Stratum Insurance Agency LLC

Choose an application

Select the application you need to complete. You’ll first tell us whether you’re an insurance agent or the applicant, then complete the form. A clean summary and a formatted PDF are sent to the underwriting desk on submission.

Policy Service Requests

Customer Service for Current Clients

For changes to a policy that is already in force — not a new quote.

See all service requests →

What’s new

September 2026
  • Policy service requests — change of address and vehicle changes, for personal and commercial policies
  • Adding a vehicle now decodes the VIN and fills the year, make and model for you
  • Real Estate E&O, Sleep Centers, Head Start and Trade Association applications
  • Contractors Professional Liability (E&O) application
  • Blood Bank, Pain Management Clinic and Pharmaceutical Facility supplementals
  • Warehouse — complete carrier application, printed onto the carrier’s own form
  • Searching “group home” now finds the Assisted Living / Residential Care application
  • Vending machine operators — machines, placements, products and cash-handling
  • Searching “social worker” (or LCSW / MSW) now finds Allied Health

How to use the digital applications

1
Pick an application

Search above or choose a card below. Each one mirrors the carrier’s paper form — no PDFs to print or fax.

2
Complete it or send it

Agents can fill it out themselves or send a secure link for the client to complete — you stay listed as the retail agent.

3
We format & deliver it

On submit, a clean summary and a formatted, sign-ready PDF are emailed to the underwriting desk automatically.

Tip: only questions relevant to the risk appear — checking a box or answering “Yes” reveals the follow-up questions, so you never wade through fields that don’t apply.

All applications

131 shown
Professional Liability
Insurance Agents E&O

Errors & omissions for insurance agents and brokers — including crop insurance agents.

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Surety and Contract Bonds
Surety Bond

Generic commercial surety application for license, permit, and other bonds.

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Surety and Contract Bonds
Contract Bond / Performance Bond / Bid Bond

Fast-track contract surety bonds for construction projects up to $1.5 million — bid bonds, performance bonds, and payment bonds. For contract bonds only, not license or permit bonds.

Contract bonds only (bid / performance / payment). For license & permit bonds, use the Surety Bond application.

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General LiabilitySports & Recreation
Swim School

For swim schools and aquatics instruction — includes the pool & hot tub questionnaire.

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HabitationalProperty
Apartments & Habitational

For apartment buildings, condo associations and habitational risks.

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Health CareProfessional Liability
Allied Health

Miscellaneous medical professional liability + general liability for allied health risks. Includes the sexual abuse & molestation questionnaire.

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Professional LiabilityContractorsSpecialty
Contractors Professional Liability (E&O)

Professional liability (E&O) for contractors, design-builders and construction managers — including design-build, agency and at-risk CM, with optional contractors pollution.

Claims-made and reported. Optional contractors pollution section included.

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General LiabilityPropertySpecialty
Trade Association

General liability, property and hired & non-owned auto for trade associations, professional associations and member organisations — including multi-chapter groups and member publications.

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General LiabilitySchoolProfessional Liability
Head Start / Early Childhood

General and professional liability for Head Start programmes, early-childhood education centres and child care operations — including transportation, playgrounds, field trips, camps and pools.

Includes the sexual abuse questionnaire. Private-home centres are not eligible.

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Health CareProfessional Liability
Sleep Center / Sleep Lab

Medical professional and general liability for sleep centers, sleep laboratories and polysomnography providers — including overnight facilities and mobile testing.

Includes the sexual abuse & molestation questionnaire.

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Health Care
Blood Bank Center

Supplemental application for blood banks and blood collection centers — collection, testing, storage and distribution operations, accreditations and claims history.

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General Liability
Warehouse — Complete Application

The carrier’s full warehouse application — building schedule, operations, forklift and racking controls, fire and life safety, premise security, risk transfer and loss history. Answers print onto the carrier’s own form.

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General LiabilityRetail
Vending Machines

For vending machine operators — machine counts and values, placement locations, products sold, security and cash handling, servicing, and the cashless payment exposure.

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Health Care
Pain Management Clinic

Supplemental application for pain management clinics — controlled-substance prescribing controls, procedures performed, staffing credentials, licensing and claims history.

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Health Care
Pharmacy or Pharmaceutical Facility

Supplemental application for pharmacies and pharmaceutical facilities — dispensing and prescription-verification controls, sterile and non-sterile compounding, outsourcing-facility status, accreditations and claims history.

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General Liability
General Liability - Other than Contractor

Commercial General Liability for a business that is NOT primarily a contractor — retail, office, service, wholesale, light manufacturing and similar. Produces ACORD 125 + 126.

For non-contractor risks. Contractors have their own application; add Property with the BOP application.

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Professional LiabilityHabitational
Real Estate E&O

Professional liability (E&O) for real estate agents, brokers and property managers — plus appraisal, escrow, business brokering and development exposures.

Use for real estate agents/brokers, property managers, or both — one form covers either.

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Health CareHabitational
Assisted Living or Residential Care

For assisted living, residential care, senior care, and RCFE facilities — includes the sexual abuse & molestation questionnaire.

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PropertyContractors
Builder’s Risk — Ground-Up Construction

Builder’s risk / property coverage for new ground-up construction.

For new ground-up construction (not renovation)

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PropertyContractors
Builder’s Risk — Renovation

Builder’s risk / property coverage for renovation of an existing building.

For renovation of an existing building (not ground-up)

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General Liability
Childcare

Supplemental application for childcare and daycare facilities.

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General LiabilityProperty
Churches & Houses of Worship

For churches and houses of worship — general liability, with optional property and Non-Profit D&O coverage.

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Specialty
Sexual Abuse & Molestation

Standalone sexual abuse and molestation supplemental application.

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Contractors
General Liability - Contractor

General and trade contractor supplemental application.

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RetailProperty
Convenience / Grocery / Gas

Supplemental application for convenience stores, grocery, supermarkets and gas stations.

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Management Liability
Employment Practices Liability

EPLI application covering employment-related, third-party discrimination and harassment exposures.

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AutomotiveGeneral Liability
Garage

Supplemental application for auto service, repair and garage operations.

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Specialty
Kidnap & Ransom (Company)

Kidnap, ransom & extortion coverage for companies and organizations.

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Specialty
Kidnap & Ransom (Individual/Family)

Kidnap, ransom & extortion coverage for individuals and families.

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Property
Lessor’s Risk Only

For owners leasing commercial buildings to tenants — up to 3 locations.

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Products Liability
Product Recall (Consumer Goods)

Product recall coverage for non-food consumer goods — manufacturers, importers, distributors.

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Products Liability
Product Recall (Food)

Product contamination & recall coverage for food and ingestible products.

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Products LiabilityGeneral Liability
Products Liability — Manufacturers / Importers / Distributors

For manufacturers, importers and distributors — covers General Liability and Products Liability.

For Products Liability coverage

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Products LiabilityGeneral LiabilityContractors
Equipment Rental

Products & general liability for equipment rental operations (with or without operators).

For Products Liability — equipment rental risks

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Professional Liability
Lawyers E&O

Professional liability (E&O) for law firms and attorneys.

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Professional Liability
Title Agents E&O

Professional liability (E&O) for title agents, abstractor/searchers, and escrow/closing/settlement agents.

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Professional Liability
Staffing Services E&O

Professional liability (E&O) for staffing firms, recruiters, career counseling, and PEOs.

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Professional Liability
Collection Agency E&O

Professional liability (E&O) for collection agencies and debt collectors.

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Professional Liability
Architects & Engineers E&O

Professional liability (E&O) for architecture and engineering firms.

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Products LiabilityHealth Care
Pharma/Nutra Products

Products liability for pharmaceutical, nutraceutical, dietary supplement, and veterinary pharma/nutra companies.

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General LiabilitySpecialty
Animal Services

General liability for animal-industry operations — shelters, boarding, grooming, breeding, training, veterinary, stables, and more.

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General LiabilitySports & RecreationSpecialty
Petting Zoo / Equine

Petting zoos, pony rides, animal exhibits, carriage/horse-drawn vehicle rides, riding instruction, horse camps and guided trail rides.

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ContractorsSpecialtyProfessional LiabilityPollution and Environmental Liability
Contractors Pollution

Contractors Pollution Liability (CPL) for general, trade and environmental contractors — plus optional professional (E&O) and pollution legal liability.

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SpecialtyPropertyPollution and Environmental Liability
Storage Tank Pollution

Storage tank pollution liability for owners/operators of underground (UST) and aboveground (AST) storage tanks.

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ContractorsProfessional LiabilitySpecialtyPollution and Environmental Liability
Environmental Services

Contractors and consultants providing environmental services — remediation, abatement, assessments, laboratory and consulting — CPL + Professional (E&O) + Pollution Legal Liability.

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SpecialtyPropertyPollution and Environmental Liability
Site Pollution (PLL)

Pollution Legal Liability for owned or operated sites — covers on-site cleanup and third-party pollution conditions at fixed locations.

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HospitalityGeneral LiabilitySpecialty
Special Event

General liability (and optional liquor liability) for one-time special events, festivals, and gatherings.

Commercial general liability and/or liquor liability

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Contractors
Roofing Contractors

Supplemental application for roofing contractors (repair, re-roof, and new roofing).

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Property
Vacant Property

Supplemental application for vacant buildings or property.

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General LiabilityProperty
Vacant Land

Supplemental application for vacant land, including hunting preserves and parcels with water features.

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General LiabilitySports & Recreation
Virtual Reality

General Liability for virtual reality arcades, VR experiences, and mobile VR, with optional Property (business personal property / equipment) coverage.

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WarehousePropertyGeneral Liability
Warehouse

For public, private, cold-storage and mini-warehouse operations — supports up to 5 locations.

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RetailGeneral Liability
Barber / Beauty / Day Spa

For barber shops, beauty parlors, nail & tanning salons and day spas.

For salons & spas (not schools)

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HospitalityGeneral Liability
Event / Wedding Planners

For event, party and wedding planners — coordination, catering, rentals and more.

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HabitationalProperty
Mobile Home / RV Park

For mobile home parks, RV parks and campgrounds.

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Inland MarineContractors
Contractors Equipment

Inland marine coverage for owned, rented and leased contractors’ equipment.

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Contractors
Welding & Metal Fab

For welding and metal-fabrication contractors — shop and field/mobile operations.

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RetailGeneral Liability
Coin-Operated Laundromat

For coin-operated / self-service laundromats and pick-up stations — General Liability (and Property, if requested).

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ContractorsGeneral LiabilitySpecialty
Restoration Contractor

For water, fire, and mold-remediation restoration & reconstruction contractors.

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PropertySpecialtyPersonal Lines
Earthquake-DIC

Difference in Conditions (DIC) earthquake — and optional flood — coverage. Available for both commercial and residential risks.

Available for both commercial and residential

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General LiabilitySports & Recreation
Golf Simulator

General Liability for golf simulator & virtual-reality facilities, with optional Property (business personal property / equipment) coverage.

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ContractorsGeneral Liability
Pressure / Power Washer

For pressure washing and power washing contractors — General Liability supplemental.

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General LiabilitySports & Recreation
Youth Sports

General Liability for youth sports organizations — leagues, teams, camps and clinics.

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Professional LiabilitySpecialty
Scientist Professional Liability

Professional Liability / E&O for scientific and technical service firms across all disciplines.

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Fine ArtsPropertySpecialty
Museum & Cultural Institution

Fine arts coverage for museums, galleries, historic homes, and cultural institutions — collections, loans, and premises.

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Fine ArtsSpecialty
Private Collector

Fine arts coverage for private collectors — art, collectibles, and valuables at home, in storage, or on loan.

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ContractorsGeneral Liability
Janitorial Services

For janitorial, commercial cleaning, and building-maintenance contractors — General Liability supplemental.

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Health CareGeneral LiabilityProfessional Liability
Anti-Aging / Medical Spa

For medical spas / med spas and anti-aging clinics — day-spa, injections, laser, hormone, and related aesthetic services.

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ContractorsGeneral Liability
Machinery & Equipment Repair

For machinery and equipment service, repair, and installation contractors — General Liability supplemental.

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HospitalityGeneral Liability
Restaurant

For restaurants, bars, and taverns — General Liability supplemental (operations, entertainment, cooking, liquor).

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Surety and Contract Bonds
Personal Financial Statement

Applicant or indemnitor personal financial statement (assets, liabilities, net worth, income) — often required with a surety bond request.

For the applicant or an indemnitor — often required with a surety bond request.

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Surety and Contract Bonds
Business Financial Statement

Company balance sheet (assets, liabilities, net worth) with cash, securities, and real estate schedules — often required with a surety bond request.

Company financials — often required with a surety bond request.

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ContractorsGeneral Liability
Alarm Installer

For burglar, fire, medical alert, and security-system installers, servicers, and monitoring companies — General Liability supplemental.

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ContractorsGeneral Liability
Fire Suppression / Hood Cleaner

For fire suppression, sprinkler, extinguisher, Ansul, alarm, and kitchen hood / exhaust grease-cleaning contractors.

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Sports & RecreationGeneral LiabilitySpecialty
Agritainment

For farm-entertainment operations — pumpkin patches, corn mazes, Christmas tree lots, farmers markets, pumpkin/apple cannons, pick-your-own, and more.

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HospitalityGeneral Liability
Food Truck / Cart / Trailer

For mobile food vendors — food trucks, food carts, coffee carts, and food trailers.

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Sports & RecreationGeneral LiabilityInland Marine
Rental Liability

For equipment and vehicle rental operations — ATVs/UTVs, off-road vehicles, powersports, watercraft, and guided outfitting.

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Professional LiabilitySpecialty
Podcast Professional Liability

Media / professional liability (E&O) for podcasters and podcast producers.

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PropertySpecialty
Poultry House

Property and equipment coverage for poultry houses — broiler, breeder, layer, pullet, and turkey barns.

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General LiabilitySports & Recreation
Gymnastics / Dance School

General liability for gymnastics gyms, dance schools, tumbling, and cheer programs.

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General LiabilitySports & Recreation
Alpine Ski Resort / School

General liability for alpine ski resorts, ski areas, ski schools, and ski patrol operations.

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General LiabilitySpecialty
Guards / Security

For security guard and patrol companies — armed and unarmed guards, bodyguards, and alarm response.

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ContractorsSpecialty
Blasting Contractors

For drilling and blasting contractors — explosives, quarry work, demolition, and seismograph services.

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Sports & RecreationGeneral LiabilitySpecialty
Sport Facility / Family Fun Center

For amusement and family fun centers — batting cages, go karts, laser tag, mini golf, bumper cars, driving ranges, mechanical rides, and more.

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HabitationalPropertyGeneral Liability
Mobile Home Park

For mobile home parks and manufactured housing communities — habitational general liability.

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Personal LinesProperty
Manufactured / Mobile Home (Individual)

Individual manufactured-home / mobile-home owner policy (not a park). Homeowner coverage for a single manufactured or mobile home.

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ContractorsProfessional LiabilitySpecialty
Oil & Gas Contractors / Consultants

For oil & gas contractors and consultants — general liability, contractors pollution, professional E&O, and environmental impairment.

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General LiabilityPropertySpecialty
EV Charging Station

For electric vehicle charging station owners, operators, installers, and manufacturers.

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Contractors
Swimming Pool Contractor

For swimming pool contractors, dealers and installers — new construction and remodel.

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Personal LinesProperty
Homeowners

For owner-occupied homes, including high-value homes.

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Personal LinesProperty
Landlord / Dwelling Fire

For non-owner-occupied rental dwellings (also called Dwelling Fire) — annual, short-term or seasonal rentals.

Also known as Dwelling Fire

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Personal LinesAutomotive
Personal Auto

For personal auto coverage — one column per driver and per vehicle.

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Personal LinesAutomotive
Motorcycle / Off-Road

For motorcycles, ATVs, UTVs, dirt bikes and snowmobiles — one column per rider and per vehicle.

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Automotive
Commercial Auto

For business auto fleets — vehicles and drivers scale with conditional columns; hired & non-owned auto included.

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Personal Lines
Personal Umbrella

Excess liability over an applicant’s home, auto and other personal policies.

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Property
Commercial Property

Building, business personal property and business income for commercial locations.

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CyberProfessional Liability
Cyber Liability

Network security and privacy liability for organizations (claims-made).

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CrimeManagement Liability
Crime

Employee theft, forgery, computer and funds-transfer fraud coverage.

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Workers Comp
Workers’ Comp

Statutory workers’ compensation and employers liability — payroll by class code, owners/officers, experience mod.

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Business OwnersPropertyGeneral Liability
Business Owners Policy (BOP) — GL + Property package

A package that bundles General Liability AND Property (BPP/building) into one BOP policy. Choose this when you need both liability and property; choose a General-Liability-only application when you need liability alone.

Package: General Liability + Property

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Management Liability
D&O — Non-Profit

Directors & officers liability for non-profit organizations, with optional EPLI and Fiduciary coverage.

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Management Liability
D&O — Private Company

Management liability for private (for-profit) companies, with optional EPLI and Fiduciary coverage.

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Management Liability
Private Company EPLI

Standalone employment practices liability for private companies — wrongful termination, discrimination, harassment.

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SchoolGeneral Liability
Beauty & Cosmetology School

For beauty, barber, esthetics & cosmetology TRAINING SCHOOLS — including student clinics that serve the public.

For training schools (not salons)

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Professional Liability
Misc Professional Liability & E&O

Errors & Omissions (E&O / “E and O”) for miscellaneous consultants and service professionals — Misc Professional Liability and E and O Application.

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Professional Liability
Accountants E&O

Errors & Omissions (E&O) for accounting firms, CPAs, bookkeepers and tax preparers.

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Professional LiabilitySpecialty
Influencer / Creator / Coach

Media, professional & general liability (E&O) for influencers, content creators, coaches, YouTubers and podcasters.

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Professional LiabilitySpecialty
Video / Film / TV Producers

Media / producers professional liability (errors & omissions) for film, television, streaming and video production.

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HabitationalPropertyGeneral Liability
Apartments / Condos — AZ · CA · NV

Habitational supplemental for apartment buildings and condominium associations in Arizona, California, and Nevada.

For AZ, CA & NV apartments and condos

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Surety and Contract BondsContractors
Subdivision Bond

Subdivision / site-improvement bond request — completes the Subdivision Bond Questionnaire, the Contractor’s Organization & History, and a Personal Financial Statement.

Fills all three Great American subdivision-bond forms

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General LiabilitySports & Recreation
Dog Park

General liability supplemental for dog parks and off-leash dog recreation areas.

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SpecialtyHospitality
Liquor Liability

Monoline liquor liability supplemental — for any business that sells or serves alcohol, not only bars and restaurants.

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Management LiabilityHealth Care
Health Care EPLI

Employment Practices Liability (EPLI) for private and non-profit health care organizations — claims-made.

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Health CareProfessional Liability
Physicians & Surgeons

Individual physician / surgeon professional liability (medical malpractice), claims-made and reported. Covers practice profile, staff, procedures, surgery, and loss history.

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Health CareProfessional LiabilityGeneral Liability
Ambulatory Surgery Center

Professional liability (claims-made and reported) for ambulatory surgery centers, with an optional general liability supplemental. Covers staffing, facility operations, surgical/pain-management procedures, network security, and coverage history.

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Health CareProfessional Liability
Dentists

Professional liability for dentists and oral surgeons — claims-made and reported coverage. Captures practice profile, staffing, procedures performed, and claims history.

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Health CareProfessional LiabilityCyber
Virtual Care / Telemedicine

Professional liability, cyber/network security & data privacy, media, and optional general liability for virtual care, telemedicine, and healthcare technology companies.

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Health CareProfessional Liability
Alternative Medicine

Supplemental application for alternative, complementary and integrative medicine practices — the modalities offered, volumes, provider licensure, and substances/devices used.

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Health CareGeneral Liability
Health Department

Professional and general liability for public health departments and authorities — clinics, immunizations, home health, mental health, environmental health inspections, WIC/FCM and related programs.

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Health CareGeneral LiabilityAutomotive
Ambulance & Medical Transport

General liability (with professional liability) for emergency and non-emergency ground and air ambulance / medical transport services.

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General LiabilityPropertyManagement Liability
Charities & Business Associations

Package application for office-based nonprofit organizations — chambers of commerce, trade and business associations, charitable organizations, foundations, booster and car clubs, and PTAs. General liability with optional property and optional directors & officers (D&O) liability.

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AutomotiveGeneral LiabilityProperty
Auto Repair Shop

General liability and property application for auto repair shops — mechanical repair, auto body, quick lube, transmission, brakes, radiator, detailing and truck repair.

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Health CareProfessional Liability
Social Worker

Supplemental professional liability application for social workers and clinical social work practices — services provided, populations served, and higher-risk service areas.

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Professional Liability
Claims Adjusters

Professional liability (E&O) for independent claims adjusters, public adjusters, damage appraisers and claims administrators (TPAs).

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General LiabilitySports & RecreationProperty
Fitness Center

General liability application for fitness centers, gyms, and health clubs — activities and equipment, classes, pools/saunas/spas, tanning, childcare, personal trainers, and 24-hour access. Property coverage is optional.

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General LiabilityHospitalityPropertySpecialty
Fraternal Club

Package application for nonprofit fraternal organizations and social clubs — lodges, halls, and posts such as Elks / BPOE, American Legion, VFW, Odd Fellows, Loyal Order of Moose, Fraternal Order of Eagles, Shriners, and Knights of Columbus. General liability with optional property, optional liquor liability, and optional directors & officers coverage.

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Professional LiabilitySpecialty
Agricultural Consultant Professional Liability

Professional Liability (E&O) for agricultural, agronomy, and forestry consultants — the same application as our Scientist Professional Liability form.

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ContractorsGeneral Liability
Snow Removal / Snow Plowing

General Liability for snow & ice removal contractors — plowing, shoveling, salting/ice treatment, snow carting/hauling and roof raking, for commercial and residential accounts.

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Health CareHabitational
Senior Care & Residential Care Facility

For senior care, residential care, and RCFE facilities — opens the Assisted Living application.

Same form as Assisted Living

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ContractorsGeneral Liability
Mold Remediation Contractor

For mold remediation, water, and fire restoration contractors — opens the Restoration Contractor application.

Same form as Restoration Contractor

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Professional LiabilitySpecialty
Notary Professional Liability

For notaries, mobile notaries, and notary signing agencies — E&O, notary bond, and signing-agency cross-sell. Opens the Misc Professional Liability application.

Same form as Misc Professional Liability

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