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Long Beach, CA 90808
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Church Property Insurance
Church Insurance Coverage
Our Services
Nonprofit Insurance
Starting New Church / Nonprofit
Religious Organizations
Mexico Mission Trip Insurance
Group Health Insurance
Life/Annuities/Disability
About Us
Meet our Team
Blog
Contact Us
Certificate of Insurance Request
Add/Remove Driver
Payroll Reporting
Careers
FAQ
Please allow 24 hours for certificate to be issued.
Certificate Request
Date Need Certificate
*
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1928
1927
1926
1925
1924
1923
1922
1921
1920
Proof of Insurance (1 Business day Turnaround) Additional Insured Endorsements (Up to 30 Days)
Legal Name of your Organization
*
Your Name
*
First
Last
Your Phone Number
*
Your Email Address
*
Company Requesting Certificate of Insurance – (Exactly how they want to be listed on the Certificate)
*
Their Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Their Name
First
Last
Their Email
Reason for Certificate
*
Church Picnic
Church Camp
Loss Payee
Landlord
Mortgagee
Other – (Please list below)
If reason for certificate is not listed above, please advise reason for request
Proof of coverage required on Certificate of Insurance
NO EVENT – (Skip Event Questions)
Number of Attendees for Event – (if Applicable)
Start of Event – (If Applicable)
Month
1
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Day
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Year
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
End of Event – (If Applicable)
Month
1
2
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4
5
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7
8
9
10
11
12
Day
1
2
3
4
5
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28
29
30
31
Year
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Physical Address of Event
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Proof of coverage required on Certificate of Insurance
Proof of Coverage – ONLY
Additional Insured to Policy – REQUIRED
General LIability Insurance
Property Insurance
Workers’ Compensation Insurance
Commercial Auto Insurance
Umbrella Insurance