(619) 356-2160
MENU
A Certificate of Insurance provides proof of insurance coverage for the Certificate Holder. A Certificate of Insurance does not provide the Certificate Holder “Additional Insured” status.
Looking for an Additional Insured or Waiver of Subrogation? Submit your request here.
Your Industry Type?
Construction = General and Artisan Contractors (Painters, Plumbers, Electricians, Janitors, Handymen, Landscapers, etc.) All Other = Event/Food Industry, Vendors, Trucking, Restaurants, Car Repair/Garage, etc.
Industry Type ConstructionAll Other
What type of Business/Entity is the Certificate Holder?
Type of Business/Entity (Construction) General ContractorHomeownerLandlord of Property You RentCommercial Building Owner/Jobsite OwnerCity/State/Government AgencyWRAP/OCIP AdministratorLead Referral CompanyEquipment Leasing CompanyBank/Financial InstitutionCondo AssociationHomeowner AssociationTownhome AssociationEngineers/Architects/SurveyorsVendorOther Type of Business/Entity (All Other) HomeownerLandlord of Property You RentCommercial Building Owner/Jobsite OwnerCity/State/Government AgencyLead Referral CompanyEquipment Leasing CompanyBank/Financial InstitutionVendorOther Please explain
Your Company Information
Your First Name Your Last Name Your Company Your Phone Number CSLB License Number Your Email
Please give us information about the company or person who needs the Certificate.
Company Name (Certificate Holder) Phone Number (Certificate Holder) Address City State Zip Would you like us to email the certificate directly to the certificate holder/additional insured? YesNo Certificate Holder Email Any additional Person or Organizations to be named as a certificate holder? (Please separate names with a comma or semi-colon.)
