DFCORBY Insurance Services

"Partnering Success With Our Clients"

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APPLICATIONS, SUPPLEMENTALS, SL FILING FORMS & OTHER FORMS OF INTEREST



Many of our Documents are Interactive and can be completed online or saved to your Desktop to be completed. Either way, just complete the interactive application, save it as a file and then email it to us an attachment.

PRODUCER AGREEMENT

DFCORBY Producer Agreement

PROGRAM DESCRIPTIONS

Artisan Contractors - Admitted: Supplemental is in our Supplemental Section [below]

Mortgage Bankers & Mortgage Brokers

Title Agents & Title Abstractors Professional Liability

Architects & Engineers E&O + BOP

High Limit Miscellaneous E&O / Professional Liability

24 Hour Convenience Stores - GL & Property

Commercial Property

CONTRACTOR SUPPLEMENTALS & INFORMATION

COC Interactive Supplemental [requires Acords]

Artisan Contractor Supplemental [Interactive] Application [requires Acords]

Liberty - Painting Contractors Interactive Supplemental Application [requires Acords]

Colony - Contractor Supplemental [requires Acords]

Gemini - Vela Supplemental - Interactive: most widely accepted Contractor Supplemental

Benchmark - Interactive Application/Supplemental

Roofing Contractors Interactive Supplemental Application [requires Acords]

Navigators Interactive Contractors Supplemental - includes the Homebuilder Supplement

Mt. Hawley Insurance Co: Owners & Contractors Protective Application

Arch Wrap-Up Application [Interactive]: accepted by most wrap-up underwriters

Arch: Residential Conversion Application [Interactive]

Wrap-Up Checklist: Items usually required by most underwriters to quote wraps

Railroad Protective Liability Application

Acquired or Discontinued Operations: Contractors Supplemental Questionnaire

AGC Subcontractor Agreement [Specimen]: preferred by most insurers because it contains specific Indemnity and Insurance sections.

SPECIAL APPS FOR SMALL INSUREDS:  PACKAGE, MONO-GL & MONO-FIRE

Commercial Package Application - Interactive

Commercial Fire Application - Interactive

CGL Application - Interactive

Comprehensive Personal Liability Application - Interactive

Philadelphia Ins. Co.: BOP Application

U.S. Liability Ins. Co.: Package Habitational Supplemental Application

E&O / PROFESSIONAL LIABILITY - APPLICATIONS

Philadelphia Ins. Co.: Professional Liability Application for Specified Professions

AHJ.Lloyds: Miscellaneous Professional Liability Application [Interactive]

AHJ/Lloyds: Insurance Broker E&O Application [Interactive]

PRODUCT LIABILITY - SUPPLEMENTAL APPLICATIONS

Shand Morahan [Evanston]: Products Application

Mt. Hawley Insurance Co.: Products Supplemental Application

MISCELLANEOUS OTHER APPLICATIONS

Evanston Ins. Co.: Vacant/Renovation Property Supplemental Application

Philadelphia Ins. Co.: Condominium Association Program Application

Philadelphia Ins. Co.: HOA Supplemental Application [Interactive]

Philadelphia Ins. Co.: Mobile Home Park Application [Interactive]

CALIFORNIA SURPLUS LINES FILING FORMS

California D-1: Surplus Lines Disclosure Form

California SL-2: Diligent Search










DFCORBY Insurance Services
P.O. Box 6297
Fullerton, CA 92834
Tel:  714.992.4448     Fax:  714.459.7052
CA License #0A94834