Certificate Request / Additional Insured Endorsement

Please be advised that if you request an additional insured endorsement, our office may contact you as there may be an additional charge by the insurance company for additional insured endorsements. Please also note that the additional insured endorsement may take a few days to be issued by the insurance carrier.

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Certificate Request / Insured Endorsement Form

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Lukmar Insurance Services

8041 Foothill Blvd. Suite A

Sunland, CA 91040

License Number: 0A83698

Phone Number: (800) 555-6440

Fax Number: (818) 951-9551

General Inquiries: info@lukmar.com

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(800) 555-6440

License #: 0A83698