Note: A certificate is only a snapshot of the coverage in place on the day it is issued. It does not grant coverage that is not provided by your policy.

The McSweeney & Ricci Processing Department responds to all Certificate of Insurance requests as quickly as possible. To ensure a fast and accurate response, please fill out the form as completely as possible.

To request a certificate, please choose the appropriate type of certificate below, complete your information and click on submit.


  • MM slash DD slash YYYY
  • Certificate Holder Information

  • Additional Insured Status

    Additional insured status is available only when you have a written contract in place stating that additional insured status is required. This may also generate an additional premium.
  • Special Instructions

    Any certificate requesting Waiver of Subrogation, Primary & Non-Contributory, CG2010, Pollution, 30 or more days notice of cancellation or specific wording must be accompanied by a copy of the request from your client. Please note that some of these coverage extensions require underwriter approval and may generate additional premium.
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