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Certificate of Insurance Request

You have the option of requesting Certificates of Insurance on the following electronic form. It is important to include as much information as possible. We will review your request, contact you if further information is required, and then send the certificate of insurance to the appropriate party(s).

Certificate of Insurance Request

* indicates required fields

General Information

Address of Holder*
Handling Method

Required Coverages

Please Provide Copy of Insurance Requirements of Contract
Need Endorsements for Waiver of Subrogation?
Additional Insured
Drop files here or
Max. file size: 49 MB.
    Please attach written request(s) and/or contracts received, if any.
    By submitting this form with your mobile number you consent to communication via texting/SMS.
    This field is for validation purposes and should be left unchanged.

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    Customer Reviews
    Rated 4 out of 5

    Great insurance company

    TK
    Thomas k
    Rated 5 out of 5

    The team and service we have received has been outstanding. They assisted us...

    RW
    Rebecca W
    Rated 5 out of 5

    I have nothing but good things to say about Gans and Smith Insurance. Always...

    RW
    Robert W
    Rated 5 out of 5

    William has been a great help dealing with our commercial policies!

    TM
    Trevor M
    Rated 5 out of 5

    5 stars!

    DH
    David H
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