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Get a Certificate

A Certificate of Insurance is a form that shows evidence to someone else that you or your business has insurance coverage in force. It shows the company that insures you, the policy number, the type of coverage, the amounts of coverage, and the policy effective and expiration dates.

If you need to provide a certificate to someone to show evidence of your business’s insurance, following is the information we normally need in order to process your request.

YOUR INFORMATION

You may call this information in to us, or fax it or email it.

* = required field

Your name:*
The Name of your business:
Your phone number: (in case we need additional information to process your request)*
Your fax number:
What insurance coverage is the certificate for:*

Who is requesting the certificate?

If the person requesting the certificate has given you a document that specifies what they are looking for in your certificate you may fax that to us or email it.

Their name:
The name of their business (if any):
Their mailing address:
Their fax number:
Their phone number:
Are they asking to be named as additional insured? (There may be an additional charge for this request.)
Any other special provisions requested? If the certificate is for a specific event, project, location, or dates, please explain:

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