Certificate of insurance request

Name of organization requesting certificate
Please use xxx-xxx-xxxx format
Select all that apply and include requested $ amounts when prompted.
$
$
$
$
$
$
Files must be less than 2 MB.
Allowed file types: gif jpg jpeg png psd pdf doc docx.

日本一本道a不卡免费Then the requesting party needs to notify you what they need in writing.

AND

IF THE AGREEMENT SAYS THAT YOU “INDEMNIFY” OR “NAME A THIRD PARTY AS ADDITIONAL INSURED”, YOU WILL NEED TO STRIKE THE “INDEMNITY” OR “ADDITIONAL INSURED” PARAGRAPH BEFORE SIGNING IT.  ANY AGREEMENT SUBMITTED WITH “INDEMNITY” OR “ADDITIONAL INSURED” LANGUAGE WILL CAUSE A DELAY AND YOUR AGREEMENT MAY BE IN CONFLICT WITH ARIZONA LAW.