surplus and excess insurance

 

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Homeowners

1-4 Family Dwelling

Condo/Renters

Antique Auto

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Surplus Line Managers Brokerage Agreement (280K)

Commercial Lines

American Modern Insurance Group - Marketing Bulletin
Increase in Service Fees (63K)

Massachusetts Tax Forms

Massachusetts Affidavit by Assured (48K)

Mobile Home, Motor Home, Manufactured Home, Travel Trailer

Aegis Security Insurance Company

NEWS!  Please note!

$300,000 liability in our Massachusetts Manufactured Home Program for owner occupied risks only. Please forward clear photos of the front and rear of the home.  The annual premium to increase the liability to $300,000 would be $65.

Manufactured Home Rates and Underwriting (139K)
effective April 1, 2004

Manufactured Home Rates (388K)
effective April 1, 2004 new business, May 1, 2004 for renewals
Seasonal usage: New business May 1, 2008, renewal business July 1, 2008

Manufactured Home Application (39K)

Scheduled Personal Property Rates (10K)

Woodstove Questionaire  (22k)

Vacant Mobile Homes

American Modern Insurance Group

For applications and rates, go to modernLINK

Watercraft

American Modern Insurance Group

For applications and rates, go to modernLINK

Hagerty Insurance

Wooden and/or Classic Boats  (44KB)

Jetski

American Modern Insurance Group

For applications and rates, go to modernLINK

Umbrella

RLI Insurance

RLI Personal Umbrella Introductory Letter (134K)

Personal Umbrella Quote On Line (contact Suzanne Russell if you don't have a username or password)

Personal Umbrella Liability Insurance Renewal (359K)
effective September 15, 2007

Personal Umbrella Application - 276  - Fill in and print - (925K)
effective September 1, 2007

Personal Umbrella Policy Holder Notice (238K)

260A Rejection of UM - renewals only (66K)

257 Rejection of UM - new business (6K)

Umbrella Policy w/Amendator Endorsement (464K)

Stand-Alone Personal Umbrella Application Instructions (330K)

Letter covering Standard II Personal Umbrella (15K)

$5,000,000 coverage limit and sample letter (139K)

United States Liability Insurance Group

Excess Personal Umbrella Click for online quote

Personal Umbrella Liability Application Click for online quote

Personal Umbrella Liability Application  (printable version- 53KB)

Comprehensive Personal Liability Application Click for online quote

Comprehensive Personal Liability Application (printable version - 200K)

Driver Exclusion Endorsement (20K)

Physician's Opinion Statement - Driver Fitness (50K)

Farm Personal Catastrophe Excess Supplemental Application (96K)

Excess Liability

Excess Comprehensive Personal Liability, Auto or Watercraft (118K)

Excess Comprehensive Personal Liability, Auto or Watercraft Application (30K)

Vacant Dwelling /CPL

American Modern Insurance Group

For applications and rates, go to modernLINK

In-home Business

RLI Insurance

In-Home Business Policy (8K)

In-Home Business Quote On Line

In-Home Business Program (65K)

@Home Business Protection Program (443K)
effective 5/1/06 new business and 6/1/06 renewals

@Home Business Application (351K)

@Home Business Application (273 K)
effective 3/1/08

Federal Terrorism Insurance Coverage (66K)

In-Home Business Rating Worksheet (192K)

Homeowners

American Modern Insurance Group HO-10

For applications and rates, go to modernLINK

Lexington Insurance Company (Note: minimum $300,000 Coverage A)

Homeowners Application (324K)

Homeowners Composite Application this can be completed online, then printed out and mailed or faxed to Surplus Line Managers. (105K)

Excess Flood Application (51K)

Personal Inland Marine Application (102K)

Personal Umbrella Application (129K)

Dwelling Property Application (107K)

Builder's Risk Supplemental Application (34K)

Older Home Update Questionnaire (23K)

Pet Questionnaire (21K)

Unprotected Rating Questionnaire PC 9 & 10 (21K)

Supplemental Heating Questionnaire (21K)

Supplemental Corporate Named Insured Questionnaire (18K)

United States Liablility Insurance Group

Dwelling Fire (117K)

Condominium(233K)

Homeowner Daycare Supplemental (237K)

1-4 Family Dwelling

American Modern Insurance Group

For applications and rates, go to modernLINK

United States Liablility Insurance Group

1-4 Family Dwelling Click for online quote

1-4 Family Dwelling  (printable version - 39KB)

Condos/Renters

United States Liablility Insurance Group

Condominium/Renters Package Click for online quote

Antique Auto

American Modern Insurance Group

Elite Collector Car application (17K)

Hagerty Insurance

Collector Automobile Insurance (296K)

 

HomeNews | About Us | Employment | Contact Us

 

Surplus Line Managers, Inc,. CMGA    
A Minuteman Service Company
P.O. Box 490
152 South Mast Road
Goffstown, NH 03045
     phone:(888) 258-1776  •  fax: (603) 882-1843
 e-mail:info@surpluslinemanagers.com

This page last updated June 13, 2008