Applications & Checklist

Applications
Please see a brief list of Supplemental Applications listed below.
Please contact our office for additional applications pertaining to specialized risks.
Construction Applications
- WestPac Contractor Supplemental
- Builders Risk - Prior Start Supplemental Application
- Builders Risk - Reno Supplemental Application
- Builders Risk - Single Shot Supplemental Application
- Contractors Pollution Supplemental Application
- Developer Supplemental Application
- Environmental Supplemental Application
- Roofing Supplemental Application
- WRAP & Project Specific Supplemental Application
Property & Casualty Applications
- Cannabis Supplemental Application
- Day Care Supplemental Application
- Garage Supplemental Application
- Guides and Outfitters Supplemental Application
- Habitational Supplemental Application
- Hotel/Motel Supplemental Application
- Liquor Liability Supplemental Application
- Manufacturers Supplemental Application
- Miscellaneous Professional Liability
- Mobile Home Parks Supplemental Application
- Restaurant/Bar/Tavern Supplemental Application
- Security Guard Supplemental Application
- Special Events Supplemental Application
- Truckers Supplemental Application
- Vacant Land Supplemental Application
- Vacant Property Supplemental Application: Residential
- Vacant Property Supplemental Application: Commercial
Submission Checklist
Required Items
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Acord 125 and 126 forms for GL coverage. Include Acord Forms 131, 140, and 146 also required if Umbrella, Property and Inland Marine are needed. (Also send copies of underlying policies if Umbrella is needed)
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Supplemental Application – includes detailed descriptions of operations.
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5 Years Currently Valued Loss Runs
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Prior carrier history including effective and expiration dates.
Required Items
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Prior policy premium(s)
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Target premium for upcoming policy
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Copies of the insured’s current policies
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Company financials
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Resumes of company principles
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Detailed descriptions of any losses