A certificate of insurance validates the existence of an insurance policy. It may be issued by the University or an insurance agent or broker. A certificate of insurance should include the following:

  • Name of the insurance company and policy number
  • 政策周期
  • 被保险人名称及地址
  • 承保范围说明
  • 操作的描述和地点
  • 证书持有人的姓名和地址
  • 政策的限制
  • 取消条款通知
  • Authorized signature and date

证书 to Other Parties

University groups using non-University facilities are often required to furnish a certificate of insurance evidencing the existence of insurance coverage by the University. To request a certificate of insurance, complete the 申请保险证明书表格 (PDF) and send it to the Office of 风险管理 & 安全. Be sure your information includes the name and address of the party requesting it, the purpose of 肖尼 State University's use, and the dates for which coverage is required.


When others are contractually required to provide the University with a certificate of insurance, a copy of the certificate should be sent to the relevant department and to the Office of 风险管理.