Surplus Line Managers - Vermont programs

surplus and excess insurance

Commercial Lines

Vacant Mobile Homes

Vacant
Dwelling/CPL

In-home Business

1-4 Family Dwelling

The following guidelines and applications are available to be downloaded to your computer.

You will need Adobe Acrobat Reader to view the forms. Click on the icon below to download Acrobat Reader.

Notice: As of October 1, 2003, you must be signed up with modernLink™ to access American Modern Insurance Group's on-line forms and ratings.

Click here to Register to access American Modern
Insurance Group's on-line forms and rating.

Registered users of American Modern Insurance Group's
modernLink™, click here to sign on.

American Modern Home now offers snowmobile coverage in Vermont. Click here for more details.

Surplus Line Managers Brokerage Agreement (280K)

Commercial Lines

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

American Modern Insurance Group

For applications and rates, go to modernLINK

Aegis Security Insurance Company

NEWS! Please note!

$300,000 liability in our Vermont 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 $100.

Direct Bill Payment Options (55K)

Manufactured Home Rates (315K)
Effective new business 04/15/03, renewal business 06/01/03
Seasonal: effective new business 03/01/08, renewal business 05/01/08

Manufactured Home Rates (315K)
effective new business August 1, 2008, renewal business October 1, 2008

Manufactured Home Application (39K)

Scheduled Personal Property Rates (10K)

Woodstove Questionaire (22k)

American Modern Insurance Group

For applications and rates, go to modernLINK

American Modern Insurance Group

For applications and rates, go to modernLINK

American Modern Insurance Group

For applications and rates, go to modernLINK

Hagerty Insurance

Wooden and/or Classic Boats (44KB)

American Modern Insurance Group

For applications and rates, go to modernLINK

Surplus Line Managers, Inc.

Letter - Personal Lines Motorcycles (90K)

Motorcycle Bulletin (75K)

American Modern Insurance Group

For applications and rates, go to modernLINK

RLI Insurance

RLI Personal Umbrella Introductory Letter (86K)

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

Personal Umbrella Premiums (117K)
effective August 1, 2007 new business, September 1, 2007-renewal

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

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

Policy Provisions-320 (65K)

Personal Umbrella Policy Holder Notice (83K)

260A Rejection of UM - renewals only (14K)

Effective February 1, 2005

257A Rejection of UM - new business (11K)

Effective February 1, 2005

257D Rejection of Uninsured Motorists/Underinsured Motorists (11K)

Effective March 1, 2007

Umbrella Policy w/Amendator Endorsement (620K)

Umbrella Policy w/Amendatory Endorsement (39K)
Effective March 1, 2007

Stand-Alone Personal Umbrella Application Instructions (330K)

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)

American Modern Insurance Group

For applications and rates, go to modernLINK

RLI Insurance

In-Home Business Policy (8K)

In-Home Business Quote On Line

@Home Business Protection Program (443K)
effective 2/1/06 new business and 6/1/06 renewals

@Home Business Application (351K)

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

Federal Terrorism Insurance Coverage (66K)

In-Home Business Rating Worksheet (192K)

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)

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)

United States Liablility Insurance Group

Condominium/Renters Package Click for online quote

American Modern Insurance Group

Elite Collector Car application (17K)

Hagerty Insurance

Collector Automobile Insurance (296K)

Home | News | 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 July 10, 2008