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Certificate will be delivered as soon as information is verified.

Certificate of Insurance Request

 Insured Information
 Insured Name  
 dba or Business Name  
 Policy Number  
 Certificate Information
 Certificate Holder Name  
 Certificate Holder Street Address  
 Certificate Holder Street Address  
 Certificate Holder City, State, Zip  
 Certificate Holder Phone Numbers  Voice    Fax
 Is Certificate Holder requesting to be named an additional insured?  
 How do you want certificate delivered?  

 


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For information about Cassidy Insurance please contact:
Swampscott Office:
Tara Cassidy-Driscoll
Colleen Jordan
Dorothia Zolotas
Connie Callahan
Carolann George
Gamal Jacob
Danvers Office:
F.J. Cassidy
Patrick Cranney
Janet Nichols
Marie Stanley
Jennifer Desimone
Debra Thomas-Savage Bob Cook
Russ Fravel