Need proof of insurance? Certificate Request Tell us what you need and we’ll review the details and be in touch with next steps. Step 1 of 2 50% Disclaimer* I agree.This information is not an offer to sell insurance. Insurance coverage cannot be bound or changed via submission of this online form/application, e-mail, voicemail, facsimile, text, or social media platform. No binder, insurance policy, evidence of property coverage, change, addition, and/or deletion to insurance coverage goes into effect unless and until confirmed directly with a licensed agent. Note: any proposal of insurance we may present to you will be based upon the values developed and exposures to loss disclosed to us on this online form/application and/or in communications with us. All coverages are subject to the terms, conditions, and exclusions of the actual policy issued. Not all policies or coverages are available in every state. This website does not make any representations that coverage does or does not exist for any claim or loss, or type of claim or loss, under any policy. Whether coverage exists or does not exist for any claim or loss under any policy depends on the facts and circumstances involved in the claim or loss and all applicable policy wording. All claim determinations are made by the carriers not the agency. “Certificates are issued as a matter of information only and confer no rights upon the certificate holder. Any certificate issued does not amend, extend, or alter the coverage afforded by the insured policies.” Every effort will be made to respond to certificate requests by close of business on day request is received. Certificates requiring special verbiage or underwriting approval may take additional processing time. Furthermore, all agency certificates, binders, or evidence of coverage will be issued in compliance with Insurance Commissioners directive 11-EX-2. Coverage may not be amended by agency and is only a synopsis of that which is contained by the policy limits. Please contact our office at (706) 738-0411 to discuss specific coverage details and your insurance needs. To protect your privacy, please do not send us your confidential personal information by unprotected e-mail. Instead, discuss that personal information with us by phone or send it to us by secured fax at (706) 738-0371. Statements on this website as to polices and coverages and other content provide general information only and we provide no warranty as to their accuracy. Clients\prospects should consult with their licensed agent as to how these coverages pertain to their individual situation. Any hypertext links to other sites or vendors are provided as a convenience only. The agency has no control over those sites or vendors and cannot, therefore, endorse nor guarantee the accuracy of any information provided by those sites or the services provided by those vendors. Information provided on this website does not constitute professional advice. If you have legal, tax or financial planning questions, you should consult with a qualified professional such as an attorney. YOUR NAME First Last YOUR EMAIL* YOUR PHONE NUMBER*Information About the Certificate HolderCERTIFICATE HOLDER NAME*CERTIFICATE HOLDER MAILING ADDRESS* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code CERTIFICATE HOLDER EMAIL* Special InstructionsADDITIONAL DETAILS REGARDING YOUR REQUESTNameThis field is for validation purposes and should be left unchanged.