These applications are available in Massachusetts, Maine, New Hampshire and Vermont.
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Surplus Line Managers
Surplus Line Managers Brokerage Agreement (280K)
Massachusetts Affidavit by Assured (99K)
USLI Terrorism Form (60K)
New Markets
AIG
Workman's Compensation with premium above $100,000
American Modern Insurance
10+ Schedule Dwelling Program (144 K)
Commercial Physical Damage Mobile Home Dealer Blanket Open Lot App (346 K)
Park and Dealer Monoline Property Program (124K)
United States Liability
1-4 Family Dwelling Application (41K)
Apartments application click for online quote
Apartments application (printable application - 303K)
Artisan Trade (268K)
Bars and Taverns/Restaurants/NightClubs application (284K)
Beauty Salons/Barbar Salons/Nail Shops click for online quote
Beauty Salons/Barbar Salons/Nail Shops ( printable application - 46K)
Premises Preferred Product (261K)
Clothing Store click for online quote
Commercial Child Care Application (274K)
Convenience, Delicatessen & Grocery click for online quote
Convenience, Delicatessen & Grocery (278K)
Contractor's Supplemental (232K)
Electronic Store click for online quote
Fitness Centers click for online quote
Fitness Centers (printable version - 272K)
Janitorial Services Click for online quote
Janitorial Services (printable version - 295K)
Laundromats click for online quote
Liquor Stores click for online quote
Lessor's Risk Only - click for online quote
Lessor's Risk Only (Printable version - 263 K)
Main Street Mercantile click for online quote
Mobile Home Parks click for online quote
Mobile Home Parks (printable version - 267K)
Owners Tenants Protective Application (266K)
Residential Child Care Application (274K)
Residential Condominium Unit Owners click for online quote
Residential Condominium Unit Owners ( printable version - 296K)
Restaurants click for online quote
Truckers GL click for online quote
Vacant Land click for online quote
Vacant Land (290K)
Vacant and Partially Vacant Buildings Application Click for online quote
Vacant and Partially Vacant Buildings Application (printable version - 274KB)
United States Liability
Fast Food Supplemental Application (294K)
Laundromat Product Supplemental Application (291K)
Vacant and Partially Vacant Buildings Application Click for online quote
Vacant and Partially Vacant Buildings Application (printable version - 274KB)
1-4 Family Dwelling Application click for online quote
1-4 Family Dwelling Application (printable version - 269K)
Bars and Taverns/Restaurants/NightClubs application (284K)
Commercial Child Care Application ( 274K)
United States Liability
Individual Licensed Appraisers (95K)
Community Association Package Product Click her for online quote
Community Association Package Product (printable version - 273KB)
Corporate Directors and Officers Liability and Employment Practices Liability (278K)
Real Estate E&O Click her for online quote
Real Estate E&O (printable version -273K)
Employment Practices Liability Click for online quote
Employment Practices Liability (printable version - 109KB)
Insurance Agents & Brokers Professional Liability (113K)
Property Managers (281K)
Technology Professionial Liability (277K)
Recruiters Professional Liability (64K)
Specified Professions Professional Liability (98K)
Philadelphia Insurance Company
Accountants Professional Liability (192K)
Private Company Protection Plus (723K)
Professional Liability For Specified Professions (447K)
Lawyers Professional Liability (645K)
United States Liability
Non Profit Professional D&O and EPL Click for online quote
Non Profit Professional D&O and EPL (printable version -60KB)
Community Association Package Product Click for online quote
Community Association Package Product (printable version - 37KB)
Community Association Professional Liability (191K)
Non Profit Premises Preferred (268K)
Storefront/Community Church Product (95K)
Non Profit Fraternal Clubs (292 K)
United States Liability
Liquor Liability Application ( 274K)
Host Liquor Liability (109K)
United States Liability
Main Event Application Click here for online quote
Main Event Application (printable version - 272KB)
Great American Insurance Company- Property & Inland Marine
Great American Property Classes (608KB Word Document )
Radio & TV Broadcasters (249 KB)
Builder's Risk (64 KB)
Contractor's Equipment (197 KB)
Difference in Conditions (129 KB)
Property (126 KB)
Motor Truck Cargo (327 KB)
Transportation (136 KB)
Electronics and Telecommunications (249 KB)
Fine Arts Museum Application (133 KB)
Installation Floater (242 KB)
Medical Diagnostic Equipment (343KB)
Wireless Telephone System Application (181 KB)
United States Liability
Builder's Risk - New Construction (55K)
Building Renovation (125K)
"Contractors Choice" Equipment Product Warranty Application (199K)
RLI
Commercial Umbrella Acord Application (97 K)
Contractor's Questionnaire (130 K)
Manufacturer's Representative Questionnaire (48K)
Restaurant Questionnaire (39K)
The USLI Companies
Commercial Umbrella Application (200K)
Surplus Line Managers,
Inc,. CMGA
A Minuteman Service Company
P.O. Box 490
152 South Mast Road
Goffstown, NH 03045
phone:(888) 258-1776 • fax:
(603)497-1774
e-mail:info@surpluslinemanagers.com
This page last updated November 7, 2007