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Klein Insurance Services, Inc.

Forms

Forms are available in a .doc and/or .pdf format.

Step 1: Download and save the form.

Step 2: Complete the form electronically OR print out a copy and fill it out manually.

Step 3: Email electronic version to ScottK@KIS-hospitality.com AND SuzanneS@KIS-hospitality.com. OR mail hard copies to KIS, Garrett Mountain Plaza, Woodland Park, NJ 07474.

If you do not have Acrobat Reader you can download a free version by clicking here.

Supplemental Application

Hotel Application.doc (Word Document) Hotel Application.pdf (Adobe Acrobat Document)

Monoline Umbrella Supplemental Application.doc (Word Document)

Monoline Umbrella Supplemental Application.pdf (Adobe Acrobat Document)

Hospitality E&O Application.doc (Word Document) Hospitality E&O application.pdf (Adobe Acrobat Document)

Restaurant Application.doc (Word Document)


Umbrella Forms

Umbrella Safety Criteria.pdf (use for Risks over 8 stories) or Umbrella Safety Criteria.doc

Acord 131.pdf (Umbrella Section)

Please note: To obtain a quote we require ACORDS 125 and 131 and loss runs with prior carrier.


Acord Forms

Please note: The ACORD forms are pdfs that can be completed electronically and emailed to KIS.

Acord 125.pdf (Commercial Application)

Acord 126.pdf (GL application)

Acord 130.pdf (Worker's Compensation)

Acord 131.pdf (Umbrella Section)

Acord 140.pdf (Property Section)

Acord 141.pdf (Crime Section)

Acord 155.pdf (Boiler & Machinery Section)

Acord 175.pdf (Commercial Change Request)

Statement of Value.pdf


Broker Agreement

Broker Agreement.doc (Word Document) Broker Agreement.pdf (Adobe Acrobat Document)


Crime Application for Condominiums and Homeowners Associations

Crime Application.doc (296kb Microsoft Word Document) Crime Applications.pdf (224kb pdf)


Valet Parking Application

Valetparking.doc (296kb Microsoft Word Document) Valetparking.pdf (224kb pdf)


Property Applications and Worksheets

Builder's Risk.pdf and Builder's Risk.xls

Renovation Supplement .pdf

EDP (Electronics & Telecommunications) Application.pdf

Hotel BI Worksheet.pdf

DIC.pdf

EPLI Application.pdf

EPLI Renewal Application.pdf

 

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