800-509-4309
ray@coleinsinc.com
PROTECTION YOU NEED, PEOPLE YOU TRUST
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To contact, call toll free 1.800.509.4309 or email us.
OUR PRODUCTS
Personal Auto
Home Insurance
Commercial Insurance
Cole Insurance Agency
welcome to:
COMMERCIAL CERTIFICATE
REQUEST
Name
Policy #
Phone #
 
How would you like us to forward the certificate?
Fax
Email
Mail
Please list number or email:
We will send a certificate for all lines of business  you currently have with Cole Insurance at time
of this request.  This can include general liability, business auto liability, inland marine, and
workers comp.
Please enter the business or individual requesting a certificate including their address
Name of certificate holder
Address
City
Zip
 
 
 
 
 
 
Please use this form if you need a certificate of insurance sent to one of your
customers.  If an additional insured certificate is needed, it may need authorized
by company first and delay process.  If you have any questions please contact us.

If this is needed immediately please call us, it could take up to 18 hours.  If during
business hours, it should take less than 4 hours.