Certificates of Insurance are used to provide vendors, locations and other interested parties with proof of insurance. The Certificate of Insurance is also used to name designated parties as "Additional Insured" or "Loss Payee." These documents are available to those who have already applied for and purchased insurance coverage for their event or project. After completing the form below, please submit, and we will promptly issue the certificates upon receipt. Sorry, blank Certificates of Insurance cannot be issued. Client Information Contact * Company * Project/Event Name * Email * Certificate Holder Information Contact * Organization/Company/ Individual * address1 * address2 city * state * zip* country* Email Fax Options * Additional Insured Loss Payee Proof of Insurance Only Send Me A Copy Special Wording * denotes required field Need help filling out our insurance forms? Click here to see definitions for our insurance forms. Click here to download a sample document that shows how insurance terms are used in an application — this is a "PDF" document and requires Acrobat Reader, which you can download free from Adobe if you don't have it. Paying by credit card? Click here for a credit card authorization form. Please print, and mail a signed copy to us. All insurance sales are non-cancellable and subject to a 3.5% surcharge.