The Lundgren Management Group - Property Management Services

Request an Insurance Certificate

To request a condominium master policy certificate, sometimes referred to as an insurance binder or declaration page, please complete the questionnaire below and select a delivery option(s).

All fields marked with an asterisk * are required.

What is the name of your condominium? *

What is the name of the unit owner or the name of the buyer if certificate is for a sale?*

What is the street address of the unit (Include unit number if applicable)?*

What is the city where the unit is located?*

If requested by a lending institution, what is the exact mortgagee clause they require? Please contact your lender for more information.

If your lender has issued you a loan number, what is the loan number?

How would you like the certificate delivered to you?*	Fax	Email

What is the fax number?

What is the email address?*

What is your name?*

What is your daytime telephone number?*

The Lundgren Management Group Incorporated • 121 Captain's Row • Chelsea, MA 02150 • (617) 887-3333