Certificate of Insurance & Additional Insured Endorsement

Certificate of Insurance Request Form

A Certificate of Insurance provides evidence that the University maintains appropriate insurance at the levels required by an off-campus entity. A Certificate of Insurance with an Additional Insured Endorsement provides evidence that the University maintains appropriate insurance at the levels required by an off-campus entity and extends insurance coverage to that entity.

When an academic department or administrative unit conducts an activity at an off-campus location, that department or unit will often receive a request for a Certificate of Insurance and/or an Additional Insured Endorsement. To request a Certificate of Insurance or an endorsement, please complete the Certificate of Insurance Request Form listed at top of page. If the off-campus entity is requesting an Additional Insured Endorsement, please e-mail or fax a copy of the contract or document showing the insurance requirement to 667-3104.

Requests for a Certificate of Insurance with an Additional Insured Endorsement will be processed only if the contract has been signed by a University employee with written delegated contracting authority according to Executive Order 775.

Most certificates of insurance or endorsements can be produced within ten business days. When the certificate of insurance or endorsement has been completed, copies will be sent both to the department or unit requesting these documents and to the off-campus entity requesting proof of insurance.