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Certificate Request Form

If the project requires any additional insured endorsements, please provide the following information

If your contract requires a scheduled additional insured endorsement, please provide us with the exact legal name of the entity to be listed

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The California Business and Professions Code section 7159 stipulates all of the contractual requirements for public works and which mention the insurance items to be addressed on each project.
Please review the contract you have with the enclosed certificate holder and/or additional insured to make sure you have all of the required endorsements and coverages.
Your agent would be happy to review that contract with you if you could send it over to: certs@buildersdirectins.com

Thanks for submitting! We will get back to you as soon as possible.

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