Certificate of Insurance Request The following form is for Unit Owners only. A Lender may only request a Certificate of Insurance on a unit that they have an insurable interest in or one that they are actively securing a loan for. If you are a commercial or personal lines client with us, please continue to email your request to [email protected] for the quickest turnaround. Please use this form for all evidence of insurance on Master Condo Associations. Please note that no other proof of insurance questionnaires or loan tools will be completed by ThompsonBaker Agency. Certificates of Insurance or Flood Declaration Pages are the only documents that will be provided as proof of coverage for our Master Condo Association policies. Unit owner/buyer’s name(s):*Unit #*Condominium Association*Address*Certificate holder (bank/lender) information: Name*Address*Loan #*Email Address for delivery of certificate of insurance:*Additional Information/ requestsCertificates are processed in 24 hours, in the order in which they are received.Insurance • Risk Managers • Financial Services 61 Cordova St., PO Box 3807, St. Augustine, FL 320853807 Telephone: (904) 824-1631 www.thompsonbaker.com This iframe contains the logic required to handle Ajax powered Gravity Forms.