Applications and Forms

• Online Raters
• Union General
• New Commercial Producer
• New Trucking Producer
• ACORD
• American Reliable + American Bankers
• Aegis
• Burlington
• Capitol Indemnity Corporation
• CBIC
• Chubb

• First Financial
• International Catastrophe Insurance Managers
• Lexington Insurance Company
• Lloyd's of London
• Maxum Indemnity
• Northland
• Scottsdale
• Topa
• Travelers
• Travelers Auto Forms
• Voyager
• Generic

Online Raters

1. Aegis Security Mobile/Manufactured Home
2. Direct Insured Billing System (D.I.B.S.) for the Aegis Security Mobile/Manufactured Home Program
3. American Reliable Dwelling Fire Online Rating and Underwriting System
4. American Reliable Homeowner and California and Washington Mobile/Manufactured Home Online Rating and Underwriting System
5. Lloyd's of London Assisted Living Facility Online Application & Submission
6. Scottsdale Insurance Company Programs

Union General

1. New Agent
2. Producer Information Form
3. Producer's Agreement
4. Request for Taxpayer Identification (IRS W-9)

New Commercial Producer

1. Prospective Commercial Producer Questionnaire

New Trucking Producer

1. Prospective Truck Producer "Welcome Letter"
2. Prospective Trucking Producer Questionnaire

ACORD

1. ACORD Commercial Insurance 125
2. ACORD Property 140
3. ACORD General Commercial Liability 126-S
4. ACORD Umbrella 131-S
5. ACORD Dwelling Fire - 84
6. ACORD Flood
7. ACORD Homeowner 80
8. ACORD Property Loss Notice 1
9. ACORD General Liability Claim 3
10. ACORD Certificate of Liability Insurance 25
11. ACORD Cancellation Request/Release 35
12. ACORD Equipment Floater 146
13. ACORD Commercial Policy Change Request 175

American Reliable + American Bankers

1. American Bankers Equine Farm and Ranch Application
2. American Reliable Bed and Breakfast
3. American Reliable Bed and Breakfast Terrorism Form
4. American Reliable Dwelling Fire
5. American Reliable Farm and Ranch Application
6. American Reliable California Mobile Home
7. American Reliable HO-4 Tenants (Personal Property) Package
8. American Reliable Homeowner
9. American Reliable Condominium Homeowner (HO6)
10. American Reliable Mobile Home
11. American Reliable Personal Watercraft
12. American Reliable Traveler
13. American Reliable Woodburning Stove Inspection
14. American Reliable Watercraft

Aegis

1. Aegis Mobile Home
2. Aegis Mobile Home Property Disclosure Form
3. Aegis Travel Trailer

Burlington

1. Burlington Restaurant/Bar/Tavern Supplemental
2. Burlington Contractor Supplement (BG-C-07)
3. Burlington Farm Liability Supplemental
4. Burlington - Liquor Supplement
5. Burlington Special Event

Capitol Indemnity Corporation

1. Capitol Swim Club, Swim and Water Polo Teams, and Swim Schools Questionnaire
2. Non-Profit D&O Application Capitol Swim Club, Swim and Water Polo Teams, and Swim Schools
3. Platte River Accident & Health Application
4. Capitol Apartment Supplement
5. Capitol Beauty, Barber, & Body Program Supplement
6. Capitol Childcare Supplement
7. Capitol Liquor Liability Supplement
8. Capitol Restaurant & Tavern Supplement
9. Capitol Hotel/Motel Supplement

CBIC

1. CBIC Contractor's License and Miscellaneous Bond Application
2. CBIC Janitorial Bond Application
3. CBIC Contrac Pac - California Class Descriptions
4. CBIC Contrac Pac - Application
5. CBIC GC New Home Builders or Remodelers - Application
6. CBIC Contractor Optional Coverages - Application
7. CBIC Contrac Pac - Renewal Application
8. CBIC Contrac Pac - California Ineligible Operations/Classes
9. CBIC Contrac Pac - California Eligibility Requirements

Chubb

1. Chubb Homeowner's Supplemental
2. Chubb Homeowner's Coverage Comparison
3. Chubb Homeowner Flyer

First Financial

1. First Financial - Liquor Supplement

International Catastrophe Insurance Managers

1. ICAT - Commercial Earthquake Application

Lexington Insurance Company

1. Lexington Homeowner Supplemental Application in Conjunction with the ACORD 80
2. Lexington Homeowner Application
3. Lexington Older Home Questionnaire (home older than 25 years)
4. Lexington Questionnaire for Named Applicants that are "Estate of"
5. Lexington Questionnaire for Pets

Lloyd's of London

1. Lloyd's of London - Assisted Living Facility Application
2. Lloyd's of London - Nursing Home Application

Maxum Indemnity

1. Maxum Bed & Breakfast Supplement
2. Maxum Contractors Supplement
3. Maxum Day Care Center Supplement
4. Maxum Exercise & Health Club Supplement
5. Maxum Health Care Facility Application
6. Maxum Hotels & Motels Supplement
7. Maxum Logging and Lumbering Supplement
8. Maxum Mobile Home Parks Supplement
9. Maxum Restaurant, Bar, & Tavern Supplement
10. Maxum Special Event Application
11. Maxum Swimming Pool Supplement
12. Maxum Vacant Building Supplement
13. Maxum Vacant Land Supplement
14. Maxum Welders Supplement

Northland

1. Northland Truck Application
2. Northfield Health Care Facility
3. Northland Builder's Risk
4. Northland Business Auto
5. Northland Residential Property Application Supplement
6. Northland Public Auto
7. Northland California Public Transportation GL Supplement
8. Northland Public Auto- Hired Auto Liability Supplement
9. Northland Public Auto- Hired Auto Physical Damage Supplement
10. Northland Public Auto- Non-Owned Auto Supplement
11. Northland California Rejection or Selection of Uninsured Motorists
12. Northland Annual Automobile Safety Inspection Report
13. Northland Commercial Driver Employment History
14. Northland Insurance Application for Commercial Auto Genenral Liability Supplement

Scottsdale

1. Scottsdale Adult Day Care
2. Scottsdale Alarm, Fire Extinguisher & Fire Protection Systems Installation, Servicing or Repair GL
3. Scottsdale Amusement Program
4. Scottsdale Bar and Restaurant
5. Scottsdale Barber Shop and Beauty Salon
6. Scottsdale Condominium or Homeowners Association GL
7. Scottsdale Dwelling Fire
8. Scottsdale Dwelling Liability
9. Scottsdale Event/Party Planners & Coordinators
10. Scottsdale Exercise and Health Studio
11. Scottsdale Exterminator
12. Scottsdale Habitational
13. Scottsdale Halfway House GL & Professional Liability
14. Scottsdale Homeowners
15. Scottsdale Janitorial
16. Scottsdale Liquor Liability
17. Scottsdale Martial Arts
18. Scottsdale Medical Statement
19. Scottsdale Mobile Home Park
20. Scottsdale Motel
21. Scottsdale Nursery and Preschool
22. Scottsdale Security Guards & Related Operations
23. Scottsdale Swimming Pool Maintenance and Management
24. Scottsdale Tanning Salon
25. Scottsdale Truckers-Warehouse Program Supplemental
26. Scottsdale Personal Umbrella
27. Scottsdale Personal Umbrella Rates for Indication Purposes Only
28. Scottsdale Personal Umbrella Renewal Application
29. Scottsdale Welding, Brazing, & Cutting
30. Scottsdale Insurance Commercial Auto
31. Scottsdale Insurance Monoline Cargo
32. Scottsdale Insurance & Indemnity Cargo Supplemental
33. Scottsdale Indemnity Commercial Auto
34. Scottsdale Indemnity Monoline Cargo

Topa

1. Topa C.O.C. Questionaire
2. Topa Commercial Auto
3. Topa Comprehensive Personal Liability
4. Topa Fire Dwelling
5. Topa Garage Package Underwriting Guidelines
6. Topa Garage Supplemental
7. Topa Homeowners
8. Topa Dwelling Fire/Homeowner Supplement in Conjunction with the Acord 84/80 Application
9. Topa Limited Water Damage Acc/Reject. Form
10. Topa Home Business Supplement
11. Topa Personal Umbrella

Travelers

1. Homeowner Acord 80 Application
2. Travelers Replacement Cost Supplement (mandatory for every submission)
3. Acord CA Residential Disclosure Form
4. Acord Earthquake Form
5. Travelers Supplemental Heating Device Form

Travelers Auto Forms - Auto Must Be Written In Conjunction With Homeowners

1. Personal Auto Acord Application
2. CA Auto Acord Supplement (mandatory for every submission)
3. Named Driver Exclusion Form
4. Travelers CA Accident and Loss Detail Form (required if any accidents and/or loss history)
5. Good Student/Driver Training Acord Form

Voyager

1. Voyager Indemnity Bed and Breakfast
2. Voyager Indemnity Bed and Breakfast Terrorism Form

Generic

1. SL-2 Diligent Search
2. D-1 Insurer Not In California
3. Generic Supplemental Building
4. Generic Wood Stove