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) . Once submitted, you will receive an email from the insurance coordinator confirming receipt of your request and any documents that were sent.

PLEASE NOTE: For proof of insurance with additional insured certificates . . . Please scroll to the bottom 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   (available soon)

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.