A Community Association Certificate Request Form
We will provide you with Certificates of General Liability and Property Insurance using the information below. Please allow a 24 to 48 hours for the Certificates of Insurance to be issued. Any questions please contact our office at 845-265-2220 Ext 126.
Reason for Certficate *
ISAOA / ATIMA
Closing Date (if applicable)
How shouled we Deliver the Certificate *
If you would like a Unit Owner's Quotation please complete the following additional information.
Additional Personal Information
Unit Owner's Date of Birth
submissions or payments made via this website do not constitute a
binding agreement to your policy or coverages. Changes and
payments to policies are not effective or binding until you, or any
party involved, receive official notice from either your insurance agent,
or your insurance company. If you have any questions, please feel free to
Per the terms of our
we will not resell your information to any third-party.