Sherie and all the people who work with her have always been there to answer any questions we have and explain them in a way we can understand. We have found them to be very helpful in all our insurance needs.

-Chris Romig, Rex Romig Bldg & Remodeling
Insured's Name:
Certificate is needed for line of coverage : General Liability Business Auto
Workers Compensation Umbrella
All Policies
Policy Period:
   
Certificate Holder  
   
Name:
Address1:
Address2:
City:
State:
County:
Zip:
Attention:
Fax Number:
Would like it: Faxed Mailed Both
   
Additional Insured Requirement: Yes No
Job Name/Location:
 
Special Instructions:
   
When do you need the certificate completed? Within 15 minutes Before 5:00pm today
Within 24 hours
Want your copy: Faxed Mailed Both
   
Confirm your Fax #:
   
 
   

Note: If your request is urgent , call our office. I want to be sure your request is given top priority.

It is my pleasure to serve you!
  Copyright Lake Insurance 2004