Certificate Requests
University groups using non-University facilities or property are often required to furnish a Certificate of Insurance to evidence insurance coverages by the University.
When an agreement or contract requires a Certificate of Insurance to satisfy contractual requirements, contact The Office of Risk Management. Risk Management reviews all Certificate of Insurance requests prior to providing evidence of insurance coverages.
Request a Certificate of Insurance
Include the below information and the respective agreement/contract when submitting the COI Request form.
- Certificate holder information (requesting third-party name, address and contact information)
- Purpose/type of activity
- Location(s) in which coverage is required
- Dates for which coverage is required (specific or a range)
- What insurance and limits the contract requires. E.g. Workers Compensation, General Liability, Auto, Property, Professional, additional insured status
For Property:
It is important to include an itemized list with specific make/model information and respective values.
For Events:
It is important to note if liquor will be served.
Submit a Request
Contact
Risk & Insurance
Phone: 847.467.7795
Email: coi@northwestern.edu