COC Request Page Request for COC Municipality requesting COC:(Required)Brigham CityCedar CityCenterville CityDraper CityEnterpriseFarmington CityKanabLayton CityMapleton CityOgden CityOrem CityPark CitySpanish ForkWest BountifulWest Valley CityName(Required) First Last Contact Email address:(Required)PhoneName of Entity Requesting Certificate:(Required)Address of Entity Requesting Certificate:(Required)Purpose of coverage:(Required)Dated of requested coverage:(Required)Does the certificate holder need to be listed as Additional Insured?(Required)YesNoAdditional Persons Requesting Copy of Certificate FileMax. file size: 100 MB.Additional Information/Instructions:
