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Request for Certificate

If the entity requesting a certificate requires to be named as an additional insured or there is any special contractual wording required, please call our office at
(401) 762-2218

Please include the following information in your email request to us:
Insured, Description of Operations, Locations, Vehicles, Certificate Holder

Would you like to include all current coverage on this certificate?
If no, please advise what liability coverages should be shown.

Email Debbie Zinck

©2008 Soucy Insurance Agency | 362 Rathbun Street, Woonsocket, RI 02895 | 401.762.2218 | 800.585.2218 | info@soucyagency.com