HomeAbout UsContact Us    Toll Free - (877) 868-7721

 
 

APPLICATIONS / QUOTE

 

Please click on the links below to view an applications. We have three EZ OPTIONS to provide you the quick quote.

  1. Download Application , complete , sign and Fax back to us.
  2. Call us @ 877-868-7721 and we will fax or e-mail you the application.
  3. Call us and one of our agent will complete the application over the phone.

Once we will receive or complete your application we will provide you a quote in timely manners .In case of binding the coverage, we will need all original document to be mail within 24 hours

If you do not find your buisness application here simply complete Acord 125 & Acord 126 . Acord 140 required only if property coverage needed.

" Please keep in mind that this is only a partial list. If you do not find what you are looking for, please contact us as we can write much, much more than what is listed " 

    

COMMERCIAL
Acord 125
    

Acord 126      

Acord 140      

How to fill Acord 125-126-140

 

Acord 130  (How to fill)

 

Restaurant / Food Establishment

Supplement

 

Apartment Building

Supplement

 

Full Service Car Wash

 

Hotels/Motels

Supplement

 

Auto Body Shop / Repair Shop 

Auto Supply

 

Commercial Building

 

Contractor - Janitorial

 

Towing Operation

 

Car Dealer

 

Motor Truck Cargo Application

 

Building Renovation

 

Contractors & Consultant

 

Owner And Contractors Protective Liability

 

All Retail Stores

 

Additional Misc

 

Other Buisness General Libility

 

Buisness Owners Policy ( BOP )

(Package of liability & property together)

 

 

PROFESSIONAL LIABILITY

Accountants Professional Liability

 

Actuaries

 

Advertising Agency Liability

 

Architects & Engineers Professional Liability

 

Assisted Living Facility

 

Chiropractors

 

Computer Consultants

 

Contractors, Design Builders And Const Builders Questionnaire

 

Crime Insurance

 

Dentists

 

Directors and Officers Liability (Private Company)

 

Employment Practices Liability

 

Environmental Contractors _ Consultants

 

Environmental Site Pollution

 

Executive Search Firms

 

Expert Witness

 

Home Inspectors

 

Insurance Agents Professional Liability

 

Managed Care Organizations

 

Management Consultants

 

Media Liability

 

Medical Spas

 

Misc. Med for Clinics

 

Misc. Med for Testing Labs

 

Miscellaneous Medical E&O

 

Miscellaneous Professional Application

 

Mortgage Bankers

 

Mortgage Brokers

 

Newspaper Liability

 

Non Profit D_O

 

Non Profit D_O (Condo Associations)

 

OBGYN’s

 

Physicians and Surgeons

 

Property Managers E&O

 

Real Estate Agents/Property Managers /
Escrow Agents E&O

 

Skilled Nursing Facility/ Nursing Home

 

Tenant Discrimination

 

Third Party Administrators

Artisan Contractor / Handy Man

 

Large Contractor

 

Commercial Auto

 

Security Guard services

 

Security Guard Patrol Cars

 

Security Guards Workers Comp

 

Security guards /Alaram companies /
investigation/Workers Comp /Patrol Cars

 

Alaram Service Only

 

Special Events

Supplement

 

Taxi / Shuttle's

 

Vacant Property (Land)

 

Vacant Property  ( Building / Partially Vacant)

 

Home Builders

 

Builders Risk                   

Supplement

 

Condo/ Town Home/ Home Owners Association

 

Day Care Application

 

Valet Parking                            

Supplement

 

Roofing Contractor

 

Farm Labour Contarctors

 

Farms And Ranch

 

Land Scape/ Lawn Maintenance

 

Contractors Choice Equipment

 

Enviromental Pollution Liability

 

Manufacturers / Product Liability    

Supplement

 

Auto Garage Application

 

 

 

PERSONAL INSURANCE

 

Personal Auto

 

Boats

 

Motorcycle off street

 

motorcycle street legal

 

HO-3 Homeowners

 

HO-4 Tenant

 

HO-6  Condo

 

Vacant Dwelling

 

Dwelling Fire

 

Earthquake

 

Motor Homes

 

Mobile Homes

 

Watercraft

 

Personal Article Floater

 

Excess Flood

 

Personal Umbrella / Excess Liability

 

Excess Libility Auto/ Motorcycle

 

Comprehensive Personal Liability

 

Trailers

 

 

 

BONDS

All Contract Bond Applications *

 

Contract Quick and Easy 

 

Contract Packet 

 

Subdivision Bond Packet 

 

Small Subdivision Bond Packet 

 

 

All Commercial Bond Applications

 

Multi Application 

 

ERISA Application 

 

Speedy Application 

 

Contractors License Bond Application 

 

Janitorial Services Application 

 

Online Application 

 

 

All Court Bond Applications

 

Court Bond Application 

 

Lost Note Bond Application 

 

Probate /Fiduciary Bond Application

 



Reminder:

If you do not find what you are looking for, please contact us as we can write much, much more than what is listed " 

If you do not find your buisness application here simply complete Acord 125 & Acord 126 . Acord 140 Acord 140 required only if property coverage needed. 

CALL US :(877) 868-7721   

quoteteam@midlinkinsurance.com