Brokerage
	Commercial Property & Casualty
	Earthquake/Difference In Conditions
	Personal Lines
	Pollution
	Professional Lines/E&O
	Surety Bonds
	Transportation
	Yachts
	ACORD Applications Note: ACORD apps also appear under the appropriate department heading
	Miscellaneous Forms
	TRIA Forms

Earthquake and Difference In Conditions [DIC]

Commercial Earthquake & DIC

• Commercial Earthquake Application  (fillable)    *Try quoting online instead!
• Commercial DIC Application (fillable)
• Commercial DIC Supplemental Questionnaire (fillable)

Dwelling Earthquake & DIC

• Dwelling Earthquake Application (fillable)       *Try quoting online instead!
• Dwelling DIC Application (fillable)                     *Try quoting online instead!

Dwelling Earthquake Coverage Forms [samples]

• Comprehensive
• Condo
• Basic (dwelling only)

Flood (Stand-alone coverage)

• Flood App (Personal Lines) (fillable) 

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Personal Lines

Homeowners

• ACORD Homeowners Application      *Try quoting online instead!
• Supplemental Application for ACORD

Dwelling Fire

• ACORD Dwelling Fire Application      *Try quoting online instead!

Stand-Alone Liability

• Liability Application (Scottsdale)
• Comprehensive Personal Liability (USLI)
• Excess Personal Liability (USLI)

Mobile Homes

• Mobile Home Application (Scottsdale)

Inland Marine

• Inland Marine Application (fillable)

Farm & Ranch

• Farm & Ranch (American Reliable)
• Farm & Ranch (Colony)
• Equine Application
• Secondary Dwelling Application (American Reliable) (fillable)
• Mobile Home Questionnaire (American Reliable)
• Farm & Ranch Commercial Excess Liability Application (American Reliable)

Umbrella

• Personal Umbrella Application (fillable)
• Personal Umbrella Renewal Questionnaire
• Personal Umbrella Application (ACORD)

Personal Lines Supplemental Applications
Please complete any applicable Supplements in addition to the Homeowner or DF Acord apps above.

• Adult Family Home Supplemental Questionnaire
• Builders Risk Supplemental Application
• COC - Renovation Questionnaire
• Floating Property (Red Shield)
• Hobby Farm Questionnaire
• Home Based-Business (USLI)
• Log Home Questionnaire
• Pet Questionnaire
• Unprotected Rating Questionnaire
• Vacant Property Questionnaire           *Try quoting online instead!
• Vacation Dwelling Rental Questionnaire
• Wood Stove Questionnaire

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Pollution

Underground or Above Ground Tanks

• Storage Tank Pollution Liability Application (fillable) (or pdf version)
• Notice of Release of Claim
• Open Release Supplemental App

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Brokerage
Most of this department's applications are company-specific and need to be determined by reviewing the risk.  Briefly describe the prospect risk and email to brokerage@gogus.com. We will promptly reply and forward the appropriate application(s). 

Below are a few apps that aren't company-specific:

• Assisted Living Facility (Allied Medical) Application
• Contractor's Questionnaire
• E&O - Specified Professions Application (Business Consultant, etc)
• Law Firm E&O Application
• Products Coverage Application
• Roofer's Supplemental Application

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Commercial Property & Casualty

Commercial General Liability Only   (Acord 125 & 126)
Commercial Property Only                 (Acord 125 & 140)
Commercial Package                          (Acord 125, 126 & 140)
   Some special classes/programs may need Supplemental Applications (see below) 
   in addition to the above mentioned Acord applications.

Commercial Umbrella

• ACORD Umbrella Application (Acord 125 & 131)
  

Commercial Property

• Inland Marine Application
• Rain Insurance Application
• ACORD Equipment Floater Supplement (fillable)
• ACORD Glass & Sign Supplement (fillable)
• ACORD Builders Risk Supplement (fillable)
• Western Heritage Builders Risk Supplement
• ACORD Crime Supplement
  

Program Supplements (Submit in addition to Acord applications)

• Adult Day Care (does not apply to adult family homes)
• Alarm Systems
• Amusement Supplemental
• Artisan/Subcontractor General Liability Application  (fillable)   *Try quoting online!
• Beauty and Barber  (fillable) 
• Caterers Halls
• Climbing Wall Questionnaire
• Condo HOA GL
• Condo HOA D&O
• Contractors Equipment Rental
• Convalescent Homes
• Daycare
• Detective Supplemental
• Exercise Supplemental
• Exterminators GL
• Flea Market GL
• General Contractor Application (fillable)
• Habitational
• Halfway House GL & Professional Liability
• Hole-in-One
• Hunt Club GL
• Janitorial Program
• Landowners
• Landscaping
• Liquor Liability
• Logging & Lumbering
• Loggers Broad Form PD
• Manufacturing Questionnaire
• Martial Arts Supplemental
• Medical Equipment Supply
• Medical Testing labs
• MHP & Campgrounds
• Motel Supplemental
• O&CP Supplement
• Outfitters and Guides Supplemental
• Restaurant
• Restaurant GL
• Roofers Questionnaire
• Security Guard GL
• Soccer League GL
• Special Event GL
• Sport Camp GL
• Swim Club Program
• Swimming Pool Contractors
• Swimming Pool Management Supplemental
• Swimming Pool Survey
• Tanning Salon Program Supplemental
• Tree Trimmers Supplemental
• Truckers GL
• Vacant Building Supplemental       *Try quoting online instead!
• Welding and Brazing Supplemental
• Wrecking of Building GL
  

Misc. Forms

• ACORD Property Loss Notice (fillable)
• ACORD Liability Loss Notice (fillable)
• ACORD Cancellation Request/Policy Release [LPR]  (fillable)

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Surety Bonds

• Contractor's License Bond Application (Preliminary)  (fillable)
• Misc. Bond Application (Preliminary) (fillable)
• Producer Bond Application $2,500-$20,000 (fillable)
• Producer Bond Application $20,001-$100,000 (fillable)
• Financial Statement (fillable)

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Transportation

Commercial Auto

• Commercial Auto Quote Sheet (fillable) - KEY TERMS & INSTRUCTIONS
• GUS Commercial Auto Application
• Acord Packet - Washington [Acord 125, 127, 129, 137WA, 62WA]
• Acord Packet - Oregon [Acord 125, 127, 129, 137OR, 61OR]
• Canal Truck Insurance Application (Washington) (fillable)
• Canal Truck Insurance Application (Oregon) (fillable)
• Canal Public Auto Renewal Anniversary Update Form (fillable)
• Argonaut Auto Leasing Application (fillable)
• Argonaut Cargo Application  (fillable)
• Argonaut Contractors Auto Supplemental (fillable)
• Argonaut Driver Training Schools Application (fillable)
• Argonaut Dump & Ready Mix/Cement Truck Supplemental (fillable)
• Argonaut Garaging Location Certification Supplemental  [00-AU 1138 7-05]
• Argonaut Hired Auto Application  (fillable)
• Argonaut Non-Owned Auto Application  (fillable)
• Argonaut Non-Trucking Application  (fillable)
• Argonaut Passenger Carrier Application (fillable)
• Argonaut Passenger Carrier Supplemental (fillable)
• Argonaut Public Auto Supplemental  (fillable)
• Argonaut Food/Specialized Delivery Truck NOC Supplemental  (fillable)
• Argonaut Transportation Application  (fillable)
• Argonaut Trash/Refuse/Waste Haulers Supplemental  (fillable)
• Argonaut Trucking For Hire Application [TR1011-0408]
• Argonaut Wrecker/Repo/Garagekeepers/On-Hook Supplemental  (fillable)
• BHHC Automobile Inspection Report  [6-29-04]
• BHHC Driver Medical Questionnaire
• BHHC Dump Truck Supplemental Application
• BHHC General Supplemental Application  [3-8-05]
• BHHC Intermodal Trucking Supplemental Application  [1-10-07]
• BHHC HNOA Liability Supplemental Application  [3-12-04]
• BHHC Log Truckers Supplemental Application 
• BHHC Passenger Transportation Supplemental Application  [2-8-05]
• BHHC Tow Truck Supplemental Application  [2-11-04]
• BHHC Truckers Supplemental Application  [3-8-05]
• BHHC WA UIM Form
• BHHC OR UIM Form
• BHHC UM-UIM Form (WA & OR) - Dump Trucks
• National Casualty PIP Form
• National Casualty Commercial Auto Application  [CA-APP-1 11-06]
• National Casualty Commercial Auto Non-Trucking Application  [CA-APP-8 12-06]
• National Casualty Automobile Mechanical Inspection Report  [CA-STMT-4 6-96]
• National Casualty Public Auto Application  [CA-APP-5 11-06]
• National Casualty Public Auto (Sightseeing) Application  [CA-APP-2 9-03]
• National Casualty Public Auto (Limousines) Application  [CA-APP-4 11-06]
• National Casualty Public Auto (Ambulance) Application  [CA-APP-3 11-06]
• National Casualty Tow Truckers/Wreckers Application  [CA-APP-16 11-06]
• FILINGS AT A GLANCE

Cargo

• GUS Cargo Application
• National Casualty Cargo Application [CT-APP-2 11-06]
• Red Shield Motor Truck Cargo Legal Liability
• BHHC MTC Supplemental Declaration Page - SAMPLE  [IM 60010]

Garage - Dealer/Service

• Garage Dealer/Service Quote Sheet (fillable) - KEY TERMS &  INSTRUCTIONS
• BHHC Garage Supplemental Application
• BHHC Used Car Dealer Supplemental Application
• Colony Auto Auction Questionnaire   (fillable)
• Colony Garage Application  (fillable)
• Colony Heavy Vehicle Service Questionnaire  (fillable)
• Colony Repo Questionnaire  (fillable)
• Colony RV Sales or Service Questionnaire  (fillable)
• Colony Salvage Yard Questionnaire  (fillable)
• Colony Tow Truck Operators Questionnaire  (fillable)
• Colony Valet Parking Questionnaire  (fillable)
• Western Heritage Garage Application
• Western Heritage Garage Renewal Application
• Western Heritage Antique & Classic Auto Restoration Supplement
• Western Heritage Heavy Truck, Bus & Equipment Supplement
• Western Heritage Pawn Sales & Consigned Auto Supplement
• Western Heritage RV Repair & Dealers Supplement
• Western Heritage Salvage Yards & Rebuilding Supplement
• Western Heritage Spray-In Bed liners Supplement
• Western Heritage Towing Supplement

Misc. Forms

• Vehicle Inspection Form
• PIP Selection Form
• UIM Selection Form
• ACORD Medical Statement
• ACORD Automobile Loss Notice (fillable)
• ACORD Auto Accident Information Form
• ACORD Young Driver Questionnaire
• Individual Driver Questionnaire

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Yachts

• Yacht Application  (fillable)

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ACORD Applications

• 80 (8/05):     Homeowners
• 84 (8/05):     Dwelling Fire
• 125 (8/06):   Commercial Insurance - Applicant Information Section 
• 126 (1/97):   General Liability 
• 127 (5/03):   Business Auto
• 129 (1/03):   Vehicle Schedule
• 137 (2/02):   Commercial Auto (Oregon)
• 137 (7/06):   Commercial Auto (Washington)
• 140 (1/98):   Property (Commercial) 
• 146 (2/07):   Equipment Floater  (fillable)
• 185 (10/98): Restaurant/Tavern 

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Miscellaneous Forms

• Oregon Diligent Search Letter (needed for ALL Oregon risks)
• Alaska Diligent Search Letter (needed for ALL Alaska risks)
• Idaho Diligent Search Letter (needed for ALL Idaho risks)
• Utah Good Faith Effort to Place Form (needed for certain classes of business in Utah)
  
  
• ACORD Cancellation Request/Policy Release [LPR]  (fillable)
• ACORD Statement of No Loss  (fillable)

• ACORD Property Loss Notice (fillable)
• ACORD Liability Loss Notice (fillable)
• ACORD Automobile Loss Notice (fillable)

• ACORD Broker of Record Letter (fillable)
• Book of Business Transfer Authorization (fillable)
• Producer Agreement (needed for all new agents to get appointed with Griffin) (fillable)
• Producer Agreement - Allstate Commercial Lines ONLY (fillable)

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TRIA (Terrorism Risk Insurance Act) Forms

• Argonaut
• Atlantic Casualty
• Canal  
• Canal (GL & Inland Marine)  
• Catlin Specialty
• Colony
• Underwriters at Lloyds
• London Companies [Sirius International, ACE European, Axis]
• Markel
• Montpelier US Ins Co [MUSIC]
• National Casualty
• Omega US
• Scottsdale
• USLI (USLI, Mt. Vernon Fire Ins Co, and US Underwriters Ins Co)
• Western Heritage

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