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  AGRIBUSINESS & EQUESTRIAN    
  BONDS & SURETY PROFESSIONAL LIABILITY  
  COMMERCIAL INSURANCE TECHNOLOGY & LIFE SCIENCES  
  ENTERTAINMENT, FILM & RECREATION POLICY FORMS & ENDORSEMENTS  
  HUMAN, SOCIAL & BEHAVIORAL SERVICES UNDERWRITING & ENGINEERING TOOLS  

     
 

COMMERCIAL INSURANCE

   

AGRIBUSINESS & EQUESTRIAN

 
       
 

AFIG

   

EQUESTRIAN GROUP

Business Owners Application - General AFIG  
Bed & Breakfast Application AFIG Farm / Ranch Application EQG
Beauty & Barber Salon Supplement CIC Equine General Liability Application EQG
Event Planner Application AFIG Riding Club Liability ABIC
Event Planner Application AFIG Horse Show Application - AEA AEA
Golf Course Supplement SIC Petting Zoo Liability EQG
Janitorial Services - Building Maintenance Application AFIG Polo Club Liability EQG
Kennel Pac Application    (Boarding, Grooming, Training) AFIG Pony Ride Liability EQG
Liquor Legal Liability Application AFIG Equine Assisted Therapy Supplement  EQG
Pest Control - Exterminator Liability Supplement AFIG Trainers & Riding Instructors Liability   ABIC
Photography - Videography Application AFIG Horse Drawn Vehicle - Carriage EQG
Products Liability Application AFIG Bed & Breakfast Supplement SBT
Recording Studio Application AFIG Outfitters & Guide - Guided Trail Ride PIC
Tattoo & Body Piercing Application AFIG Guides & Outfitters / Guest Ranch Liability EQG
Tattoo & Body Piercing Renewal Questionnaire  (PDF) AFIG Guided Trail Rides IRBJ
Tattoo & Body Piercing Renewal Questionnaire  (Internet Form) AFIG Care, Custody & Control Liability  (Mono-line) DS
Restaurant Supplement SIC Farrier's Liability Insurance MIC
Special Events Application - Standard AFIG Wagon Carriage Sleigh Ride Liability EQG
Swimming Pool & Spa Maintenance Application AFIG      
No Loss Letter & Statement of Prior Insurance AFIG      
Statement of No Loss Warranty AREA    
       

TRAVELERS INSURANCE GROUP

   

AMERICAN RELIABLE / AMERICAN BANKERS

 
Master Pac Questionnaire SPT Farm / Ranch Application EQG
Master Pac - Building, Business, Office, Store SPT Farm / Ranch Renewal Application  
Master Pac - Building Supplement SPT Equine Commercial Liability ABIC
Master Pac - Business Supplement SPT Equine Liability Renewal Supplement  
Master Pac - Contractor Supplement SPT Farm Liability Application ARIC
Master Pac - Store Supplement SPT Care, Custody & Control Application ABIC
Master Pac - Architects & Engineers SPT CCC Renewal Questionnaire ABIC
Master Pac - Garage SPT Personal Horse Owners Liability  (PDF) ABIC
Master Pac - Garage Supplement SPT Personal Horse Owners Liability    
Master Pac - Habitational (Apartments & Condominiums) SPT Riding Club Liability ABIC
Master Pac - Habitational Supplement SPT Horse Show Application  (ABIC) ABIC
    Therapeutic Riding Supplement  ABIC
Master Pac - Hotel Motel Supplement SPT Tack Floater Application ABIC
Master Pac - Restaurant SPT Dairy Barn Questionnaire ARIC
Master Pac Restaurant Supplement SPT Dog Questionnaire ARIC
Master Pac - Liquor Liability SPT Drivers Self Appraisal Form ARIC
Pac Plus - Food Processors SPT Vacant Land Supplement ARIC
Pac Plus - Food Manufacturing Supplement SPT ARIC Farm Application - FRP Fillable ARIC
Pac Plus - Manufacturing Supplement SPT ARIC Excess Liability - USA ARIC
Pac Plus - Wholesalers SPT ARIC Excess Liability - CA ARIC
Pac Plus - Wholesale Supplement SPT ARIC Excess Liability - KY ARIC
Travelers Golf Course SPT ARIC Excess Liability - KS ARIC
CyberFirst Technology Liability Protection SPT ARIC Excess Liability - MN ARIC
Club Supplement - (Social / Fraternal / Civic) SPT ARIC Excess Liability - MO ARIC
Travelers Golf Management SPT ARIC Excess Liability - TX ARIC
Hotel - Motel Supplement SPT ABIC Farm Umbrella ARIC
Freight Forwarder Application SPT Heavy Truck Supplement  
Motor Truck Cargo Supplement SPT  
Single Shipment Caro Supplement SPT  

ACE AGRIBUSINESS

Ocean Marine Open Cargo Application SPT Farm / Ranch Application EQG
Cargo Account Information Worksheet SPT Equine Liability Supplement EQG
Technology Dependent Business Interruption SPT Care, Custody & Control Supplement  ACE
Technology Property Protection supplement SPT Confinement Operation Questionnaire ACE
      ACE Fruit & Vegetable Packer/Dealer Supplement ACE
 

ACE

  ACE Agribusiness Supplement UW Application ACE
TankSafe Storage Tank Liability Application ZUR ACE PM Dairy Supplement ACE
      ACE No Loss Letter ACE
 

CAPITOL INDEMNITY

  Wood Stove Supplement ACE
      Pool / Trampoline Supplement ACE
Artist / Crafter / Vendor Supplement CIC Business Income & Extra Expense Worksheet ACE
Adult Care Facility Supplement CIC ACE Penn Miller Farm Supplement ACEPM
Amusement Center Supplement CIC      
Apartment Condo Dwelling Questionnaire CIC  

EQUINE MORTALITY

 
Assisted Living Supplement CIC Equine Mortality & Major Medical DS
Beauty & Barber Salon Supplement CIC Equine Statement of Health DS
Builders Risk Questionnaire CIC Veterinary Exam Certificate DS
Child Day Care Questionnaire CIC Stallion Infertility AS&D DS
Campground, Resort & RV Application CIC Value Substantiation Support Form DS
Campground - Resort Questionnaire CIC Equine Mortality Renewal Application DS
Contractors Questionnaire CIC Veterinary Exam - Full Loss of Use DS
Fairgrounds Questionnaire CIC Veterinary Exam - Foals Under 30 Days DS
Flea Market - Bazaar - Swap Meet Questionnaire CIC      
Health Club - Gym Supplement CIC      
Hole In One Questionnaire - Rater CIC  
Homeowners Association Questionnaire CIC  

HARTFORD

Hotel Motel Questionnaire CIC Animal Mortality HIG
Liquor Liability Questionnaire CIC Dairy - (Livestock) HIG
Martial Arts Questionnaire CIC Feedlot & Pasture - (Livestock) HIG
Medical Marijuana Questionnaire CIC Poultry & Aquaculture HIG
Outdoor Recreational Club Questionnaire CIC Transit - (Livestock) HIG
Outfitters & Guides Supplement CIC    
Pool - Water Feature Questionnaire CIC  

UNITED NATIONAL

 
Products Liability Questionnaire CIC Equine Commercial Liability   DS
Restaurant / Tavern Inspection Questionnaire  (CGE021) CIC Equine Care, Custody & Control DS
Restaurant Bar Tavern Nightclub Questionnaire   (CGE119) CIC Riding Club Liability DS
Security & Patrol Agencies Questionnaire   (CIE 125) Pony Ride - Horse Drawn Vehicle Supplement    DS
Sports Camps - League Supplement CIC Day Camp Supplement DS
Sports Camps, Non-Sports Camps & Tournaments Liability CIC Horse Show DS
CIC TRIA Rejection Form CIC Race Horse Owner Liability DS
CISC TRIA Rejection Form CISC Race Horse Owners/Trainers CGL DS
Vacant Property Supplement CIC      
       
       
    HUMAN SERVICES  
       
      Equine Assisted Therapy Supplement  EQG
  ENTERTAINMENT, FILM & RECREATION   Human Services Application  HNVR
      Addiction Treatment & Substance Abuse Supplement  HNVR
 

AFIG

  Community Services Supplemental Application  HNVR
Campground, Resort & RV Application   Mental & Behavioral Health Supplement  HNVR
Entertainment Package Application AFIG Sheltered Workshop Supplement   HNVR
Event Cancellation - Non-Appearance AFIG Youth Recreational Organization Supplement  HNVR
Event Planner Application AFIG      
Special Event Application - Comprehensive Form AFIG Human Services Application  PHLY
Theater Policy Application AFIG      
           
 

AREA

       
Special Event - Standard Application  AREA   PROFESSIONAL LIABILITY          D+O / E+O / EPLI  
Liquor Legal Liability Supplement AREA      
Non-Sports Special Event Supplement AREA ACORD Professional Liability Supplement  
Amateur Sports Special Event Supplement AREA Accountants Professional Liability SPT

Amusement Center Supplement

THE Architects & Engineers - Small Business SPT
Amusement Park Supplement THE Architects & Engineers - Standard SPT
Amusement Device Application  (Bounce House) AIR Consulting & Management Services Errors & Ommissions CICSP
Boxing Wrestling & Martial Arts FLD CyberFirst Technology  Errors & Ommissions SPT
Camp & Conference Accident Insurance FLD EPLI - Wrap+ Employment Practices Liability Insurance SPT
Club Supplement - (Social / Fraternal / Civic)   Lawyers Professional Liability Worksheet SPT
Composers & Lyricists Errors & Omissions EBI Lawyers Professional Liability application SPT
Entertainment Liquor Liability Application WRB Directors & Officers Liability Plus - Private Company         (D+O) SPT
Event Cancellation - Non-Appearance   Insurance Agent Errors & Omissions SPT
Hole In One HIO Marketing & Media Errors & Omissions CICSP
Liquor Legal Liability Supplement PHLY Medi Spa Technician Application LLOYD
Movie Boat APM Non-Profit Directors & Officers Errors - Flex Plus 5 PIIC
Musical & Recording Artist Questionnaire WRB Non-Profit Management and Organization Liability - AZ      (D+O) SPT
Non-Owned & Hired Auto Questionnaire WRB Non-Profit Management and Organization Liability - US      (D+O) CT
Outfitters & Guides Supplement PHLY Real Estate Errors & Omissions  SPT
Over Redemption Insurance   Title Agents or Abstractors Errors & Omissions SPT
Petting Zoo Supplement   Permanent Makeup Package Application LLOYD
Promoters General Liability Application WRB Tattoo & Body Piercing - General & Professional Liability CSIC
Prize Indemnity Application ASU Employment Practices Liability Insurance   (EPLI) ZURICH
Prize Weather Indemnity ASU      
Professional Athlete Insurance Protection FLD      
Pyrotechnics Explosives Questionnaire WRB   BONDS & SURETY  
Race Team Package Application KK      
Rod & Gun Club Application MIC General Bond Application CBIC
Recreational Equipment Rental Application   Contract Bond Application Under $50,000 CBIC
Short Term Film Production  (< $1,000,000)   Contract Bond Application Over $50,000 CBIC
Sports Camps, Non-Sports Camps & Tournaments Liability FLD Janitorial Bond - Employee Dishonesty CBIC
Special Events Questionnaire - Capitol Indemnity CIC Merchants General Commercial Bond Application MBC
Special Event    (APM) APM Merchants Contractor Questionnaire MBC
Special Event   (CAP) FLD      
Special Event   (WRB) WRB St. Paul Travelers Bond Express SPT
Special Event Accident Insurance  (FLD) FLD St. Paul Travelers Contractors License SPT
Stunt Questionnaire WRB Crime Application - Travelers SPT
Television Production Application WRB      
Trap & Skeet Shooting Range Supplement PHLY      
Venue Supplement Application WRB      
Vendors & Exhibitors Liability AP   PERSONAL LINES
Weather Insurance ASU  
Wedding Cancellation Insurance AP Automobile Application - Personal AFIG
Tattoo & Body Piercing - General & Professional Liability   Automobile Application - Personal  (CA) ACORD
      Homeowners Application - ACORD 80 ACORD
      Homeowners Evaluation Survey - Estimator SPT
 

TRAVELERS INSURANCE GROUP

  Boat & Yacht Application SPT
Concert Promoter Supplemental Application SPT Boat Yacht Self Survey SPT
Equipment Floater SPT Youthful Driver Questionnaire  
Equipment Rental House Supplement SPT Flood Application - ACORD Standard ACORD
Film Production Insurance - Short Term  (< $1,000,000) SPT Flood Application - ACORD Preferred Risk ACORD
Motion Picture Production Package  (Feature Film & Television) SPT Flood Insurance Application - ARIC ABIC
Motion Picture Production Package  (DICE) SPT  
Musical & Recording Artist Questionnaire SPT   POLICY FORMS & ENDORSEMENTS
Producers Errors & Omissions SPT  
Property Protection Application SPT ARIC Farm Ranch Policy ARIC
Pyrotechnics Questionnaire SPT ARIC Farm Property Enhancement Endorsement ARIC
Rental House Equipment Supplement SPT ABIC Equipment Breakdown Enhancement Endorsement ABIC
Special Event   (SPT) SPT ABIC Stable Liability GL-100 ABIC
TULIP - Tenant Users Liability Insurance Application SPT ABIC Professional Liability Endorsement ABIC
      ABIC Farm Enhancement Endorsement ABIC
      ARIC Orchard / Vineyard Endorsement  ABIC
      ABIC Equine Property Coverage Endorsement ABIC
      ACE Farm Policy Coverage Options ACE
      ACE Farm Coverage Comparison Chart ACE
  TECHNOLOGY   Capitol Premier BOP Endorsement CIC
      Capitol Equipment Breakdown Endorsement CIC
  TRAVELERS INSURANCE GROUP   Capitol Animal Coverage Endorsement CIC
      Capitol Pet Grooming Endorsement CIC
Technology Contract Risk Management Checklist SPT Mortality & Theft Policy DS
CyberFirst Technology Liability Protection SPT Colic Surgery Endorsement DS
International Global Companion Technology Application SPT Major Medical End  $7,500 DS
Manufacturers Business Interruption Worksheet SPT Major Medical End  $10,000 DS
Manufacturers Technology Supplemental Application SPT Personal Horse Owners Liability DS
      Travelers MasterPac Green Endorsement SPT
  HARTFORD INSURANCE GROUP   Travelers Lawyers Professional Liability SPT
      Philadelphia Additional Insured - Lessor PHLY
  Application Service Provider supplement  - Hartford Tech HARTFORD Equipment Breakdown Coverage Form 6671 (Hartford) HARTFORD
  Spectrum BOP Technology E+O Supplement - Hartford Tech HARTFORD  
  Computer Systems Integration - Hartford Tech HARTFORD   UNDERWRITING & ENGINEERING TOOLS
  Custom Computer Programming Svcs supplement - Hartford Tech HARTFORD  
  International Operations supplement - Hartford Tech HARTFORD Automobile Schedule  (Printer: Landscape)
  Internet Search & Indexing Tool Provider - Hartford Tech HARTFORD Drivers List
  Internet Service Provider supplement - Hartford Tech HARTFORD Dwelling Survey
  Prepackaged Software supplement - Hartford Tech HARTFORD Mobile/Manufactured Home Supplement
  Software & Internet Design Services - Hartford Tech HARTFORD Outbuilding Supplement
  Technology Failsafe Guide - Hartford Tech HARTFORD Farm Ranch & Estate Replacement Cost Form
  Website Design Supplement - Hartford Tech HARTFORD Building Cost Estimator
Building Cost Estimator
Wood/Coal Stove Supplement
Building Information Questionnaire
Beauty Salon & Barber Shop Safety Checklist
Claims History Statement & Warranty Endorsement  
Business Interruption Worksheet for Schools
Restaurant Inspection Checklist
Farm Property Form Coverage Analysis
Texas Farm Forms vs ISO Forms Comparison
Texas Territory Map - Zone by County
ACORD
General Liability Loss Notice
     
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Phoenix, AZ  -  Home Office (602) 992-1570   Toll Free (800) 874-9191
Del Mar, CA (619) 866-4482   Portland, OR  (503) 608-4820
FAX (602) 992-8327   FAX 2 (480) 452-0593
 
Mailing Address:    12424 N. 32nd Street #101  Phoenix, AZ   85032 General Information: ballen@eqgroup.com  
Customer Service: mpallante@eqgroup.com Entertainment: entertainment@eqgroup.com
Webmaster: ballen@eqgroup.com Mortality: jpetersen@eqgroup.com
   
Allen Financial Insurance Group  Copyright 2007, 2013