Applications

Below you will find a downloadable list of available applications. They will open in a new tab or window. If you experience problems check your popup blocker.

Acord

Acord 1

Acord 2

Acord 3

Acord 25

Acord 27

Acord 35

Acord 36

Acord 37

Acord 80

Acord 83

Acord 84

Acord 125

Acord 126

Acord 127

Acord 128

Acord 129

Acord 130

Acord 131

Acord 132

Acord 138

Acord 140

Acord 141

Acord 146

Acord 147

Acord 163

Acord 175

Acord 193

Commercial Lines

Alarm Contractor

Amusement

Animal Services

Artisan Contractor

Beauty Day Spa

Boat Marina or Repair

Caterers’ Halls

Church

Club

Condo HOA

Contractors’ Equipment Rental

Day Care

Demo Annual

Demo Per Project

Detective

Distributor

Employment Agency

Events Planner

Exercise Health

Exterminator

Foreclosure Eviction Clean Up

General Contractor

Guides Outfitters

Habitational

Hired and Non-Owned

Halfway House

Home Health Care

Hotel Motel

Land Owner

Liquor Liability

Medical Marijuana

Medical Supply Store

Mobile Home Park

Products

Restaurant Bar

Roofers

Schools

Scottsdale Ins. Co. Martial Arts

Scottsdale Ins. Co. Owners/Contractors Protective (OCP)

Solar Energy

Special Events

Sports Camp

Swimming Pools

Tanning Salon

Transportation

Truckers

Warehouse

Water Companies

Welding

Acord 3

Garage

Catlin Garage (12-9-08)

Colony Motorcycle Questionnaire

Colony Recreational Vehicle Questionnaire 2012

Colony Salvage Yard 2012

Colony Tow Truck Operators 2012

Emergency Vehicle Questionaire 2012

Emergency Vehicle Questionaire 2012

Garage 2012

Garage Renewal 2012

Heavy Truck Bus Equipment Supplemental

Motorcycle Supplemental

Repossessors’ Questionaire

Salvage Yard Supplemental

Spray in Bedliners Supplemental

Valet Special Event Questionnaire 2012

WHIC Valet Parking Supplemental

Whic Wholesale Dealer Supplemental

WHIC Wholesale Dealer Supplemental

WHIC Auto Auction Supplemental 2011 (1)

WHIC Garage 2011 (1)

WHIC Garage 2011 (2)

WHIC Garage 2011 (2)

Personal Lines

A-O Schedule

Aspen Supplemental Homeowners’ New Business (NB) 2012

Aspen Supplemental Renew 2012

Auto Physical Damage, Private Pass. Car Form

COC Questionnaire

Excess Auto/Watercraft Liability Application

Excess Flood Application

Hudson Comprehensive Personal Liability Application

Hudson Umbrella Application

Landslide Application

Lex Acord Supplemental 2012

Lex Animal Statement 2012

Lex Course of Construction (COC) 2012

Lex Flood 2012

Lex Homeowner/Dwelling (HO) 2012

Lex Log Home Questionnaire 2012

Lex Older Home (HO) Questionnaire 2012

Lex Personal Article Floater (PAF) 2012

Lex Unprotected Rating (PC) Questionnaire

Lloyds Animal Information Statement

Lloyds’ Personal Articles Floater (PAF)

Lex Supplemental Corporate Named Insured Questionnaire (LLC) 2012

Scottsdale Ins. Co. Personal Liability Umbrella (1)

Supplemental Heating Questionnaire

Topa Excess Auto

USLI Comprehensive Personal Liability (CPL)

USLI Physician’s Opinion Statement

USLI Supplemental Trust LLC Questionnaire

USLI Umbrella Application

Professional Liability

AIG Crime

AIG Kidnap & Ransom/Extortion (KRE)

AIG Trade Credit

AXIS Pro Multimedia

Colony Allied Medical General

Colony Ambulance Non-Emergency

Colony Appraisers

Colony Assisted Living Facility Supplemental

Colony Group Home Non-Elderly Residents’ Supplemental

Colony Home Health Supplemental

Colony Medical Staffing Supplemental

Colony Medical Staffing Supplemental (1)

Credit Exposure Supplemental

James River Accountants’ Professional Liability (1)

James River Architects and Engineers Professional Liability

James River Insurance Professionals’ E&O

James River Law Firm

James River Residential Care

Markel D&O EPLI

Markel Data Breach

Shand Building Inspection Services

Shand Adult Day Care

Markel Real Estate and Property Management Services

Shand Chiropractors’ Professional Liability

Shand Clinical Trial

Shand Dental Professional Liability

Shand Home Health Care

Shand InformationTechnology Professional Liability

Shand Medical Imaging

Shand Midwife Supplemental

Shand Mortgage Broker Supplemental

Shand MPL

Shand Nurse Practitioners

Shand Pharmacy

Shand Physicians Surgeons

Shand Real Estate

Shand Specified Medical Professions Professional Liability

Shand Trustee Professional

USLI Community Association Liability

Surplus Lines

D-1 Effective 01.01.2017

SL 2

Terrorism Forms (TRIA)

Atlantic Casualty TRIA

Catlin TRIA

Colony TRIA

Markel TRIA

Mesa Underwriters TRIA

Scottsdale TRIA

Transportation Lines

Auto Physical Damage Commercial Proposal 1651

Commercial Vehicle

GKLL Drivers’ Open Lot (DOL) Long Form Submission Sheet

Independent Owner Operator Supplemental

MTC BF 15 Submission

New Venture Supplemental

Plaza Public Supplemental

Plaza Truck Supplemental

Scottsdale Auto

Scottsdale Cargo

Scottsdale Driveaway Toter Supplemental

Scottsdale Hazmat Supplemental

Scottsdale High Value Cargo Supplemental

Scottsdale Hired Non-Owned Supplemental

Scottsdale Non-Emergency Supplemental

Scottsdale Public Auto All Other Supplemental

Scottsdale Public Auto Social Service Ambulance Supplemental

Scottsdale Supplemental Social Service

Scottsdale Public Auto Ambulance Supplemental

Scottsdale Truckers’

Scottsdale Truckers’

Sutter Cargo

Workers' Comp

Workers’ Comp Supplemental