P.O. Box 591, Plainview, NY 11803             Phone: 516-396-4600           Fax: 516-396-4610

55 W Ames Ct, Plainview, NY 11803 © 2010-2011 Designed by Group Coverage, Inc. All Rights Reserved

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About Empire State

Insurance Forms & Applications

 

Acord Forms

 

• Application & Forms

 

U.S. Liability Forms

 

• 1-4 Family Dwelling Application
• Apartment Application
• Artisan Contractors Supplemental
• Bar and Tavern-Restaurant
• Beauty-Nail Salon Application
• Business Owners Application
• Commercial Child Care Application
• Commercial Umbrella-Excess
• Contractors Supplemental
• Convenience Deli & Grocery
• Convenience Deli, Grocery & Liquor Store
• Electronic Store Application
• Fast Food Supplemental
• Fitness Center Application
• Janitorial Services Application
• Lessor's Risk Supplemental
• Owners-Tenants Protective
• Premises Preferred Supplemental
• Residential Child Care
• Resident Condo Unit Owners
• Specialty Training School Supplemental
• Truckers Supplemental
• Vacant Land Application
• Vacant & Partially Vacant Building Package

 

Liquor & Special Events

 

• Liquor Liability Application
• Special Event Liability Application

• Cover X Liquor Liability

 

 

Non-Profit Package

 

• Church Supplemental
• Community Assoc Package
• Community Assoc Professional
• Community Assoc Umbrella
• Non Profit Fraternal Clubs
• Non Profit Premises Preferred
• Non Profit Professional Liability
• Non Profit Special Event - Liquor

 

Personal Lines

 

• Comprehensive Personal Liability
• Condo-Renters Application
• Excess Personal Liability
• Personal Umbrella Application

 

Professional Liability

 

• Computer Consultants
• Corporate D&O Liability
• Employment Practices Liability
• Insurance Agents and Brokers
• Non Profit Professional Liability
• Real Estate E & O
• Real Estate E&O Renewal
• Technology Professional

 

Property

 

• Builder's Risk New Construction
• Builder's Risk Renovations
• Contractors Equipment

 

Lloyd’s of London

 

• Apartments
• Auto Physical Damage for Commercial Vehicles
• Commercial Property Application
• Contractor's Equipment
• Difference in Conditions
• Equipment Floater Questionnaire
• Fine Art Collectors and Jewelry and Furs Proposal
• Fine Art Insurance for Dealers
• Excess Flood
• Garagekeepers
• Motor Truck
• Lloyd’s Restaurant Application
• Personal Jewelry and Furs
• Private Pass Auto Physical Damage
• Questionniare: Dealers Open Lot and/or Garagekeepers    Legal Liability
• Vacant Property
• Witnessed Mileage Statement

 

Miscellaneous

 

• Ace Contractors
• Anti Arson Application
• Century Surety Garage Liability
• CNA Surety Bonds
• Cover X - Restaurant Application
• CT Affidavits

• DEAN Sports Facility Application
• Employers Reinsurance
• Evanston Company
• First Mercury Alarm & Safety
• First Mercury Apartments & Condo Supplemental
• First Mercury Bar, Tavern, Nightclub Supplemental
• First Mercury Hotel & Motel Application
• First Mercury Restaurant Supplemental
• First Mercury Contractors
• First Mercury General
• First Specialty Company
• Floodwatch Company
• Great American Contract
• Great American Inland
• Great American Motor
• Habitational Supplemental
• Hermitage Company Artisan
• Hermitage Company Roofer
• Houston Causalty EPL Insurance
• Houston Casualty Insurance
• Indian Harbor Company
• Kensington Frame Questionaire
• Merchants Company Excess
• NJ Affidavits
• North Sea Company Restaurant
• NY Affidavits
• Philadelphia Lawyers Professional
• Rutgers Contractors
• Scottsdale Dwelling Liability
• Scottsdale Homeowners
• TOWER Contractors
• Tudor Artisan Contractors
• Western Heritage Contractors
• Western Heritage Janitorial
• Western Heritage Landscaping
• Western Heritage Welding

 

Bonding

• CCP Martkerting Fact Sheet
• CCP Application