May 19, 2022
SAIF 2022-2023 New Business Packet
Certificate of Insurance
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Certificate of Insurance
Certificate of Insurance
School District
School District Name:
Certificate Holder Name:
Address:
City:
State:
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Zip Code:
Phone:
Coverages Requested:
General Liability
Auto Liability
Excess Liability
Property/Auto Phus Damage (please state value below)
Workers' Compensation
School Leaders Professional Liability
Other
Add Certificate of Insurance Holder as:
Additional Insured
Loss Payee
Description: (Include purpose of certificate)
Questions/Comments:
Requested By:
Email:
* = Required Field
Attention: Please EMAIL or FAX a copy of the contract and insurance requirements to our office. - Select LOCATIONS under ABOUT US on our menu for the appropriate contact information.
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