Agribusiness

ACORD Forms and Insurance Applications

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What is Required / Forms Standard Acord Forms for reach  line of business requested New Submissions Requirements:
  • Complete ACORD Applications
  • Agribusiness Supplemental Underwriting Applications – when applicable (Ask your FCII Account Mgr.)
  • Statement of Property Values per location
  • Current Valued Loss Runs with a minimum of 3 years (5 years preferred)
  • Drivers list if auto or umbrella coverage is being quoted
If Available:
  • Workers Comp Experience Mod Worksheet
  • Copy of current policy or explanation of the type of coverage currently provided.
  • Expiring premium or target premium
Direction for Submissions Submit the above information to your Account Executive at least 30 days prior to expiration date to quote
Insurance Company Rating All Carriers are “A” Rated
Territory All States
Coverage Property – for Buildings, Personal Property, Computers, Mobile Equipment, Stock and Business Income. 
Company’s property form can include many optional coverages such as:
  • Pollutant Cleanup
  • Newly Acquired Buildings
  • Newly Acquired Mobile Equipment
  • Newly Acquired Computers
  • Accounts Receivable
  • Ordinance or Law-Increased Costs Property in Transit
General Liability – for Premises/Operations and Products Liability 
Commercial Auto 
Workers Compensation 
Commercial Umbrella 
Employment Practices Liability (EPL) Coverage
Cyber Security
ACORD Forms and Insurance Applications

Contact Us for more information about our services!