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Friday 12/19/2014
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 Certificate of Insurance Request

If your Department is in need of proof of the County's insurance coverage, please contact Risk Management.

If your Department needs to have the County add a facility, organization, etc.. to the County's Insurance please fill out the following form: Certificate of Insurance Request Form   Return this form and a copy of the rental agreement to Risk Management for processing of the Insurance Certificate.

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501 Low Gap Road, Ukiah, CA 95482