Certificates of Insurance | Shawnee State

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Certificates of Insurance

A certificate of insurance validates the existence of an insurance policy. It may be issued by the University or an insurance agent or broker. A certificate of insurance should include the following:

  • Name of the insurance company and policy number
  • Policy period
  • Name of the insured and address
  • Description of coverage
  • Description and locations of operation
  • Name and address of certificate holder
  • Policy limits
  • Notice of cancellation provision
  • Authorized signature and date

Certificates to Other Parties

University groups using non-University facilities are often required to furnish a certificate of insurance evidencing the existence of insurance coverage by the University. To request a certificate of insurance, complete the Certificate of Insurance Request Form (PDF) and send it to the Office of Risk Management & Safety. Be sure your information includes the name and address of the party requesting it, the purpose of 51°µÍø's use, and the dates for which coverage is required.

Certificates from Other Parties

When others are contractually required to provide the University with a certificate of insurance, a copy of the certificate should be sent to the relevant department and to the Office of Risk Management.