5028 Wisconsin Avenue NW, Washington, DC 20016 Mon–Fri · 9:00am–5:00pm
Capital Insurance Partners
Commercial Insurance
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Certificate of Insurance Request

Need proof of coverage for a contract, lender, or job? Complete this request and we'll turn it around fast — by email or fax, your choice.

The insured & requester

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Certificate holder

Delivery & coverages

Handling Method
Required Coverages

Endorsements

Waiver of Subrogation?
Primary Wording?
Loss Payee?
Mortgagee?
Additional Insured?

Anything else

Please attach written request(s) and/or contracts received, if any. Up to three files, each under 8 MB.

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Thank you — we've got it.

Your submission has been received. A member of our team will be in touch within one business day. If it's urgent, call us at (202) 362-4500.

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Let's schedule a thorough review of your insurance to protect your assets.

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