A Certificate of Insurance is a document that evidences specific insurance coverage.  The Certificate provides verification of the insurance and contains information on an insured's policies including; limits of coverage, insurance company name, policy number, named insured, additional insured, the policy effective/term dates, etc.  A certificate is provided to third parties who require it in the course of doing business with the insured party.

Certificates are usually requested by opposite parties in an agreement, contract, or transaction to make certain the other party has the appropriate insurance coverage.

The College's insurance requirements for third parties can be found by clicking here. However, the requirements are subject to change depending on the scope of work. If you have any questions, please contact Risk Management. Ithaca College requires a Certificate of Insurance when the College contracts with an outside party.

There will be times when College departments are required to provide a Certificate of Insurance to a third party for an off-campus event or activity.

Please complete the Certificate of Insurance Request Form below at least 10 days prior to the scheduled event.

Student Film Shoots

DO NOT USE THIS FORM FOR A CERTIFICATE OF INSURANCE (COI) FOR A STUDENT FILM SHOOT/MEDIA PRODUCTION.

Risk Management can issue a COI only when a specific request is made by the location owner/manager and when the following steps are completed, in this order. 

  1. Complete the Student Film Shoot Request Form and submit.  
  2. Faculty/Professor will review the form and approve or decline it to move forward, they may provide additional guidance or requirements for you.
  3. Next the Dean's Office will review your form.  If there are any documents from the entity related to your shoot such as; specific written insurance requirements, agreements or contracts these must be uploaded with your form.  Please note that students are not permitted to sign certain documents on behalf of the College.
  4. Office of Risk Management will issue a COI, when appropriate, and when the above process is completed. Please do not offer to provide evidence of insurance to any locations, a COI is only provided when specifically required by a location owner/manager and only after certain requirements are met.