Farquhar & Black Insurance Agency, Inc.

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Certificate of Insurance Request

If you would like a new certificate of insurance, just complete this form.  We will try and have the certificate out to you and the certificate holder within the next hour or so. (During normal business hours!)  If you need it sooner, please note that on Page 3 of the form under Special Requirements

1I'm requesting a certificate for...
2The certificate holder is...
3They would like to receive it by...
  • Please tell us if they are requesting to be named as an additional insured; are requesting a waiver of subrogation or other special conditions
  • Accepted file types: pdf, docx, Max. file size: 39 MB.
    Although not required, if you have a pdf document outlining the certificate holders insurance requirements, please upload it here.

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Farquhar & Black Insurance Agency, Inc.
45 Traders Way, Bldg 10
Salem, MA 01970
Get directions
(781) 599-2200
info@fandbinsurance.com
Opening Hours
Monday 9:00 am – 5:00 pm
Tuesday 9:00 am – 5:00 pm
Wednesday 9:00 am – 5:00 pm
Thursday 9:00 am – 5:00 pm
Friday 9:00 am – 3:00 pm
Saturday Closed
Sunday Closed

Contact Us

Farquhar & Black Insurance Agency, Inc.
45 Traders Way, Bldg 10
Salem, MA 01970
Get directions
(781) 599-2200
info@fandbinsurance.com
Opening Hours
Monday 9:00 am – 5:00 pm
Tuesday 9:00 am – 5:00 pm
Wednesday 9:00 am – 5:00 pm
Thursday 9:00 am – 5:00 pm
Friday 9:00 am – 3:00 pm
Saturday Closed
Sunday Closed

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Fax: (781)581-3940

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Farquhar and Black Insurance Agency

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