SCCQG Insurance Coordinator:
Pam Overton, or;   (310) 701-2706

SCCQG Insurance Coordinator Alternate: Sonia Das,; Home:  562-429-4477; Cell: 562-687-2304.  

Website for requesting certificates, policy info: (Insurance Certificate Request) . Please note that a number of the responses are "pull down" choices.  Please click on the arrow and select the appropriate response. Once submitted, you will receive an email from the insurance coordinator confirming receipt of your request and any documents that were sent.

NOTE:  Sending in your insurance fee DOES NOT automatically trigger the insurance certificate process.  You MUST complete an insurance certificate request (link above). 

For proof of insurance with additional insured certificates . . . Use the button at the top left corner of the form to attach a scan or pdf of your contract/agreement with the facility.  It will be sent to in a separate email.

Guild Membership Form: Please go to the membership page to access the membership form (Word and PDF formats).

SLIP Policy: SCCQG 2016-2017 Liability Evidence of Coverage - Summary

                   Southern CA Council SLIP Policy 2016-2017 - Full policy   

Requesting an insurance certificate?  Please use this Checklist:

  • Contact your facility to confirm: 
    • Whether they require an insurance certificate/proof of insurance
    • What type of certificate they require:
      • proof of insurance or 
      • proof of insurance with additional insured
    • Please don't guess!
  • If they require a proof of insurance with additional insured, email a PDF or scan of your contract/agreement to the and  No hard copies, please.  We can only accept electronic copies.
  • Send your insurance certificate fee check to the SCCQG Treasurer, Kennalee Mattson, 2329 Boone Avenue, Venice, CA 92391.  DO NOT send her anything other than the check.
  • If this is your first time using the insurance cert request form, please review the insurance instructions.  
  • Complete ALL information on the insurance cert request. Missing information will delay the process.