Request a Certificate

Request A Certificate of Insurance

In the event you are interested in a premium quotation, please refer to the insurance programs.

General Information
This is the person who handles your account at Taylor & Taylor Associates.
Contact Information
Date by which the certificate of insurance is needed.
Include replacement cost value and lease dates (please include the year, make and model when renting vehicles)
Include title of project and location.
Select at least one delivery method. If you need a multiple of methods or copies of certificates, please indicate that in the Additional Instructions field below.
If you need to send a certificate to multiple people or with a combination of sending methods, please add these instructions here:
Form Verification (this proves you're not a robot!)