Certificate

Use the form below to request a Certificate of Insurance. After submitting this form, please Fax a copy of the insurance-relevant portion of the contract for which you are requesting this Certificate.

Your Name

Your Phone

Email Address


Name of Certificate Holder:

Attention:

Fax number -or- Email Address:

Certholder Address

Certholder City/State/Zip



Nature of the relationship with the certificate holder:

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A standard certificate of insurance will be issued with the following applicable coverages: general liability, automobile liability, workers' compensation, and umbrella.
If you require other than the standard coverages listed, please list below:
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Does the certificate holder need to be included as additional insured?
Yes     No
Any special wording or remarks:
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Note: Our procedure is to send the certificate directly to the certificate holder and we will email you an original as well for your records. If you would like this certificate handled in a different manner, please list below::

After submitting this form, please Fax a copy of the insurance-relevant portion of the contract for which you are requesting this Certificate.

 

Here When You Need Us

Hickok & Boardman, Inc.
PO Box 1064 Burlington, VT 05402 | 802.658.3500 | fax:802.658.0541
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Hickok & Boardman, Inc.

 

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Charlotte Benoit, CIC, CPIW

Charlotte Benoit can be reached at (802)383-1645.
Contact Charlotte for Billing, Construction-related Projects/Builder's Risk & Certificates of Insurance.

Charlotte joined Hickok & Boardman, Inc. in May of 2001. She has twenty eight years experience in the insurance industry. She is a licensed Property & Casualty Agent responsible for assisting in the administration of medium and large size account. Charlotte is a recent graduate of the Community College of Vermont and is currently working toward her Bachelor’s degree. She is a Licensed Property & Casualty Agent and holds the designations of Certified Insurance Counselor, Certified Professional Insurance Woman, and is a member of the National Association of Insurance Women.

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24/7 Claims Service

For Workers Compensation-related claims service, please call Cardinal Comp diretly. Or you can receive 24/7 Claims Support by dialing (802)658-3500, option 1.

But did you know that you can submit claims from the web? Select the Claims Reporting link and the type of claim you have. If you see something missing, let us know!

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Louise Harris, CPIW

Louise Harris can be reached at (802)383-1626.
Louise joined Hickok & Boardman, Inc. in August of 2008. She has over 25 years experience in the insurance industry, including experience at both the company and independent agency level. Louise also has experience working with Municipal Insurance, as her experience includes Senior Underwriter at the Vermont League of Cities and Towns. She is a licensed Property & Casualty Agent, and holds the designations of Chartered Property & Casualty Underwriter (CPCU), Associate in Risk Management (ARM) and Certified Professional Insurance Woman (CPIW).

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Amy Merritt, AAI, AU

Amy Merritt can be reached at (802)383-1657.
Contact Amy for Premium Allocation by Department information & Spreadsheet Schedules Maintenance assistance.

Amy joined Hickok & Boardman, Inc. in November 2004. Amy is a 2000 graduate of the University of Vermont and is a licensed insurance professional. Amy has been in the Property Casualty insurance industry for over five years. Amy holds the Accredited Advisor in Insurance (AAI) designation, Associate in Commercial Underwriting (AU) designation, and is currently pursing her Chartered Property and Casualty Underwriter (CPCU) designation.

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Prudy Barb, CPCU, CPIW

Prudy Barb can be reached at (802)383-1629.
Contact Prudy for any claims-related support.

Prudy joined Hickok & Boardman, Inc. in 1983 and has been a member of our Claims Department since that time. She is responsible for handling Commercial Property, Auto, Liability, and Workers Compensation claims. She is a licensed Property & Casualty Agent. In 1988 she obtained her Certified Professional Insurance Woman (CPIW) designation and in 1989 she obtained her CPCU. She is a member of the Vermont Chapter of CPCU and The National Association of Insurance Women. She has taken various Commercial Insurance Courses for continuing education.

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Christine Morse

Christine Morse can be reached at (802)383-1641.

Christine joined Hickok & Boardman, Inc. in 2000 with our Claims Department but has been working in the Insurance field since 1985 in Sales, Marketing and Customer Service positions. She is responsible for handling Personal Property, Auto, and Liability claims and as a Secondary Contact for Commercial Claims. She is a licensed Property & Casualty Agent and takes pride handling each call with a smile.

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