Certificates of Insurance / Proof of Insurance

Exchanging proof of insurance is a common step in the contracting process. A Certificate of Insurance is a document obtainable by request from your insurance company as proof to a third party that your institution is insured.

Exchanging proof of insurance is a common step in the contracting process. A Certificate of Insurance is a document obtainable by request from your insurance company as proof to a third party that your institution is insured. This document lists all of the information required to file a claim in the event of an accident or injury: the name of the insured, the policy numbers, the type of coverage, and the limits on coverage.

Submit Request for Certificate of Insurance

The Office of Risk Management manages the commercial insurance portfolio for the four private colleges within the Five College Consortium: Amherst, Hampshire, Mount Holyoke and Smith. Upon filling out the form below, your request for a certificate of insurance will be sent to the appropriate contact, and a certificate will be issued to the parties specified. If you have any difficulties, our office can be reached at  by email at riskmgmt@mtholyoke.edu.

Requester Details

Certificate of Insurance Details

Type of Coverage
Please note that if you check the boxes for both Liquor Liability and General Liability, you will receive a single Certificate of insurance with information regarding both lines of coverage.
Please enter the name of the event for which you are requesting coverage.

Contractor Details

The questions in this section pertain to the entity or individual you are contracting with. This is the party that requires the Certificate of Insurance.
Contractor Address

Contact Information

Please provide the information of your contact with the third party (typically the person who asked for you to provide proof of insurance, unless another name was specified).