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Request an association certificate for proof of insurance.

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Home » Existing Clients » Association Certificate Request

Please use this form to request a certificate of insurance for associations and unit owners currently insured by Gallina & Sons. Certificate requests received prior to 3pm EST will be completed by the end of the following business day. If necessary, PLEASE DO NOT FORGET TO ENTER A UNIT OWNER NAME WITH THEIR ADDRESS.

If applicable the certificate will contain:

Association Name
Property Address
Number of Units Covered
Minimum number of days for cancellation

Coverage Included in policies:

Co-Insurance
Boiler & Machinery/Equipment Breakdown
Building Ordinance or Law
Inflation Guard
Severability of Interests/Separation of Insureds
Managing agent rider

Borrower Name(s)
Loan Number
Mortgagee Information
Does the community policy cover the interior (walls-in)
Does the community policy cover improvements and betterments

Request an Association Certificate From Gallina and Sons

Need proof of coverage with a certificate of insurance? Fill out the form below and we’ll be in touch.

"*" indicates required fields

Requestor's Name

Requestor's First Name Requestor's Last Name

Phone Number

Company

Association Name

Reason for Request

Refinance and New Purchase Requests will be subject to a $20 fee. Payments will be required prior to the form being released. Payment details will be e-mailed to the requestor upon request submission.

Certificate Holder's Information (Mortgagee Clause)

Please fill out this field exactly as you wish to have it appear on the certificate.

Unit Owner's Name and Address:

Please fill out this field exactly as you wish to have it appear on the certificate.

Comments or Special Conditions

Once the certificate has been completed, the requestor will be provided with access to a secure server where both payment details and the certificate will be provided.

This field is for validation purposes and should be left unchanged.

Prefer to speak with someone from Gallina and Sons?
Contact us directly.