| AGENCY/BROKERAGE APPOINTMENT FORMS |
| Producer Profile | |  |
| Brokerage Agreement | | |
| UMBRELLA PROGRAM |
| High Limits Umbrella Application | Required |   |
| Umbrella Multi Location Addendum | If applicable | |
| Automobile Application - owned / leased autos only (PDF) - Supplemental | If applicable | |
| Affordable Housing - Supplemental Application | If applicable | |
| Day Care Application (PDF) - Supplemental Application | If applicable | |
| Senior/Independent Living - Supplemental Application | If applicable | |
| Student Housing Supplemental Application | If applicable |  |
| Lead Supplemental Application | If applicable | |
| Low Limits Umbrella for Community Associations | | |
| Condo Combo | | |
| CHIP (Small Urban, Multi-Family buildings) PROGRAM |
| City Homes Application (Online) or (Excel) | | |
| City Homes Umbrella Application | Optional - Short 4 question supplement required on risks requesting CHIP umbrella coverage. | |
| City Homes Directors and Officers Liability for Community Associations Application | Optional - For community association risks requesting Basic D&O coverage at a competitive price. For more robust coverage including EPLI, please look at our stand alone D&O policy below. | |
| Directors and Officers Liability for Community Associations - Stand Alone Policy Application | Optional - Comprehensive D&O policy that includes EPLI | |
| City Homes Commercial Supplement | Required on all building with a commercial exposure (retail, office, etc) | |
| City Homes Multiple Location Addendum | Used in conjunction with the City Homes Application for risks with multiple locations | |
| CHIP Multiple Building Supplement | Only for risks that have multiple buildings at a single location | |
| Automobile Application for CHIP Umbrella | Required when applying for the CHIP umbrella with owned/leased autos | |
| NY BRICK & BROWNSTONE PROGRAM |
| NY BRICK & BROWNSTONE SUPPLEMENTAL LEAD-BASED PAINT EXPOSURE QUESTIONNAIRE FOR CONDOS/COOPS | | |
| Building Supplement for Office, Retail and/or Restaurant Occupancies | | |
| New York Brick and Brownstone Building Insurance Program (online) or (Excel) | | |
| NY Anti-Arson (PDF) | If applicable | |
| Directors and Officers Liability for Community Associations | Optional - If risk is a community association and wants D&O policy | |
| Umbrella Application | Optional | |
| D&O PROGRAM |
| Directors and Officers Liability for Community Associations | | |
| High Unit Supplemental Notes | Supplement should be filled out if the average unit value is greater than $1,000,000 | |
| Major Renovations Supplemental | Supplement should be completed if a major renovation is scheduled during the policy term, does not apply to original unit construction | |
| Condo Combo | | |
| CRIME COVERAGE PROGRAM |
| Crime for Community Associations (online) or (PDF) | | |
| PLANNED UNIT DEVELOPMENTS PROGRAM |
| Common Area Package Program - Residential CAPP Application) | | |
| Common Area Package Program - Residential CAPP Application (Illinois) | Applicable only in Illinois | |
| Common Area Package Program - Commercial CAPP Application | If applicable | |
| Lake Supplemental Application (for Package Quote) | If applicable | |
| Supplemental Automobile Application - use if risk has vehicles (PDF) | | |
| Affordable Housing |
| Affordable Housing Application | Required for "Property and GL coverage only" | |
| Affordable Housing Building Questionnaire | Required for "Property and GL coverage only" | |
| Umbrella Application | Optional | |
| Student Housing |
| Student Housing Application (PDF) | Required for "Property and GL coverage only" | |
| Student Housing Building Questionnaire | Required for "Property and GL coverage only" | |
| Umbrella Application | Optional | |
| Senior Housing (Independent Living) |
| Senior Independent Living Application | Optional | |
| Building Questionnaire | Required | |
| Umbrella Application | Optional | |
| Misc. PROPERTY AND LIABILITY PROGRAMS |
| Building Questionnaire (Excel) or (PDF) | If applicable for | |
| Commercial Building / Restaurant Exposure Application (PDF) | If applicable for Affordable Housing, Student Housing and Senior (Independent Living) programs | |
| Vacant Land Application (PDF) | If applicable for Affordable Housing, Student Housing and Senior (Independent Living) programs | |
| Day Care Application (PDF) | If applicable for Affordable Housing, Student Housing and Senior (Independent Living) programs | |
| Automobile Application - owned / leased autos only | If applicable for Affordable Housing, Student Housing and Senior (Independent Living) programs | |
| VACANT BUILDING INSURANCE PROGRAM |
| Vacant Building Application (PDF) | | |
| UMBRELLA FOR MUSEUMS PROGRAM |
| Umbrella for Museums Application | Required | |
| Umbrella for Museums Multi Location Addendum | If Applicable | |
| Umbrella for Museums Liquor Liability Supplement | If Applicable | |
| Umbrella for Museums Auto Supplement | If Applicable | |
