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Viewing file:     CertRequest-Butwin.doc (66 KB)      -rw-r--r--
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Great Neck, NY 11021
516-466-4200 ( HYPERLINK "../../index.htm"www.butwin.com 

fax  516-466-4213   no cover page needed


or exit, save and e-mail to  HYPERLINK "mailto:allstate@butwin.com" allstate@butwin.com 



CERTIFICATE OF INSURANCE 
REQUEST
All certificates are issued within 3 business hours

	
Press TAB to move to each field and type your response	
	
Client Name: FORMTEXT      DBA : FORMTEXT      Contact: FORMTEXT      For lookup purposes, please provide one of the following:Policy Number: FORMTEXT      Butwin ID Code: FORMTEXT      Client s Street Address: FORMTEXT      

Today s Date
 DATE  \@ "M/d/yyyy"  \* MERGEFORMAT 6/10/2010
Number of additional pages (if any):
 FORMTEXT      




Certificates should be sent to:
Provide e-mail address or fax number


 FORMCHECKBOX   Certificate Holder
 FORMTEXT      



 FORMCHECKBOX   Insured
 FORMTEXT      



 FORMCHECKBOX   Producer
 FORMTEXT      






Certificate Holder Name & Address
 FORMTEXT      


 FORMTEXT      


 FORMTEXT      


 FORMTEXT      




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 FORMTEXT      



Does Certificate Holder need to be listed as an Additional Insured?Should only be listed if specifically requested by certificate holder
 FORMCHECKBOX  Yes      FORMCHECKBOX  No



Are there any other Additional Insureds?  
 FORMCHECKBOX  Yes      FORMCHECKBOX  No

 FORMTEXT      	






		













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