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Business Insurance
Lines of Business
Commercial Property/Package (BOP)
Inland Marine
Commercial General Liability
Workers Compensation
Umbrella / Excess Liability
Cyber Security (First & Third Party Coverage)
Employment Practice Liability (EPLI)
Directors & Officers Liability (D&O)
Errors & Omissions (E&O)
Bonds Surety & Fidelity
Alternative Risk
Resource Center
Claims
Programs
Hiscox Small Business Instant Quote
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Target Market
Truck and Truck Fleets
Truck and
T
ruck
F
leets
ACORD Forms and Insurance Applications
Select
Commercial App (ACORD 125)
ACE D&O and EPL Application
ACE Small Business Application
ACE Cyber Privacy Renewal Application
ACE Cyber Privacy Renewal Warrants Application
ACE Digitech Application
ACE Digitech Warrants Application
ACE Educators Legal Liability
ACE Educators Legal Liability Application
ACE Educators Legal Liability Warrants Application
ACE Environmental Contractors & Consultants Application
ACE Express Umbrella Application
ACE Family Dwelling Supplemental Application
ACE Misc Professional Liability Application
ACE Misc Professional Liability Renewal Application
ACE Misc Professional Liability Warrants Application
ACE Non-Environmental Contractors Application
ACE Non Profit Organization Management Indemnity Package Application
ACE Non Profit Organization Management Indemnity Package Renewal Application
ACE Non Profit Organization Management Indemnity Package Warrants Application
ACE Private Company Management Indemnity Package Application
ACE Private Company Management Indemnity Package Application - Florida
ACE Private Company Management Indemnity Package Renewal Application
ACE Public Entity Liability Application
ACE Public Entity Renewal Application
ACE Public Entity Warrants Application
ACE Restoration Contractor Application
ACE Storage Tank Liability Application
ACE Storage Tank Liability UST Worksheet
ACE Storage Tank Liability Worksheet
ACE Vacant Building Application
ACE Vacant Land Application
Agent/Broker of Record Change ACORD 36
BOP Business Owners Section ACORD 160
Builders Risk New Construction Supplemental
Business Auto ACORD 127
Business Auto ACORD 137 - FL
Business Auto ACORD 137 – GA
Business Auto ACORD 137 – NJ
Business Auto ACORD 137 – NC
Business Auto ACORD 137 – NY
Business Auto ACORD 137 – PA
Business Auto ACORD 137 – SC
Business Auto ACORD 137 – TX
Business Auto ACORD 137 – VA
CNA Fast-Track Prequal Application - Bonds
CNA Fast-Track Application - Bonds
CNA Surety Dishonesty Bond Application
Commercial Fire (ACORD 68 – NJ)
Commercial GL (ACORD 126)
Commercial Property (ACORD 140)
Commercial Umbrella Excess (ACORD 131)
Contractors Questionnaire
Crime Section (ACORD 141)
Designation of Insurance ACORD 133 – NJ
Driver Schedule ACORD 163
Employee Leasing ACORD 135 – NJ
EPLI Application
EPLI Quick Quote
Equipment Floater ACORD 146
Garage & Dealers ACORD 138 - FL
Garage & Dealers ACORD 138 – GA
Garage & Dealers ACORD 138 – NC
Garage & Dealers ACORD 138 – NJ
Garage & Dealers ACORD 138 – NY
Garage & Dealers ACORD 138 – PA
Garage & Dealers ACORD 138 – SC
Garage & Dealers ACORD 138 – TX
Garage Supplemental Application
Lessor's Risk Only Application
Liquor Liability Application 2016
Navigators Life Sciences New Business Application
Navigators Life Sciences Renewal Application
Notice of Election ACORD 134 – NJ
Religious Institution Application
Restaurant/Tavern Supplemental ACORD 185
Roofing Supplemental Application
Truckers (ACORD 132)
Truckers ACORD 136 – NJ
Vehicle Schedule (ACORD 129)
WC (ACORD 130 – All States)
WC (ACORD 130 – FL)
Westchester Liquor Liability Application 2016
Target Market
Agribusiness
Energy Accounts
Farm & Ranch
Religious and Non-Profits
Transportation
Alternative Risk
Contact Us
for more information about our services!
What is Required / Forms
New Submissions Requirements:
Complete ACORD
Transportation 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
Expiring premium or target premium
Prior stock reports for a period of 12 months – if value reporting applies
Copy of Auto Safety and Maintenance Program
Photos
Financial Statements for larger account with premium over $10,000
Direction for Submissions
Send completed submissions to your Acct Exec.
Insurance Company Rating
All Carriers are ”A” Rated
Territory
All States
Coverage
Lines of Business
Property both Real & Business Personal
General Liability / Garage Keepers Liability
Commercial Auto / Fleet
Workers Compensation
Commercial Umbrella
Employment Practices Liability (EPL) Coverage
Bonds
Target Classes
Construction Builders, General & Special Trade Contractors
Courier, Mail, & Newspaper Delivery
Medical samples
Legal documents
Federal Express
Greyhound Package Express
Dirt, Sand, & Gravel Haulers
Farming & Livestock
Examples include:
Ranching
Fisheries
Nurseries/Floriculture production
Food Services, Restaurants, & Pizza Delivery
Landscaping, Snowplowing, & Firewood
Lawn care installation or maintenance
Delivery of firewood
Logging & Log Transport
Manufacturing
Retail Trade Operations
Services
Towing Services, Gas Stations, & Auto Repair
Trucking For-Hire
Agricultural hauling
Expediters
Household goods movers
Machinery and heavy equipment
Steel hauling
Coal hauling
Hazardous materials
Debris removal
Refrigerated Good Wholesale Trade
Deductibles
Start at $1,000
Marketing Material
Ask your Acct. Exec
Premium Financing
Yes
Notes
ACORD Forms and Insurance Applications
Select
Commercial App (ACORD 125)
ACE D&O and EPL Application
ACE Small Business Application
ACE Cyber Privacy Renewal Application
ACE Cyber Privacy Renewal Warrants Application
ACE Digitech Application
ACE Digitech Warrants Application
ACE Educators Legal Liability
ACE Educators Legal Liability Application
ACE Educators Legal Liability Warrants Application
ACE Environmental Contractors & Consultants Application
ACE Express Umbrella Application
ACE Family Dwelling Supplemental Application
ACE Misc Professional Liability Application
ACE Misc Professional Liability Renewal Application
ACE Misc Professional Liability Warrants Application
ACE Non-Environmental Contractors Application
ACE Non Profit Organization Management Indemnity Package Application
ACE Non Profit Organization Management Indemnity Package Renewal Application
ACE Non Profit Organization Management Indemnity Package Warrants Application
ACE Private Company Management Indemnity Package Application
ACE Private Company Management Indemnity Package Application - Florida
ACE Private Company Management Indemnity Package Renewal Application
ACE Public Entity Liability Application
ACE Public Entity Renewal Application
ACE Public Entity Warrants Application
ACE Restoration Contractor Application
ACE Storage Tank Liability Application
ACE Storage Tank Liability UST Worksheet
ACE Storage Tank Liability Worksheet
ACE Vacant Building Application
ACE Vacant Land Application
Agent/Broker of Record Change ACORD 36
BOP Business Owners Section ACORD 160
Builders Risk New Construction Supplemental
Business Auto ACORD 127
Business Auto ACORD 137 - FL
Business Auto ACORD 137 – GA
Business Auto ACORD 137 – NJ
Business Auto ACORD 137 – NC
Business Auto ACORD 137 – NY
Business Auto ACORD 137 – PA
Business Auto ACORD 137 – SC
Business Auto ACORD 137 – TX
Business Auto ACORD 137 – VA
CNA Fast-Track Prequal Application - Bonds
CNA Fast-Track Application - Bonds
CNA Surety Dishonesty Bond Application
Commercial Fire (ACORD 68 – NJ)
Commercial GL (ACORD 126)
Commercial Property (ACORD 140)
Commercial Umbrella Excess (ACORD 131)
Contractors Questionnaire
Crime Section (ACORD 141)
Designation of Insurance ACORD 133 – NJ
Driver Schedule ACORD 163
Employee Leasing ACORD 135 – NJ
EPLI Application
EPLI Quick Quote
Equipment Floater ACORD 146
Garage & Dealers ACORD 138 - FL
Garage & Dealers ACORD 138 – GA
Garage & Dealers ACORD 138 – NC
Garage & Dealers ACORD 138 – NJ
Garage & Dealers ACORD 138 – NY
Garage & Dealers ACORD 138 – PA
Garage & Dealers ACORD 138 – SC
Garage & Dealers ACORD 138 – TX
Garage Supplemental Application
Lessor's Risk Only Application
Liquor Liability Application 2016
Navigators Life Sciences New Business Application
Navigators Life Sciences Renewal Application
Notice of Election ACORD 134 – NJ
Religious Institution Application
Restaurant/Tavern Supplemental ACORD 185
Roofing Supplemental Application
Truckers (ACORD 132)
Truckers ACORD 136 – NJ
Vehicle Schedule (ACORD 129)
WC (ACORD 130 – All States)
WC (ACORD 130 – FL)
Westchester Liquor Liability Application 2016
Target Market
Agribusiness
Energy Accounts
Farm & Ranch
Religious and Non-Profits
Transportation
Alternative Risk
Contact Us
for more information about our services!