Certificate of Insurance Request

Your business insurance needs are our priority!

To request a certificate of insurance please call us at (516) 922-6500 or email us at info@brcinsurance.com with the following information:

  • Your Name​

  • Your Business Name

  • Contact Phone Number

  • Email to Receive the COI

  • Certificate Holder's Name

  • Certificate Holder's Address

    • Street Name and Number

    • City

    • State

    • Zip Code

  • Name of Additional Insureds and Insurance Interest (i.e., building owner, mortgage company)​

  • Any Additional Wording/Requirements (i.e., waiver of subrogation, primary & non-contributory

If you are requesting a certificate of insurance after hours, we will email you your certificate or contact you with further questions the next business morning.  Please note, our office hours are Monday-Friday from 8:30am-4:30pm. 

We thank you for allowing us to service your insurance needs!