PO Box 4177
Mooresville, NC 28117
800-317-6878 (toll free)
704-799-1600 (phone)
704-799-2955 (fax)


We aim to issue certificates the same day we receive your request, but ask that you allow 2 business days to receive your certificate.  If you have specific insurance specifications from your client, please provide that information as well by fax or email to cert@imcipls.com. 

Please note that a client cannot be named as an additional insured on a professional liability insurance certificate.
Only policy holders can request a certificate of Insurance.

Firm Name
Contact Name
Email Address (preferred)
The certificate is for a proposal only
   
Certificate Holder Information
Name:
To The Attention Of:
Address:
City:
State:
Zip:
Phone:
Fax:
Email: (preferred)
Project Name:
Special Instructions:
   
Delivery Method
Email copy to Certificate Holder
Fax copy to Certificate Holder
Mail Hard Copy to Certificate Holder
Mail a Hard Copy to me
Fax a copy to me
Email a copy to me