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Harwood & Son Insurance
Certificate Request

Certificate of Insurance

Insured Information
Insured Name:
Policy Number:
Insured Phone Number:
Certificate Information
Name of Company or Certificate Holder:
Job Reference Number:
Certificate Holder Street Address:
City:
State: Zip:
Certificate Holder Email Address:
Certificate Holder Fax:
(include area code)
Requesters Information
Your Name:
Contact Email Address:
Handling Method:
(if other, please describe in comments area below)
Required Coverages
Please provide copy of insurance
requirements of contract:
Auto
Umbrella
General Liability
Equipment
Workers' Compensation
Builders Risk
General Liability Description:
Need Endorsements for Waiver of Subrogation:
Yes No
Need Endorsements for Primary Wording:
Yes No
Additional Insured:
Yes No
Loss Payee:
Yes No
Mortgagee:
Yes No
Comments or Other Instructions

By submitting this form you understand that no coverage is bound until you receive written notice. Changes to policies via this website are not effective or binding until you, or any party involved, receive official notification from your insurance agent, or your insurance company. If you have any questions, please feel free to contact us.

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"While Harwood and Son insured us through some of the biggest underwriters in the country, they also provided a personal level of service only found in a smaller, local business“ – Brian Ullrich, Walk2Campus

"...Their service and handling of claims have been outstanding, and they've always been there for us.  We have been approached by many competitors over the years, but never found any justification or reason to leave Harwood & Son...." - Glenn Culley, CFO Hampden-Sydney College

"Scott Harwood Jr is like family to us. He puts our interests ahead of his own and makes sure we have the best coverage available. The Harwood Agency is the most honest, hardworking and competent insurance agencies we've ever worked with"    -    Parker Terry, Putney Mechanical Company, Inc.

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Risk Assessment and Insurance Management For Over 150 Years!

PO Box 306
1404 South Main
Farmville, VA 23901
Phone: 434-392-5405
Email: info@harwoodins.com


 



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