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Certificates / Proof of Insurance

What is a Certificate of Insurance?

A certificate of insurance is a document used to provide information on specific insurance coverage. The certificate provides verification of the insurance and usually contains information on types and limits of coverage, insurance company, policy number, named insured, and the policies’ effective periods.

Although the certificate should not be substituted for information contained in the actual insurance policies, it is usually a reliable source of information or proof of insurance coverage.

Certificates are usually requested by a party via an agreement, contract, or transaction to make certain the other party has the appropriate insurance coverage.

If you are looking for information on what a certificate from a vendor or third party should include, please see the attached sample certificate.

Requesting a Certificate of Insurance

Please print out and complete the form below or contact the Department of Risk Management directly at (408) 554-4397.

View directly, or right-click to save a copy.