FORMS LIBRARY

 

 

Risk Forms Required Suppl. Required Info.
Apartments Apartment Copy CA 10-12 Fn #1
Office Buildings Commercial Building CA 10-30 Fn #2
Warehouse Commercial Building CA 10-30 "
Commercial Property Commercial Building CA 10-30 "
Liability Acord 125 and 126 "
Contractors Liability Trades Contractors Liabilty Nor CA 10-14 "
Contractors Liability General Acord 125 and 126  "
Business Owners Policy Retail Acord 125, 126, 140  "
Business Owners Policy Other than Retail Acord 125, 126, 140  "
 Vacant Residential Acord 125, 126, 140  "
 Vacant Commercial Acord 125, 126, 140  "
 Vacant Other Acord 125, 126, 140  "
 Vacant Lot or Land Acord 125 and 126  "
 Restaurant Acord 125, 126, 140  "
 Market Acord 125, 126, 140  "
 Auto Repair Auto Repair Shop CA 10-19  "
 Used Car Dealer Acord 125, 126, 140  "
 Pest Control Operator Acord 125, 126, 140  "
 Mobile Home Park Acord 125, 126, 140  "
 Course of Construction Acord 125, 126, 140  "
 Zoning Ordinance Acord 125, 126, 140  "
 Earthquake Acord 125 and 140  "
 Employee Liability Acord 125, 126, 140 Fn #3
 Computer coverage Acord 125, 126, 140 Fn #4
 Loss of Data Acord 125, 126, 140 Fn #5

 

 

 

Fn #1:  Need loss runs from existing carrier for last five years.  Need existing limits on current policy.  Need all detail of physical aspects of property such as age, square footage, age of roof, or upgrades of electrical, heating and plumbing.

 

Fn #2: Need loss runs from existing carrier for last five years.  Need existing limits on current policy.  Need all detail of physical aspects of property such as age, square footage, age of roof, or upgrades of electrical, and heating.

 

Fn #3:  Need loss runs from existing carrier for last five years.  Need existing limits on current policy description of jobs work performed and potential claims.

 

Fn #4:  Need loss runs from existing carrier for last five years.  Need existing limits on current policy.  Need all detail of physical aspects of computer system and data storage, along with security back-up stored off site.  Verify that passwords are used to access sensitive files, or any mobile computing equipment.  Need list of any security measures. Additional applications will apply.

 

Fn #5:   Need loss runs from existing carrier for last five years.  Need existing limits on current policy.  Additional questions you will be asked:  Are your procedures are HIPA compliant?  Do you have a procedure or plan in the event of breach or anticipated loss? Do you have off-site storage of data and security measures for same? Additional questions and applications will apply.

OTHER INFORMATION

Government Policies, etc.

Hawkins & Hawkins Insurance Services
DBA Bond Professional Surety Insurance Broker
P.O. Box 2207
Spring Valley, CA. 91979-2207

License Nos. OB33276; 0655770; 0709055
Robert Hawkins:  rhawkins@bondpro1.com
Patricia Hawkins: phawkins@bondpro1.com

Phone: 619-670-1136
Toll Free: 800-622-6637
Fax: 619-670-5026