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Public Housing Applications

Housing Authority Insurance Group's Public Housing insurance applications can now be downloaded, filled out, and saved to your computer using Adobe Acrobat Reader (you will not need to use the full version of Adobe Acrobat to save changes to the application). Once you have filled out and saved your application (for instructions on filling out HAI Group Application forms, click here), it can be submitted via e-mail. You can also fill it out and send it in by fax or mail if you prefer.

Housing Authority Insurance Group
Attn: Marketing Department
P.O. Box 189
Cheshire, CT 06410
Fax: 203-271-2265

Contact your Underwriter for additional information on any applications

  • All Lines of Business Territory Information, click here.
  • Small Business Unit (SBU) Territory Information, click here.
  • Call 800-873-0242, ext. 639.

Commercial Output Program (COP) - New Effective 07/01/08

The COP Application includes Property, Income (and Extra Expense), Crime and Equipment Breakdown (Boiler). Property includes, Computers and Mobile Equipment. Product is not available in some states. Contact your Underwriter for additional information.

  Title Type Content Expert Media
Type
  Commercial Output Program Application Application Lori Luponio  
 
Abstract:
Use this application with Commercial Insurance Application. Application replaces the following: Commercial Property, Fidelity, and Boiler and Machinery Applications. Coverage is not available in all states. Contact your underwriter for additional information.

 

  

Public Housing Applications
 TitleTypeContent ExpertMedia Type
  1. Commercial Insurance Application Application Lori Luponio
Abstract:
Core Application – This is a general information application. Complete along with individual policy application(s) listed below.

Last Updated: 09/16/2007

  
  2. Commercial Property Application Application Lori Luponio
Abstract:
Complete with Commercial Insurance Application if you are insuring any buildings or personal property.

Last Updated: 09/16/2007

  
  2a. Commercial Cooking Supplement Application Lori Luponio
Abstract:
Complete if you have any cooking exposures.

Last Updated: 09/19/2007

  
  2b. Renovation Supplement Application Lori Luponio
Abstract:
Complete if you are renovating buildings.

Last Updated: 09/16/2007

  
  3. Commercial Liability Application Application Lori Luponio
Abstract:
Complete for General Liability premises and operations exposures

Last Updated: 09/15/2007

  
  3a. Day Care Supplement Application Lori Luponio
Abstract:
Complete if you operate a facility where care is provided for adults or children.

Last Updated: 09/16/2007

  
  3b. Employee Benefits Supplement Application Lori Luponio
Abstract:
Complete to insure employee benefits liability.

Last Updated: 09/15/2007

  
  3c. Law Enforcement Supplement Application Lori Luponio
Abstract:
Complete to insure liability for your police or security guards.

Last Updated: 09/15/2007

  
  3d. Mold Supplement Application Lori Luponio
Abstract:
Complete to insure mold liability.

Last Updated: 09/15/2007

  
  3e. Pesticide or Herbicide Supplement Application Lori Luponio
Abstract:
Liability coverage is automatically provided for limits of $50,000 with a $2,500 deductible. Complete supplement only if you want higher limits or a different deductible.

Last Updated: 09/16/2007

  
  3f. Public Officials and EPLI Supplement Application Lori Luponio
Abstract:
Complete to insure Public Officials Liability or Public Officials with Employment Practices Liability.

Last Updated: 09/15/2007

  
  3g. Lead Liability Section 8 Application Lori Luponio
Abstract:
Complete to provide professional liability coverage for staff performing lead inspections in Sec. 8 units

Last Updated: 05/29/2008

  
  3h. Swimming Pool Supplement Application Lori Luponio
Abstract:
Complete if you own or operate a swimming pool at your facility.

Last Updated: 09/15/2007

  
  3i. Tenant Patrol Supplement Application Lori Luponio
Abstract:
Complete to insure liability for your tenant patrol.

Last Updated: 09/15/2007

  
  4. Commercial Auto Application Application Lori Luponio
Abstract:
Application to be used for any auto liability and physical damage insurance, including any hired and non-owned auto liability. Underwriter will provide a separate state supplement if required.

Last Updated: 09/21/2007

  
  5. Fidelity Application Application Lori Luponio
Abstract:
Contact Marketing Department if you need this unique coverage.

Last Updated: 04/22/2008

  
  6a. Boiler & Machinery Application Lori Luponio
Abstract:
Contact Marketing Department if you need this unique coverage.

Last Updated: 05/19/2008

  
  6b. Builders Risk Application Application Lori Luponio
Abstract:
Contact Marketing Department if you need this unique coverage.

Last Updated: 04/22/2008

  
  6c. Flood Insurance Application Application Lori Luponio
Abstract:
Contact Marketing Department if you need this unique coverage.

Last Updated: 04/22/2008

  
  6d. Umbrella Application Application Lori Luponio
Abstract:
Contact Marketing Department if you need this unique coverage.

Last Updated: 04/22/2008

  
  7. Workers Compensation - Questions Application Lori Luponio
Abstract:
Contact Marketing Department if you need coverage for Workers Compensation.

Last Updated: 09/16/2007

  


 
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