Certificate of Insurance / Binder Request Submit a Request Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Request Type - Step 1 of 2Request Type (Select One) *Certificate of Insurance (COI – Liability)Evidence of Property Insurance (EPI – ACORD 27)Vehicle/Equipment Certificate (ACORD 23)Binder RequestContract ReviewRequired Documents for: Certificate of Insurance (COI – Liability) *Click or drag files to this area to upload.You can upload up to 5 files. Signed contract, agreement, vendor request, or insurance requirement page.Any special wording or insurance terms required by the other party. Required Documents for: Evidence of Property Insurance (EPI – ACORD 27) *Click or drag files to this area to upload.You can upload up to 5 files. Lender letter, mortgage/equipment finance document, or property requirement page.Any special loss payee or mortgagee wording. Required Documents for: Vehicle/Equipment Certificate (ACORD 23) *Click or drag files to this area to upload.You can upload up to 5 files. Equipment lease, rental agreement, or COI request showing required coverages.Any specified physical damage or scheduled equipment requirements.Required Documents for: Binder Request *Click or drag files to this area to upload.You can upload up to 5 files. Binder request form from lender. Mortgagee or loss payee clause EXACT wording (from lender documentation).Required Documents for: Contract Review *Click or drag files to this area to upload.You can upload up to 5 files. Full contract or agreement requiring insurance. Additional instructions (if applicable).NextLayoutNamed Insured *Primary Contact *Email *Phone *Date Needed *Notes or Special Instructions:Disclaimer: Any requests that warrant a change to the policy will facilitate communication by GFG to ensure information is accurate and changes are approved by the client. Any change in premium are discussed prior to issuing requested document.Submit
