7 South Warren Street, Dover, NJ | 973-366-0500
/ Request Certificate of Insurance
Request Certificate of Insurance
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Certificate Holder Information:
Description of Work:
Does this Certificate Holder need to be named on our polocy as an
? Remeber that by adding an Additional Insured, you are agreeing to share your insurance limites with this person or company should you both be sued. The company has a right to charge an additional premium for adding an additional insured. Please check one:
, please add this certificate holder as an Additional Insured for General Liability Insurance
, do not add this certificate holder as an Additional Insured.
Certificates will be issued on the day they are received or the next business day. If special attention or information is needed on the Certificate please note accordingly. If questions arise from our agency make certain to leave your contact number where you can be reachedespecially if the Certificate is of an urgent nature.
Thank you for your assistance.
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