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Need an app? Check out what is available on line and if you do not see what you need, all you have to do is call us. For general liability risks please use acord forms. When submitting risks please send the acord general information section along with the specific app as required.
All of the following downloadable files require Adobe Acrobat Reader to open. Click here if you need Acrobat Reader.
Human Services Package Program(Including Assisted Living Facilities)
- Package details Download
- Group Residential Facility Questionnaire Download
- Abuse/Molestation Questionnaire Download
- Auto Questionnaire Download
- Other classes of business - please contact us for applications
Miscellaneous Healthcare Facilities Program
Commercial General/Products Liability
- Applicant Information and General Liability applications with complete description of operations,
and supplement, if applicable.
- Product Liability Application Download
- Repair and Service Operations Supplemental Download
- Trailer Manufacturer Supplemental Download
- Skateboard / Inline Skating Parks Supplemental Download
Umbrella Liability
Acord Applicant Information, General Liability and Umbrella applications with complete description of operations.
Property-Inland Marine
Acord application
Earthquake Download
In house quoting, binding, policy issuance. Security is 100% Lloyds.
Limits to $7,500,000. All ages and construction types.
Management Liability
Including D&O, EPL, and Fiduciary (For Profit and Not For Profit)
Employment Practices Liability
Professional/Errors & Omissions Liability
- Miscellaneous Errors & Omissions Download
Coverage Highlights/Recently Written Risks Download
Examples of specific business types typically considered Download
Loss Scenarios Download
- Miscellaneous Medical Professional Liability Download
- Professional/General Liability--Counseling Centers, Therapy Centers and Individual Professionals Download
- Professional Liabilty--Physicians and Surgeons Download
- Supplemental Application--Consultants (to be used in conjunctions with the Misc. E&O Application) Download
Architects & Engineers Professional Liability Download
Coverage Highlights Download
Loss Scenarios Download
Multimedia Liability Coverage Download
Books, Newspapers, Magazines, Broadcasting, etc.
Technology Package Application Download
Technology Errors & Omissions Application Download
Coverage Highlights/Recently Written Risks Download
Examples of specific business types typically considered Download
Contractors Liability Application Download
Artisan Contractors Liability Application Download
- Roofing Contractor Supplemental Download
- Millwright/Rigger Supplemental Download
The above applications/supplements are to be used in conjunction with Acord Applications/5 year currently valued loss runs.
Environmental Liability--Pollution Liability
- Contractors Pollution Liability Application Download
- Supplemental Environmenatal Automobile Liability Application Download
- Environmental Contractors Liability Package Download
- Environmental Contractors Liability/Pollution Legal Package Download
- Pollution Legal Liability Application Download
- Environmental Engineers & Consultants Professional Liability Download
Railroad Protective Liability Download
Special Event/Spectator Liability Download
Liquor Liability
- Main Form application Download
- Supplemental application--Special Events Liquor Liability Download
- Supplemental application--Caterers/Function Hall Liquor Liability Download
- Multi-location supplement Download
Security Guard/Patrol Download
Guides & Outfitters Download
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