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Thoroughbred Associates, Inc
"Professional Insurance Protection"


Located in Middletown, Ky. Thoroughbred Associates Inc. has serviced the insurance needs of businesses and residents in the Louisville, Ky. area since 1975. We represent competivite companies and have a staff of 12 licensed agents to give your policy the attention it deserves.

  • REQUEST INSURANCE CERTIFICATE
  • REQUEST PROOF OF INSURANCE
  • MAKE A POLICY PAYMENT
  • REPORT A CLAIM/CARRIER CLAIM #'s

    •  
    "Request Insurance Certificate"
    Online Order Form
    One Simple Form - takes only 2-3 Minutes!
    Your Personal Data

    Your Name
    Street Address:
    City:
    State:
    Zip/Postal:
    E-Mail (REQUIRED):
    Phone (REQUIRED):
    Fax: (Optional)
     
    Certificate Request Details
    (You Must Complete ALL Information Below)
     
    Your Policy Number:
     
    Location of Job/Project:
     
    Detailed Description of Job/Project:
     
    Which do you need? Certificate of Insurance ONLY
    -or-
    Certificate of Insurance WITH Additional Insured Endorsement
     
    Additional Wording Required? (If so, list here):
     
     
    Name and Address of Additional Insured:
     
    Coverage Requested: General Liability
    Workers Comp/DBL
    Auto
    Other
     
    Delivery Instructions:
    (If Faxing, fill in fax info in following question)    		 Mail to Certificate Holder
    Fax to Certificate Holder
    Fax to My Office
    Someone Will Pick Up ASAP
    Mail to My Office
     
    Fax Number Where
    Certificate Should be
    Faxed To:
     
    What is this party's insurable interest to you as named insured (i.e., landlord, permit, for job, etc.)
     
    What is the Additional Insured's relationship to job being performed? (i.e. Owner, managing agent, lessor, general contractor, etc.)

    Thank you for filling out this form COMPLETELY!

    We deem your data submitted as PRIVATE information. Every step has been taken to insure your privacy, security, and to release this information only to you. By checking the box below you agree to allow our agency to release this information via the method you have chosen, and to release them from any liability should this information be accidentally viewed by others. Also, the insurance carriers reserve the right to issue coverage or not, and we cannot guarantee acceptance of a risk until approved by the company.

    NOTE: IF THERE IS A CHARGE FOR YOUR CERTIFICATE, WE WILL CALL YOU FOR CREDIT CARD INFORMATION TO ORDER YOUR CERTIFICATE.

    Yes, Please Service My Account. I Understand that NO COVERAGE IS BOUND on insurance changes until confirmed IN WRITING BY OUR AGENCY.

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