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