Certificate of Insurance

You may use the form below to submit a request for a Certificate of Insurance directly to one of our qualified agents. An agent from our office will contact you shortly after receiving the request. This feature is only for existing clients who are commercial policy holders.

Prepare a certificate of Insurance to the Following:

Provide Project Specifications, Contractual Insurance Requirements and Example Certificates if available.

Certificate will be mailed, faxed or emailed per your request NOTE: Certificates for Workers Compensation policies written through the MA Workers Compensation Risk Plan must be issued directly by the insurance company wiriting the policy. Rogers & Gray will order the certificate which will be ined by the carrier within two (2) business days. A copy will be kept on file for the insured unless instructed otherwise. Certificate will be available within 24 hours.