
by umbrella liability to equal
$2M+.
Products – Comp/Agg CANNOT
be excluded and must have a
limit of $2M+. IF Products is a
separate policy, Wayfair MUST
be an additional insured.
Certificate Holder MUST be listed as the additional insured either in writing in the
Description OR by a check mark in the Additional Insured column for EACH policy.
Wayfair MUST be the Certificate Holder
Wayfair LLC
Copley Place, Suite 7000
Boston, MA 02116
MUST be signed by authorized rep