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Submission Requirements

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If you are not an appointed agent, please visit our new agents page first.


Please click on the links below to view submission requirements and download the supplemental application form for each our products.

Agribusiness
Forest Products
Moving & Storage
Waste Systems
Wholesale Distributors
Alaska Commercial Insurance


Agribusiness

  • Complete ACORD application for each coverage part
  • Agribusiness supplemental application
  • 5 year currently valued company loss runs
  • Copy of each vehicle registration (VIN reporting requirements)
  • Drivers list and accompanying MVR's
  • Photos and diagrams of each building/structure
  • Complete description of activities, ownership and interest of each Named Insured

Agribusiness Supplemental Application Form


Forest Products

  • Complete ACORD application for each coverage part
  • Forest Products Supplemental Application
  • 5 year currently valued company loss runs
  • Drivers list and accompanying MVR's
  • New York State ONLY: Copy of each vehicle registration (VIN reporting requirements)

Forest Products Supplemental Application Form


Moving & Storage

  • Complete ACORD application for each coverage part including ACORD 132 Truckers section
  • Moving & Storage supplemental application
  • 4 years currently valued company loss runs/5 years if requesting an umbrella quote
  • Copy of each vehicle registration (VIN reporting requirements)
  • Drivers list
  • Financial statement (including current balance sheet and income statement)
  • Voided Bill of Lading
  • Voided warehouse receipt

Moving & Storage Supplemental Application Form
Moving & Storage Supplemental Application Form (PDF)


Waste Systems

  • Completed ACORD application for each coverage part
  • Waste Systems supplemental application
  • 5 year currently valued company loss runs
  • Copy of each vehicle registration (VIN reporting requirements)
  • Drivers list and accompanying MVR's
  • Property statement of values if values exceed $750,000
  • Copy of principal’s resumes and Business Plan if in business less than 3 full years
  • Copy of approved medical ID card will be required on all CDL drivers age 65 and over at time of binding

Liquid Waste Supplemental Application Form
Waste Systems Supplemental Application Form
Document Shredding Supplemental Application Form


Wholsale Distributors

  • Completed ACORD Application for each coverage
  • Wholesale Distributors Supplemental Application
  • 5 year currently valued company loss runs
  • Copy of each vehicle registration (VIN reporting requirements)
  • Drivers list and accompanying MVR's
  • Property statement for values exceeding $1,000,000
  • Business income worksheet (if applicable)

Wholesale Distributors Supplemental Application Form


Alaska Commercial Insurance

  • Completed ACORD application for each coverage part
  • Alaska Commercial Suppliemental Application
  • 5 year currently valued company loss runs
  • Copy of each vehicle registration (VIN reporting requirements)
  • Drivers list and accompanying MVR's

Alaska Commercial Insurance Supplemental Application Form

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