Login Multimodal | Crossing Borders to Deliver Excellence

REQUEST FOR CERTIFICATE OF INSURANCE

Certificate Holder Company Name:*

Free Text

Certificate Holder Address

Address Line 1:*

Address Line 2:*

City:*

State:

Zip Code:*

Phone #:*

Fax #:*

Free Text

Individual Requesting Certificate of Insurance

First:*

Last:*

Email:*

How would you like the COI to be submitted to your organization?:*

Standard mail using address above

Email listed above

Fax listed above

Do you have any specific insurance requirements? (ie. Listed as Additional Insured, Cargo greater than 100k, or General Liability beyond 1MM):*

Yes

Please list any special requirements you may have.:

Free Text

Login Multimodal's typicall turn around time is same day or next business day. (Depending when the request was made.) Please note that any special requirements may delay the process slightly. One of our customer account managers will reach out to you personally to discuss any of your special requirements.

With a synergy of over 200 years of combined expertise, our team's knowledge of the evolving transportation environment allows us to prepare our customers for tomorrow's business demands.

Quick Links

Contact

877-261-6367 info@loginmultimodal.com

Corporate Office

254 Chapman Rd.,

Suite #208 #5443

Newark, DE 19702

Branch Office

2211 E. Missouri Ave

Suite #221

El Paso, TX 79903