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Certificate of Insurance
Please allow two weeks for us to process your request.
How to Request a Certificate of Insurance
As a professional courtesy, to the underwriters, please allow two weeks for processing a Certificate of Insurance for your event.
Please complete the following COI request and email to The Risk Management office at risk@lasierra.edu
Who is the Certificate Holder:
- Organization name
- Address
- City
- State
- Zip code
- Contact Name
- Phone number
- Email address
- Event location: (if different from certificate holder)
- Address
- City
- State
- Zip code
- Activity Requiring Certificate (e.g., Filming activity: Name of film; Name of Student/ID number, phone number;)
- Beginning Date (MM/DD/YYYY)
- Ending Date (MM/DD/YYYY)
- Additional Insured: Yes or No (select one answer)
- Specific Wording they Require
- Sponsored by (e.g., Your Department at La Sierra University)
- List email of recipient requesting certificate: (separate email addresses by semi-colon)
- Name and email address of the requester
Contractors/Vendors, need to complete one of the following agreements prior to the beginning of the contracted work or event/activity:
- Contractor Agreement with Financial Administration
- Contractor shall attach copies of licenses and permits to this Contract
- Submit a Certificate of Insurance (COI)* with signed contract
- Vendors Agreement with Financial Administration
- Vendor shall attach copies permits and/or licenses to this Contract
- Submit a Certificate of Insurance (COI)* with signed contract
* Please see the Certificate of Insurance requirement form prior to obtaining a COI from your insurance provider.
Please scan and submit all required documents to Financial Administration at finadmin@lasierra.edu
To obtain Professional Liablity insurance for student internships, you may find reasonable coverage at the following resource for education based programs by contacting the:
- American Professional Agency.
- For the Healthcare Professional please visit ProLiability Insurance.
Click Here for Checklist
FAQ
What is it?
Why is it needed?
- To assure the vendor or provider has adequate liability coverage.
Office Hours
Monday - Thursday
8:30 a.m. - 4:30 p.m.
Friday
8:30 a.m. - 12:00 p.m.
Office location
Administration Building
Second Floor
Report Emergency
To report a campus emergency call the Campus Security at:
(951) 785-2222
(951) 785-5222 (fax)