logo title /images/rImage/ritacrane7.jpg
logo bottom



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.

© Copyright 1997-2017, The County of Mendocino
501 Low Gap Road, Ukiah, CA 95482