Commercial Certificate of Insurance Request Form

  • Requestor Information

  • What is the requestor's first name?
  • What is the requestor's last name?
  • What is today's date?
    MM slash DD slash YYYY
  • What date do you need the certificate of insurance by?
    MM slash DD slash YYYY
  • What is the requestor's phone number?
  • What is the requestor's email address?
  • Please enter any special instructions in the box below.
  • Please upload applicable files here.
    Drop files here or
    Max. file size: 128 MB.
    • Certificate Holder's Information

    • Please enter the certificate holder's name. (Ie. Lender, lessor)
    • Please enter the certificate holder's loan number, if applicable.
    • What is the certificate holder's address?
    • Is there any special language that needs to be included on the certificate?
    • Delivery Method

    • What is the certificate holder's email address?
    • Please enter the certificate holder's fax number.
    • Please enter the address of the Unit Owner or Job Location.

    Danielle Rice





    As Director of Strategy and Engagement at Avery Insurance, Danielle serves as the bridge between carrier performance and client experience, aligning strategic vision with elevated service to create long-term value on both sides of the relationship. With over 20 years of commercial insurance expertise, Danielle is responsible for developing and managing high-level relationships with insurance carriers and the agency’s most elite clientele. In her role, Danielle plays a vital part in positioning Avery for sustained success in an evolving marketplace. She oversees carrier strategy, appetite alignment, portfolio performance, and contractual negotiations to ensure optimal placement and market access. Simultaneously, Danielle acts as a trusted advisor to several of Avery’s clients, delivering transformative risk solutions, strengthening long-term partnerships, and fulfilling the Avery Promise with every engagement. Danielle resides in Belmont, New Hampshire with her family. Outside the off


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