COHESIVE INSURANCE SERVICES — COI REQUEST CHECKLIST

Named insured/legal entity:
Existing policy number and dates (if any):
Work description and location:
Actual job start date:
Certificate holder legal name and address:
Delivery email:
Required coverage lines and limits:
Additional insured(s) and their roles:
Ongoing/completed operations wording requested:
Other endorsements requested:
Attached contract/insurance exhibit:
Unresolved questions:

A quote is not proof of coverage. A certificate does not create or extend insurance. Have the servicing agent check the policy and endorsements.

Guide: https://www.cohesiveinsure.com/guides/contractor-certificate-of-insurance-before-starting-work