Blank Texas Certificate Insurance PDF Form Get Texas Certificate Insurance Here

Blank Texas Certificate Insurance PDF Form

The Texas Certificate of Insurance (COI) is a crucial document required for Master Plumbers acting as Responsible Master Plumbers (RMPs). This certificate verifies that the RMP maintains the necessary insurance coverage while performing plumbing services. It ensures compliance with state regulations and protects both the plumber and the public from potential liabilities.

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The Texas Certificate of Insurance (COI) is an essential document for Master Plumbers who wish to operate as Responsible Master Plumbers (RMP). Before taking on this role, a Master Plumber must submit a current COI to the Texas State Board of Plumbing Examiners. This certificate serves multiple purposes, including confirming that the plumber holds the necessary insurance coverage to perform their duties safely and legally. The COI must be kept up to date, as it expires when the associated insurance policy does. It is crucial for RMPs to maintain minimum insurance coverage at all times, which includes liability for property damage or bodily injury. The form requires specific details, such as the RMP's name, license number, and business information, along with the insurance company’s details. Notably, the COI does not change the terms of the underlying insurance policy; instead, it reflects the coverage in place. Additionally, any changes to the insurance policy, such as cancellation or non-renewal, must be communicated to the Board. Understanding the requirements and implications of this form is vital for compliance and protection in the plumbing profession.

Texas Certificate Insurance Preview

Approved by TDI 09/26/2017, Filing Link No. S644091
TEXAS STATE BOARD OF PLUMBING EXAMINERS
7915 Cameron Road, Austin, TX 78754 | 512-936-5200 | tsbpe.texas
.gov
Upload to the Online Licensing System for instant approval (see attached
instructions), or scan and email to: [email protected]. Allow up
to 10 days for processing if sending via email.
CERTIFICATE OF INSURANCE (COI)
A Master Plumber shall furnish the Texas State Board of Plumbing Examiners (Board) with a current Certificate of
Insurance (COI) before acting as a Responsible Master Plumber (RMP). This COI expires on the date that the
insurance policy specified herein expires. The RMP shall furnish the Board with a current COI immediately upon or
prior to the expiration of this COI. At least the minimum insurance coverage specified in (1) and (2) below shall be
maintained at all times during which the Master Plumber acts as a RMP. The insurance coverage must include all
types of plumbing that will be performed under the RMP’s license, including if applicable, liquefied petroleum gas
plumbing, medical gas plumbing, and multipurpose residential fire protection sprinkler plumbing. The Certificate
Holder does not guarantee the accuracy of any information provided in this COI. This COI neither affirmatively or
negatively amends, extends, or alters the coverage afforded by the insurance policy specified herein. The terms of
the policy control over the terms of this certificate.
Responsible Master Plumber (RMP) Name: License #: M‒____________
Business Name: _______________________________________________ Telephone: (_______)_____________________
RMP Email Address: ___________________________________________________________________________________
RMP Address: _________________________________________________________________________________________
Street City State Zip
Business Owner Name: _________________________________________________________________________________
Insurance Company: ___________________________________________________________________________________
Policy Number: Effective Date: ______________ Expire Date: ______________
Name of Insurance Agency: ___________________________________________ Agent Phone: (______)_______________
Insurance Agent Email Address:
Insurance Agency Address:
Street City State Zip
By my signature below, as an agent for an insurer authorized to engage in the business of insurance in this state
or an eligible surplus lines insurer, as defined by Section 981.002, Insurance Code, I hereby sign this Certificate of
Insurance (COI) stating that the above policy meets at least the following minimum standards:
(1) provides for commercial general liability insurance for the above named Responsible Master Plumber
for claims for property damage or bodily injury, regardless of whether the claim arises from a negligence
claim or on a contract claim; and
(2) is in a coverage amount of not less than $300,000 for all claims arising in any one-year period.
__________________________________ ____________________________________ ___________________________
Signature of Agent Printed Name of Agent Date
CERTIFICATE HOLDER ADDRESS:
TEXAS STATE BOARD OF PLUMBING EXAMINERS
7915 Cameron Road
AUSTIN, TX 78754
PHONE: (512) 936-5203
tsbpe.texas.gov
Revised for address updates only, August 2025
CANCELLATION:
Should any of the above described policies be
cancelled, non-renewed, or otherwise modified, the
Texas State Board of Plumbing Examiners (Certificate
Holder) will be notified in accordance with the terms of
the underlying policy.
Upload Certificate of Insurance
(COI) Using the Online
Licensing System
TEXAS STATE BOARD OF PLUMBING EXAMINERS, © 2024 tsbpe.texas.gov
One of the most important responsibilities a Responsible Master Plumber (RMP) has is maintaining a current Certificate
of Insurance (COI). The following TSBPE How-To Guide is a step-by-step walkthrough of exactly how to update a COI using
the Online Licensing System (vo.licensing.hpc.texas.gov). PLEASE NOTE: A new COI should not be uploaded until 3-
5 days of the previous COI's expiration date.
1. On the Quick Start Menu go to Manage your license
information. Your master license number will be visible on the
left side of a drop down menu. Click on the arrow and go down
to Update Certificate of Insurance. Press
Select.
2. You will be brought to the Certificate of Insurance (COI) Introduction page. Select Next.
3. In Function Suitability, Select Yes when asked the question, “Do you have a signed, completed, COI in a .PDF format?”
4. Continue selecting Next and be sure everything in Name and Personal details, and Contact Information is entered
correctly.
5. On the Certificate of Insurance page, be sure to check the
accuracy of every field before proceeding to the next page,
including the “Effective” and “Expiration” dates. THIS IS
CRITICALLY IMPORTANT! If the information on this page does
not match the information on the COI form you’re uploading,
your COI will not be processed. Click next when you’re posi�ve
the informa�on on this page is accurate.
6. Under Application Attachments you may also attach a Change
of Company form if need be. Both the Certificate of Insurance
and the RMP Change of Company Info and Form can be found on
tsbpe.texas.gov under Forms. IMPORTANT: ACORD FORMS ARE
NOT ACCEPTED. The only document the TSBPE considers to be a
valid COI is the TSBPE Certificate of Insurance which features the
TSBPE seal on the top right of the page.
7. DO NOT FORGET to press Attach after you’ve chosen the file and
pressed “open.” Doing so may feel redundant, but you will not
be able to advance without this step.
8. In Summary (pre fees) you may review and submit your Update Certificate of Insurance – Application.
9. Answer the Attestation and press Next.
10. DO NOT print out a .pdf summary. A copy of your transaction summary will be sent automatically via email. Return to
the Quick Start Me.
11. Check your license page using the Public License Search to make sure the information went through:
vo.licensing.hpc.texas.gov/datamart/selSearchType.do
. The Public License Search is updated in real-time, so if you
entered your new COI information properly, it will be visible on the Public License Search.

Document Specs

Fact Name Fact Description
Governing Authority The Texas Certificate of Insurance form is governed by the Texas State Board of Plumbing Examiners.
Required for RMP A Master Plumber must provide a current Certificate of Insurance before acting as a Responsible Master Plumber (RMP).
Expiration of COI The Certificate of Insurance expires on the date the specified insurance policy expires.
Minimum Coverage Insurance coverage must include at least $300,000 for all claims in any one-year period for property damage or bodily injury.
Notification of Changes The Texas State Board of Plumbing Examiners will be notified of any cancellations or modifications to the insurance policy.
Processing Time Allow up to 10 days for processing after submitting the Certificate of Insurance.
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