To help you get the correct certificate as soon as possible, please complete the following form.
Before filling out this form, please have the following information available.
Name of certificate holder
Mailing address of certificate holder
are you required to name them as additional insured on your policy
If so, what is their insurable interest
Additional Insured
An additional insured is a party, typically added to an insurance policy by an endorsement, who is not the policyholder but still receives coverage under certain circumstances. This allows a party, like a client or property owner or landlord, to be protected by the named insured's policy for liabilities arising from the named insured's actions. There is a charge to name someone as additional insured.