Certificate and Additional Insured Request Form
For Additional Insured(s) to be added to your policy or if you just need a Certificate of Insurance fill out the form below. If you have any questions e-mail: csr@whitneyoaksinsurance.com or call: 916-415-1930 .
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Email *
Whitney Oaks Insurance Insured/Client Business Name: *
If you  have a policy with Whitney Oaks Insurance enter your company name below.
Type of Work to be done: *
Select all that apply for Commercial or Residential Work to be done.
Required
New Residential Work and Roofing:
Enter the type work to be done for Brand-New Condos/Town Homes, Apartment, Track-Homes, From the Ground Up Residential Buildings etc. 

WARNING: Some Policies EXCLUDE New-Residential Work. Please contact your agent if you plan on doing work on any New Residential Work.

WARNING: Stand-alone Roofing and Roof-related work. Please talked to your Agent first if your Job involves roof-work of any kind if your policy doesn't explicitly cover it. Your policy potentially might NOT provide coverage.  
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