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How can we protect your business from risk? Drop us a line to learn more about how our comprehensive risk management solutions can give you confidence in the future.

      Insured Contact Information

      Issue Certificate To

      Address

      Specific Job Information

      Specific Insurance Requirements

      There are four options for sending your requirements:

      1. Email to certificates@cavignac.com
      2. Fax to 619-234-1239
      3. Enter them into the field below
      4. Attach a file

      Attach insurance requirements

      Select all lines requiring coverage

      General LiabilityAuto LiabilityWorker's CompensationProfessional LiabilityExcess Liability/UmbrellaPropertyOther:

      Add Additional Insured coverage to: (must be required by contract/agreement)

      General LiabilityAuto LiabilityOther required Additional Insured entities:

      Add Waiver of Subrogation coverage to: (must be required by contract/agreement)

      General LiabilityWorker's CompensationAuto Liability

      Our Service Standards and delivery options

      Certificates will be issued one working day after receipt by our office unless special forms are needed. Our certificates department will contact you if any forms require prior approval or if non-standard charges will apply.

      Certificate should be sent to: (select one)

      Certificate holder and your firmYour firm onlyOther:

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