Commercial Property Program
The Commercial Property Program is designed to offer Building and Business Personal Property coverage to our General Liability clients.
We also offer Business Income and Extra Expense coverage.
Our programs are written with highly rated, admitted insurance carriers at very competitive premium rates. Coverage is available in most states. This coverage will need to be provided to you through your local insurance broker. It’s easy to apply for this coverage, just ask your broker to forward us the application and we can have a quote for you within a few days.
Click on the links below to download the applications.
Follow The Instructions below for Submitting Applications.
- Workers’ Comp Acord application
- SASSI Property Application
- SASSI Liability Application
- Electrologist Liability Application
- Acord Property Application 125*
- Acord Commercial Insurance Application 140*
*If you choose property coverage with your Professional/General Liability, please have your broker submit the proper Acord forms 125 and 140.
Using our interactive PDFs, applicants who choose to do so may fill out applications on-screen and when completed to mail or fax.
PDF Version: (Adobe Acrobat 6 Reader Required) Select this format to open an application in Adobe Acrobat 8 as a PDF. If you do not have Adobe Acrobat 6, selecting this option will require you to download the Acrobat Reader 8 program.
(free download here)
Note: This option only permits the user to enter data in the fields and print it out for fax or mail.
Mail completed form to:
21 Maple Avenue PO Box 9175
Bay Shore, NY 11706-9175
Fax completed form to: 631-666-7646
- Each field to enter data has a limited number of characters.
- Please use abbreviations when possible (Ex: Ave. not Avenue)
- To move from field to field, use the “tab” key on your keyboard. (shift “Tab” to move to previous field).
- To enter a “check” mark, simply mouse click within the desired box.