Client Services

Request a Certificate of Insurance

Need proof of coverage for a client, project, landlord, vendor, or contract? Submit the details below and our team will review the request.

Important: Certificate requests are subject to active policy status, carrier requirements, endorsement approval, and coverage terms. Submitting this form does not guarantee that a certificate or endorsement can be issued.

Certificate Details

Fields marked with * are required.

Business / Insured Name *

Contact Name *

Phone *

Email *

Policy Type *

Certificate Holder

Certificate Holder Name *

Certificate Holder Email

Certificate Holder Address *

Project / Job Name

Project / Job Location

Required By Date

Additional Insured?

Waiver of Subrogation Requested?

Special Wording / Requirements

By checking this box, I consent to receive text messages related to customer care, account notifications, and marketing from Adonai Insurance Advisory. You can reply "STOP" at any time to opt out. Messages and data rates may apply. Message frequency will vary; reply HELP to (850) 296-7515 for assistance. For more information, please visit our Privacy Policy and SMS Terms and Conditions.

By submitting this form, you agree to be contacted by Adonai Insurance Advisory regarding your request. Your information will not be sold.