Certificate of Insurance Request

Our time frame for certificate issuance is within ½ business day. If received in the morning the certificate(s) should be done by noon. If received by 3pm should be done by 5pm.

If you have any additional questions, please email us at certificates@mcrainsurance.com.

Contact Us

Our goal is to issue this certificate within the same business day. Please let us know if your time frame is different.

To: Certificates@mcrainsurance.com
Maran Corporate Risk Associates
Phone: 631-283-8000
Fax: 631-287-2207

Certificate Request From: *

Date *

Issue certificate request form under the following named: *

Please provide the following coverages on the certificate: *

Certificate Holder Information:

Attn: Insurance Compliance

Name *

Address/State/Zip: *

FAX, EMAIL or MAIL COPY TO: (please specify) *

Additional Insured (Y/N):
(please list if different then above)

If additional insured status is requested the following information is required.

Is there a written contract?

What is the additional insured's interest?

What work is being performed for the certificate holder?

Jobsite Location:

Duration of Project: