The single most useful thing to know is that the certificate does not do it. A certificate of insurance is a summary document evidencing that a policy is in force. New York's regulator has said repeatedly what that means and what it does not mean: a certificate "is not a contract, and is not required by statute or regulation"; it "is not intended to confer to a certificate holder new or additional rights beyond what the insurance policy provides"; and, decisively, "a certificate of insurance may not name an entity as an additional insured unless the insurance policy referenced by the certificate actually includes that entity as an additional insured." The department goes further and treats a document that amends, expands or otherwise alters the terms of the policy as a policy form which must be filed with the Superintendent under section 2307(b) of the Insurance Law, and it has warned producers that adding terms to certificates can lead to disciplinary measures. So a certificate listing a landlord as an additional insured, where no endorsement was ever issued, is not partial protection. It is nothing, and it looks exactly like something.
The coverage extended is whatever the endorsement grants, and it is not automatically the coverage the named insured has. Because the term carries no statutory definition, the endorsement's own wording decides the scope, and endorsements differ. The grant may be tied to liability arising out of the named insured's work or operations for that party, in which case a landlord added to a tenant's policy is covered for claims connected to the tenant's activities and not for claims arising from the landlord's own conduct elsewhere on the property. It may or may not reach the named insured's completed work after the job ends. It may or may not be primary to the additional insured's own insurance. State law can also cap the grant: California provides that an additional insured endorsement issued for the benefit of a public agency in connection with a construction contract covered by section 2782(b) of the Civil Code "shall not provide any duty of indemnity coverage for the active negligence of the additional insured", and that a contract requirement to procure insurance invalid under that section is itself invalid. None of this is visible on a certificate. All of it is in the endorsement, which the additional insured can ask for and rarely does.
Contracts also mix this up with a genuinely different status. An "additional named insured" is not the same as an additional insured: a named insured is a party to the policy with the fuller set of rights described on the named insured page, while an additional insured is an insured for defined purposes. A contract that asks for one and means the other is asking for either more or less than the drafter thinks, and the request is worth clarifying before it is priced.
Adding people is not costless, and the cost that matters is not the premium. A liability policy has a limit per occurrence and an aggregate limit for the policy year, and additional insureds share them. A defense mounted and a settlement paid on behalf of an additional insured draws down the same aggregate the named insured is relying on for their own year. That is the practical consequence of "extends your coverage to them", and it is the reason a business that adds every client to every policy has less protection at the end of a bad year than the certificate count suggests. The structure of those limits, and whether defense costs sit inside or outside them, belongs to the business liability insurance page.
There can also be a regulatory ceiling on how many unrelated parties a single policy can carry. New York provides an example. Under 11 NYCRR section 153.1(g), a property or casualty policy insuring the interests of two or more persons or entities may constitute a group policy, with named exceptions for entities under common control, franchisors and franchisees, partners and joint venturers, certain family members, and parties with "shared interests". The regulation defines shared interests for liability insurance as "ownership or control of an additional insured's operations and activities such that, if damages arise from such operations or activities, the first named insured and all insureds may be jointly liable." The department's conclusion is that an entity may be added as an additional insured on another's policy "but only to the extent that it has a shared interest with the first-named insured and all other additional insureds on the policy." That is New York's rule rather than a national one, but it makes the general point: the ability to bolt an unrelated party onto a policy is not unlimited, and where it is limited the limit sits in state regulation rather than in the contract that requested it.