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Certificate of Insurance Request

The official Mendocino County website has a new home! Please visit:

The content here is no longer updated and will soon redirect to the new site.

If your Department is in need of proof of the County's insurance coverage, please contact Risk Management.

If your Department needs to have the County add a facility, organization, etc.. to the County's Insurance please fill out the following form: Certificate of Insurance Request Form   Return this form and a copy of the rental agreement to Risk Management for processing of the Insurance Certificate.

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501 Low Gap Road, Ukiah, CA 95482