AI Requests

Please check all boxes for which either an "Additional Insured" certificate is required or just a Certificate is required

It is upon you to know weather you need an Additional Insured Certificate or just a Certificate. We strongly urge you to use "best practices" when requesting any certificate. For assistance call (209) 223-1870

File upload for indemnity requirements .pdf file format preferred

Drop files here or

Accepted file types: pdf, jpg, Max. file size: 2 GB, Max. files: 2.

You may upload your "indemnity" portion of your certificate requirement here. Please allow up to 48 hours for review. If this is an emergency please call us at 209 223-1870. You may also fax the indemnity agreement to (209) 223-3227.

What "type" of insurance certificate are you requesting?