Applications
Please note that these applications can be used to send to any of our companies, not just the one that is listed on the application.
If you cannot find the application you are looking for or are unsure about which one to use, please contact Chris Carter.
Flexible Insurance Packages
AIG Special Risk Protector | Specialty Professional Liability, Cyber, Media Content, Publishers & Broadcasters, Employed Lawyers and Reputation Guard |
AIG PrivateEdge Plus | D&O, EPL, Fiduciary, Fidelity, Misc. Professional Liability, Lawyer Professional Liability, Kidnap and Ransom/Extortion Insurance |
AIG Commercial Foreign Risk | Foreign Commercial General Liability, Foreign Travel, Accident & Sickness, Foreign Comp, Foreign Business Automobile Liability, Kidnap & Ransom/Extortion Insurance. |
Chubb ForeFront Portfolio | For private companies with up to 250 employees D&O, EPL, Fiduciary, Crime, Kidnap/Ransom and Extortion, Worldplace Violence Expense, Misc. Professional Liability, Internet Liability |
Chubb ForeFront Portfolio | For Not-For-Profit Organizations with up to 500 employees D&O, EPL, Fiduciary, Crime, Kidnap/Ransom and Extortion |
Chubb ForeFront Portfolio | For Not-For-Profit Organizations with more than 500 employees D&O, EPL, Fiduciary, Crime, Kidnap/Ransom and Extortion |
Directors & Officers Liability
AIG PrivateEdge Plus Application | D&O and Private Company Liability Insurance including Employment Practices and Security Liability |
USLI Application | Corporate D&O Liability and Employment Practices |
Great American Application | D&O Liability for Community Associations |
PGU Application | D&O for School Leaders |
NFP Great American Application | Not-For-Profit D&O for Community and Flying Associations |
Professional Liability (E&O)
AIG Application | Miscellaneous E&O |
Hiscox Application | Architects, Engineers and Construction Managers E&O |
U.S. Risk Application | Insurance Professionals E&O |
Hiscox Application | E&O - Miscellaneous |
USLI Application | Specified Professions E&O |
USLI Application | Technology Related E&O |
Crime/Fidelity
AIG Application | Commercial and Governmental Crime |
Great American Application | Community Association Crime |
Great American Application | Commercial Crime |
Internet Coverages
AIG CyberEdge | Cyber Insurance |
AIG CyberEdge Supplemental Application | CyberEdge Supplemental |
Cyber Security by Chubb | Cyber Security |
Safety'Net by Chubb | Short Form Internet Liability Insurance |
Media Guard by Chubb | Internet Liability |
Fiduciary
Great American Application | Fiduciary Liability Insurance |
Zurich Application | Fiduciary Liability for Claims-Made Coverage |
Bonds
Bond Application | Multi-Purpose Bond |
ERISA Bond | ERISA Bond |
Environmental Coverages
AIG Pollution Application | Commercial Pollution Legal Liability for Claims-Made Policy |
AIG Pollution Legal Liability Storage Tank Supplemental Application | Storage Tank |
Chubb Premise Pollution Liability | Premise or Site Liability for either a Claims Made or Occurrence form Policy |
Chubb Premises Pollution Liability Portfolio Package | Site including Tank Liability Pollution Policy | Chubb Storage Tank Liability Application | Storage Tank Liability |
Chubb Environmental Liability | Commercial EIL Policy |
Chubb TankSafe Application | Storage Tank | AIG Pollution Legal Liability Application | Site or Premise Pollution Policy | AIG Contractors Pollution Liability | Contractors Pollution Policy | AIG Storage Tank Liability | Storage Tank Liability |
Flood Application | Excess Flood Insurance |
Miscellaneous
USLI Application | Special Event Product |
FBO Application | FBO Application to be included with Aviation Worker's Compensation |
Drone/UAV Application | Unmannned Aircraft Coverage |
Accord Apps
Accord 125 | Commercial Insurance |
Accord 126 | General Liability |
Accord 130 | Worker's Compensation |
Accord 131 | Umbrella |
Accord 141 | Crime |