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Contractors Certificate of Insurance Request

Contractors Certificate of Insurance Request

  • please format as: mm/dd/yyyy
  • Certificate Holder Information

  • Email preferred
  • Please enter email, fax number or mailing address of recipient
  • Certificate will be mailed, faxed or emailed per your request.

    NOTE: Certificates for Workers Compensation policies written through the MA Workers Compensation Risk Plan must be issued directly by the insurance company wiriting the policy. Rogers & Gray will order the certificate which will be issed by the carrier within two (2) business days. A copy will be kept on file for the insured unless instructed otherwise. Certificate will be available within 24 hours.