Certificate of Insurance Request Form
SPECIAL REQUIREMENTS AND ENDORSEMENTS INFORMATION:
EVIDENCE OF INSURANCE ONLY
Provides evidence of the insurance coverage you currently have in force for you and your business only. In the event a third party needs to be added, please see Additional Insured.
If your Vehicle or Property is financed, the financial institution may request that it be added as a Loss Payee on your Certificate of Insurance and Policy. In this case, if the Certificate Holder is requesting to be added as Loss Payee, its interest in your Vehicle or Property will be included in the payment of the claim.
If there is an entity which holds a mortgage on your Business Property, it will need to be included on your insurance policy as a Mortgagee. If a loss should take place while the mortgage is outstanding, the Mortgagee has the right to be compensated for the damages through your property policy.
As part of your business dealings you may be asked to provide coverage for a customer or higher-tier contractor by adding the customer to your policy as an Additional Insured. This extends coverage to your customer. If this box is checked, it is possible that your policy will need to be endorsed to add this entity as an Additional Insured. Please be advised that there may be additional premium required for this change.