Insurance Applications

Listed below are insurance applications for Public and Affordable Housing. If you need assistance with which application to use, please contact your underwriter or marketing representative. You can also call us at 800-873-0242, ext. 270.

Commercial Insurance Applications - Affordable Housing

Please contact your underwriter if you need assistance in completing these applications. Affordable housing applications can be accessed on the members insurance application page (login required).

Commercial Insurance Applications - Public Housing

These are the core insurance applications necessary to provide insurance coverage for Public Housing members. The Commercial Output Program is approved in some states. In non-approved states, use the Commercial Property Application. Please contact your underwriter if you need assistance in completing these applications.

Title Content Expert Media Type   1. Commericial Insurance Application Brian Robinson Abstract: Core Application – This general information application must be completed along with individual policy application(s) listed below.     2. Commercial Liability Insurance Brian Robinson Abstract: Use with Commercial Insurance Application when requesting coverage for Commercial Liability premises and operations exposures.     3. Commercial Property Application Brian Robinson Abstract: Use with Commercial Insurance Application when requesting coverage in non-COP approved states for your buildings or business personal property.     4. COP (Commerical Output Program) Application Brian Robinson Abstract: Use w/Commercial Insurance Application for buildings, business personal property, computers, mobile equipment, and income & expense. Includes options for crime & equipment breakdown and limited coverage for flood & earthquake (not available in all areas).     5. Commerical Auto Application Brian Robinson Abstract: Use with Commercial Insurance Application when requesting coverage for auto liability and physical damage including hired and non-owned auto liability. Underwriter will provide a separate state supplement if required.     6. Cyber Liability Questionnaire Brian Robinson Abstract: Provides coverage to protect PHAs against first- and third-party claims, media liability, and business interruption exposure, expense, and inconvenience.

Supplemental Applications

Supplemental Applications must be completed to provide specific underwriting information for unique coverages. Please contact your underwriter for assistance in completing these applications.

Title Content Expert Media Type   Affordable Housing Questionaire Brian Robinson Abstract: Affordable Housing Questionaire     Builders Risk Application Brian Robinson Abstract: Contact Marketing Department if you need this unique coverage.     Commercial Cooking Supplement Brian Robinson Abstract: Complete if you have any cooking exposures.     Day Care Supplement Brian Robinson Abstract: Complete if you operate a facility where care is provided for adults or children.     Employee Benefits Supplement Brian Robinson Abstract: Complete when requesting coverage for employee benefits liability.     Law Enforcement Supplement Brian Robinson Abstract: Complete when requesting liability coverage for your public housing police or security guards.     Lead Liability Section 8 Brian Robinson Abstract: Complete when requesting professional liability coverage for staff performing lead inspections in Section 8 units.     Mold Supplement Brian Robinson Abstract: Complete when requesting liability coverage for mold.     Owners and Contractors Protective Liability Application Brian Robinson Abstract: Complete when requesting coverage for operations performed by a designated contractor in connection with a specific project.     Pesticide or Herbicide Supplement Brian Robinson Abstract: Liability coverage is automatically provided for $50,000 per occurrence/$50,000 aggregrate. Complete this supplement only if you want higher limits or a different deductible.     Public Officials and EPLI Supplement Brian Robinson Abstract: Complete when requesting professional liability coverage for Public Officials or Public Officials with Employment Practices Liability.     Public Officials and EPLI Supplement Brian Robinson Abstract: Complete when requesting professional liability coverage for Public Officials or Public Officials with Employment Practices Liability.     Renovation Supplement Brian Robinson Abstract: Complete if you are renovating buildings.     Swimming Pool Supplement Brian Robinson Abstract: Complete if you own or operate a swimming pool at your facility.     Tenant Patrol Supplement Brian Robinson Abstract: Tenant Patrol Supplement     Umbrella Supplemental Application Brian Robinson Abstract: Contact Marketing Department if you need this unique coverage.     Workers Compensation - Questions Brian Robinson Abstract: Contact Marketing Department if you need coverage for Workers Compensation.