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Certificates of Insurance

What is a Certificate of Insurance?

A certificate of insurance is a document, signed by an insurance agent or company, which outlines the types and limits of insurance carried by a vendor, contractor, tenant or other party with whom we have entered into an agreement.

What will I find on a Certificate of Insurance?

  • the name of the insurance agent or broker
  • the identity of the "Named Insured" that purchased the policy
  • the insurer providing the coverage
  • the types and amount of the coverage
  • the effective dates of the policy

Where should these certificates go?

A copy should be kept by your department, and a copy sent to the Risk Management Office for review, Mail Code 103-6.

Certificate of Insurance form (PDF)

Darren Artura
Risk Manager
(626) 395-6878 direct
(626) 395-4853 office
Procurement Hotline
(626) 395-8900