Bob's Discount Furniture - Request COI
Request a Certificate of Insurance
If your building requires a Certificate of Insurance for deliveries, complete this form
72 hours before the scheduled delivery date
. Once submitted, we will process and send the completed Certificate of Insurance to the building as provided on the form.
Requests received less than 72 hours before a scheduled delivery date may cause delays in the delivery. To avoid delays, follow these tips:
A scheduled delivery date is required before making a request
If the delivery date changes, submit a new request
Ask for guidance from the Landlord or the building property management to ensure all information is correct
Requests are processed Monday through Friday, during normal business hours
For assistance with delivery dates, please contact
Customer Support
Customer / Delivery Details:
Please enter the
Scheduled Delivery Date
You must have a scheduled delivery date in order to request a Certificate of Insurance. IF THE DELIVERY DATE CHANGES after a request has been submitted, a new request is required
Customer
Email
The email address associated with this order
Customer
Name
The name of the customer on this delivery order
Customer
Order #
The order number can be located on communications about the order
Customer
Mobile Phone #
Numeric value only
Customer ID #
Numeric value only
Delivery
Address
The street address for the delivery
Delivery Address Line 2
Example: Apt #, Suite #
Delivery
City
Delivery
State
2-letter state abbreviation
Delivery
Zip
Code
Numeric value only
Certificate Holder Details:
Certificate
Holder
Please obtain this information from the building. The Certificate Holder is typically the landlord or property management company requiring the Certificate of Insurance
Certificate Holder
Address
Certificate Holder Address Line 2
Certificate Holder
City
Certificate Holder
State
2-letter state abbreviation
Certificate Holder
Zip
Code
Numeric value only
Additional Insured
Include any parties requesting to be listed as additional insured on the Certificate of Insurance
Building Contact Details:
Landlord or
Building Email Address(s)
The completed Certificate of Insurance will be sent via email or fax. Please include ALL email addresses that need a copy, separated by a semicolon (Example:
[email protected]
;
[email protected]
)
Landlord or
Building Phone #
Numeric value only
Landlord or Building Fax #
Numeric value only
Upload a file(s)
Upload other PDF documents required by the property (Example: hold harmless agreement)
Drag and drop or browse files to upload
Comments
Submit COI Request
Submit COI Request