BOND FORMS
ACIC Subdivision Bond Information Summary
GAIC Commercial Crime Mercantile Application
GAIC Commercial Surety Application
GAIC Fiduciary Bond Application
GAIC License Permit Probate Court Public Official Lost instrument
HCC Additional Personal Indemnitor
HCC Bid Final bond request form
HCC California Contractors License Application
HCC California Speedy Application
HCC Contract Bond Underwriting Data
HCC Contractor Qualification Questionnaire
HCC Civil Court Bond Application
HCC Janitorial Business Bond Application (CA only)
HCC Miscellaneous Bond Application
HCC Multi App for License, Permit and Misc Bonds
HCC Personal Financial Statement
HCC Probate and Fiduciary Bond Application
HCC Quick'N Ez Contract Bond Request Form (up to $250,000)
HCC Contract Small Subdivision Bond Packet
HCC Subdivision Improvement Questionnaire
HCC Status of Contracts or Work in Progress
ORSC DMEPOS Medicare Bond Application
RLI CBIC Quick Step Application
COMMERCIAL INSURANCE FORMS
Acord 80 - Homeowners Application
Acord 84 - Dwelling Fire Application
Acord 105 - Apartment Building Supplement
Acord 126 - Commercial General Liability Section
Acord 127 - Business Auto Section
Acord 128 - Garage and Dealers Section
Acord 146 - Attach to Applicant Information Section (2003/09)
Acord 146 - Equipment Floater Section (2007/02)
Acord 147 - Installation/Builders Risk Section
Acord 148 - Electronic Data Section
Acord 151 - Miscellaneous Crime Section
Acord 155 - Boiler and Machinery Section
Acord 160 - Business Owners Application
CRU 380 - Auto Body Shop Application
CRU 380 - Contractor - N.O.C. Application
CRU 380 - Apartment Application
CRU 380 - Auto Repair Shop Application
MEDICARE SUPPLEMENTAL INSURANCE FORMS
Blue Cross
Blue Shield
MISCELLANEOUS FORMS / INFO.
Descriptions of Contractor Classifications
Status of Contracts/Work in Progress
Real Estate Spreadsheet (Excel)
Small Business Administration Forms
Small Business Administration Checklists
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.