Certificates

A few things to remember when orderdering Certificates

Not all Certificates are the same. Some require a great degree of caution and precision.

Certificate Only – No “Named Additional Insured”

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Certificate Holder – No “Named Addtional Insured”

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Named Additional Insured Certificate

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For use only for existing Insureds of Athena Insurance and Financial Services, PO Box 1242, Los Moinos CA 96055 209 223-1870. Allow 24 hours for processing. Closed Weekend and Holidays. Not for use by other site members who to not have an active insurance policy with Athena Insurance.

Step 1 of 4

Current Insured Information

Are you an "existing insured" of Athena Insurance and Financial Services?(Required)

Yes

We are sorry but this Certificate Services is "ONLY" for existing insureds of Athena Insurance and Financial Services

Additional Insured Certificate Request

We must have accurate information to issue an Additional Insured Certificate. Thank you for your cooperation and support.

Full and exact name of Additional Insured

If you would like to include the insurance requirement document for us to review please upload using the form below. .pdf is the correct file format. File size max 10MB

File upload

Drop files here or

Accepted file types: pdf, Max. file size: 256 MB, Max. files: 4.

Use this to upload your file or you an email to [email protected]. Questions, call 209 223-1870.

Exact and precise "mailing" address for sending mail correspondence to the Loss Payee or Additional Insured

Street Address City State / Province / Region ZIP / Postal Code

Email address of Named Additonal Insured or Loss Payee

Please provide estimated value of project or cost of equipment, Name of the job for which the Named Additional Insured Certificate is requested or the year, make, model and value of the equipment. Also provide serial number. If you have an questions please do not hesitate to call.

Disclosure & Acknowledgement(Required)

I understand and agree that no coverage or changes are made at this time

No I do not agree

We are sorry but your request cannot be bound due the fact that that request must be reviewed by an underwriter first. And, the underwriter must provide us with a written confirmation of the request being approved and bound.

A few things to remember when orderdering Certificates

Certificate Only – No “Named Additional Insured”

Certificate Holder – No “Named Addtional Insured”

Named Additional Insured Certificate

Certificates

Current Insured Information

We are sorry but this Certificate Services is "ONLY" for existing insureds of Athena Insurance and Financial Services

Certificate only - No Named Insured

Additional Insured Certificate Request

We are sorry but your request cannot be bound due the fact that that request must be reviewed by an underwriter first. And, the underwriter must provide us with a written confirmation of the request being approved and bound.