BROKER DOCUMENT REQUEST
Insured / project: [Business and project]
Work dates / state: [Dates and state]
Contract requirements reference: [Attachment or link]
Request contact / deadline: [Contact and date]

Documents requested:
[ ] Current certificate for the relevant policy period.
[ ] Required additional insured endorsement(s).
[ ] Required waiver endorsement(s).
[ ] Required primary/noncontributory evidence.
[ ] Declarations or schedule resolving [Specific coverage question].
[ ] Relevant exclusion or policy excerpt resolving [Specific scope question].
[ ] State fund or authorized exemption evidence where applicable.

Question for each open item: [Question and affected requirement]
Preferred secure submission route: [Upload link or email]
Unavailable document / alternative evidence: [Broker response]
Reviewer resolution and date: [Decision]