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Certificate of Insurance Request

You have the option of requesting Certificates of Insurance on the following electronic form. It is important to include as much information as possible. We will review your request, contact you if further information is required, and then send the certificate of insurance to the appropriate party(s).

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General Information

Address of Holder
Handling Method

Required Coverages

Please Provide Copy of Insurance Requirements of Contract
Need Endorsements for Waiver of Subrogation?
Need Endorsements for Primary Wording?
Loss Payee
Mortgagee
Additional Insured
Drop files here or
Max. file size: 49 MB.
    Please attach written request(s) and/or contracts received, if any.
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    Secure Quote Request

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    We love the hometown approach and ease of Connor Insurance. We also appreciate the attentiveness...
    DR
    Danny R
    Always there for me. High quality customer service and I always get to talk with...
    Anonymous
    Always accommodating to requests via email. Good group of people to work with.
    TF
    Timothy F
    I love Connor Insurance Agency! I ALWAYS received professional, knowedgeable, and friendly assistance. I would...
    Anonymous
    Brittany was very professional and friendly. She asked questions to help us get the coverage...
    Anonymous
    Service was quick and easy
    Anonymous

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