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

     
 

COMMERCIAL INSURANCE

   

AGRIBUSINESS & EQUESTRIAN

 
       
 

AFIG

   

EQUESTRIAN GROUP

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

CAPSPECIALTY

   

ASSURANT / AMERICAN BANKERS

 
       
Artist / Crafter / Vendor Supplement CIC Farm / Ranch Application EQG
Adult Care Facility Supplement CIC Farm / Ranch Renewal Application  
Alarm Installer & Monitoring Supplement CIC Equine Commercial Liability ABIC
Amusement Center Supplement CIC Equine Liability Renewal Supplement  
Apartment Condo Dwelling Questionnaire CIC Farm Liability Application ARIC
Assisted Living Supplement CIC Care, Custody & Control Application ABIC
Beauty & Barber Salon Supplement CIC CCC Renewal Questionnaire ABIC
Builders Risk Questionnaire CIC Personal Horse Owners Liability  (PDF) ABIC
Child Day Care Questionnaire CIC Personal Horse Owners Liability    
Campground, Resort & RV Application CIC Riding Club Liability ABIC
Campground - Resort Questionnaire CIC Horse Show Application  (ABIC) ABIC
Club Questionnaire - Non-Profit CIC Therapeutic Riding Supplement  ABIC
Contractors Questionnaire CIC Tack Floater Application ABIC
Convenience Store Questionnaire CIC Dairy Barn Questionnaire ARIC
Fairgrounds Questionnaire CIC Dog Questionnaire ARIC
Freight Forwarders Questionnaire CIC Drivers Self Appraisal Form ARIC
Flea Market - Bazaar - Swap Meet Questionnaire CIC Vacant Land Supplement ARIC
Health Club - Gym Supplement CIC ARIC Farm Application - FRP Fillable ARIC
Hole In One Questionnaire - Rater CIC ARIC Excess Liability - USA ARIC
Homeowners Association Questionnaire CIC ARIC Excess Liability - CA ARIC
Hotel Motel Questionnaire CIC ARIC Excess Liability - KY ARIC
Liquor Liability Questionnaire CIC ARIC Excess Liability - KS ARIC
Martial Arts Questionnaire CIC ARIC Excess Liability - MN ARIC
Medical Marijuana Questionnaire CIC ARIC Excess Liability - MO ARIC
Outdoor Recreational Club Questionnaire CIC ARIC Excess Liability - TX ARIC
Outfitters & Guides Supplement CIC ABIC Farm Umbrella ARIC
Pool - Water Feature Questionnaire CIC Heavy Truck Supplement  
Products Liability Questionnaire CIC  
Restaurant / Tavern Inspection Questionnaire  (CGE021) CIC  

ACE AGRIBUSINESS

Restaurant Bar Tavern Nightclub Questionnaire   (CGE119) CIC Farm / Ranch Application EQG
Security & Patrol Agencies Questionnaire   (CIE 125) Equine Liability Supplement EQG
Sports Camps - League Supplement CIC Care, Custody & Control Supplement  ACE
Sports Camps, Non-Sports Camps & Tournaments Liability CIC Confinement Operation Questionnaire ACE
CIC TRIA Rejection Form CIC ACE Fruit & Vegetable Packer/Dealer Supplement ACE
CISC TRIA Rejection Form CISC ACE Agribusiness Supplement UW Application ACE
Vacant Property Supplement CIC ACE PM Dairy Supplement ACE
Vacant Land Questionnaire CIC ACE No Loss Letter ACE
 

 

  Wood Stove Supplement ACE
      Pool / Trampoline Supplement ACE
      Business Income & Extra Expense Worksheet ACE
      ACE Penn Miller Farm Supplement ACEPM
 

 

  TankSafe Storage Tank Liability Application  
       

TRAVELERS INSURANCE GROUP

   

EQUINE MORTALITY

Master Pac Questionnaire SPT Equine Mortality & Major Medical DS
Master Pac - Building, Business, Office, Store SPT Equine Statement of Health DS
Master Pac - Building Supplement SPT Veterinary Exam Certificate DS
Master Pac - Business Supplement SPT Stallion Infertility AS&D DS
Master Pac - Contractor Supplement SPT Value Substantiation Support Form DS
Master Pac - Store Supplement SPT Equine Mortality Renewal Application DS
Master Pac - Architects & Engineers SPT Veterinary Exam - Full Loss of Use DS
Master Pac - Garage SPT Veterinary Exam - Foals Under 30 Days DS
Master Pac - Garage Supplement SPT  
Master Pac - Habitational (Apartments & Condominiums) SPT  

UNITED NATIONAL

 
Master Pac - Habitational Supplement SPT Equine Commercial Liability   DS
Master Pac - Hotel Motel Supplement SPT Equine Care, Custody & Control DS
Master Pac - Restaurant SPT Riding Club Liability DS
Master Pac Restaurant Supplement SPT Pony Ride - Horse Drawn Vehicle Supplement    DS
Master Pac - Liquor Liability SPT Day Camp Supplement DS
Pac Plus - Food Processors SPT Horse Show DS
Pac Plus - Food Manufacturing Supplement SPT Race Horse Owner Liability DS
Pac Plus - Manufacturing Supplement SPT Race Horse Owners/Trainers CGL DS
Pac Plus - Wholesalers SPT      
Pac Plus - Wholesale Supplement SPT      
Travelers Golf Course SPT  

HARTFORD

CyberFirst Technology Liability Protection SPT Animal Mortality HIG
Club Supplement - (Social / Fraternal / Civic) SPT Dairy - (Livestock) HIG
Travelers Golf Management SPT Feedlot & Pasture - (Livestock) HIG
Hotel - Motel Supplement SPT Poultry & Aquaculture HIG
Freight Forwarder Application SPT Transit - (Livestock) HIG
Motor Truck Cargo Supplement SPT    
Single Shipment Caro Supplement SPT    
Ocean Marine Open Cargo Application SPT    
Cargo Account Information Worksheet SPT    
Technology Dependent Business Interruption SPT    
Technology Property Protection supplement SPT    
    HUMAN SERVICES  
       
      Equine Assisted Therapy Supplement  CIC
      Human Services Application  CIC
  ENTERTAINMENT, FILM & RECREATION   Addiction Treatment & Substance Abuse Supplement  CIC
 

 

  Community Services Supplemental Application  CIC
Campground, Resort & RV Application   Mental & Behavioral Health Supplement  CIC
Entertainment Package Application AFIG Sheltered Workshop Supplement   CIC
Event Cancellation - Non-Appearance AFIG Youth Recreational Organization Supplement  CIC
Event Planner Application AFIG      
Special Event Application - Comprehensive Form AFIG Human Services Application  PHLY
Theater Policy Application AFIG      
        PROFESSIONAL LIABILITY          D+O / E+O / EPLI  
Special Event - Standard Application  AREA      
Liquor Legal Liability Supplement AREA ACORD Professional Liability Supplement  
Non-Sports Special Event Supplement AREA Accountants Professional Liability SPT
Amateur Sports Special Event Supplement AREA Architects & Engineers - Small Business SPT

Amusement Center Supplement

THE Architects & Engineers - Standard SPT
Amusement Park Supplement THE Condominium D&D Liability Questionnaire CIC
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
Haunted House Questionnaire CIC Marketing & Media Errors & Omissions CICSP
Hole In One HIO Medi Spa Technician Application LLOYD
Liquor Legal Liability Supplement PHLY Non-Profit Directors & Officers Errors - Flex Plus 5 PIIC
Movie Boat APM Non-Profit Management and Organization Liability - AZ      (D+O) SPT
Musical & Recording Artist Questionnaire WRB Non-Profit Management and Organization Liability - US      (D+O) CT
Non-Owned & Hired Auto Questionnaire WRB Real Estate Errors & Omissions  SPT
Outfitters & Guides Supplement PHLY Title Agents or Abstractors Errors & Omissions SPT
Over Redemption Insurance   Permanent Makeup Package Application LLOYD
Petting Zoo Supplement   Tattoo & Body Piercing - General & Professional Liability CSIC
Promoters General Liability Application WRB Employment Practices Liability Insurance   (EPLI) ZURICH
Prize Indemnity Application ASU      
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) 798-6540   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