Black Bear Insurance Agency
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As a Service to our clients, Black Bear issues a document known as a 'certificate of insurance' that displays the coverage of the insurance policies that the business carries.

Certificates of Insurance are commonly required by a business' clients to make sure that their subcontractors, tennants, and other interests have appropriate insurance coverage.

If you are one of our current clients and need a certificate of insurance, please complete the form to the right and submit it to our office. This is instantly delivered to your account manager and we will issue the certificate to you within 10 business hours. If you need it sooner, please make a note to us in the delivery instructions section.


Name of insured business:
Requested by (your name and title):
Your E-mail address:
Fax # (for us to send certificate):
Delivery Instructions:
Certificate Holder Name:
ATTN:
Address:
City, State ZIP:
Special Requirements:
 
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